Bibliographic Details
| Title: |
Brodie’s abscess in the ischium of a pediatric patient: a case report. |
| Alternate Title: |
Absceso de Brodie en el isquion de un paciente pediátrico: caso clínico. |
| Authors: |
Gonçalves-Schroder Souza, B.1, Sabbagh-Loures-Vieira, L.2 lucasabbagh@gmail.com, Francisco-Munck-Fontes, L.2, Guimarães-Brum de Castro, F.2, Demolinari-Pires, D.3 |
| Source: |
Acta Ortopédica Mexicana. May/Jun2026, Vol. 40 Issue 3, p187-191. 5p. |
| Subjects: |
Osteomyelitis, Pelvic bones, Magnetic resonance imaging, Bone diseases, Staphylococcus aureus, Antibiotics |
| Abstract (English): |
Osteomyelitis, a bone infection, is rare in the pelvic bones of children, particularly in the ischium, with few documented cases in the literature. Staphylococcus aureus is the most common causative agent. Brodie’s abscess, a subacute form of osteomyelitis, primarily affects boys and is challenging to diagnose, as it may be mistaken for bone tumors due to its insidious clinical presentation. Brodie’s abscess causes bone destruction, bone marrow edema, and complications in soft tissues and joints. Diagnostic methods such as magnetic resonance imaging, which reveals the «penumbra sign», and needle biopsy are essential for diagnosis. Treatment involves prolonged antibiotic therapy and, in some cases, surgical drainage. Malignant tumors, avulsions, and inflammatory conditions, such as ischial osteitis, should be excluded in the differential diagnosis. The objective of this report is to describe a rare case of subacute osteomyelitis in the ischial bone of a pediatric patient, highlighting the imaging, laboratory findings, and clinical manifestations observed. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
La osteomielitis, una infección ósea, es rara en los huesos pélvicos de los niños, particularmente en el isquion, con pocos casos documentados en la literatura. Staphylococcus aureus es el agente causal más común. El absceso de Brodie, una forma subaguda de osteomielitis, afecta principalmente a los varones y es difícil de diagnosticar, ya que puede confundirse con tumores óseos debido a su presentación clínica insidiosa. El absceso de Brodie causa destrucción ósea, edema de la médula ósea y complicaciones en los tejidos blandos y las articulaciones. Métodos diagnósticos como la resonancia magnética, que revela el «signo de penumbra», y la biopsia con aguja son esenciales para el diagnóstico. El tratamiento incluye terapia antibiótica prolongada y, en algunos casos, drenaje quirúrgico. Se deben excluir en el diagnóstico diferencial tumores malignos, avulsiones y condiciones inflamatorias, como la osteítis isquiática. El objetivo de este informe es describir un caso raro de osteomielitis subaguda en el hueso isquiático de un paciente pediátrico, destacando los hallazgos de imágenes, laboratorio y manifestaciones clínicas observadas. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
