Cargando…
Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms
Brodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227956/ https://www.ncbi.nlm.nih.gov/pubmed/34071346 http://dx.doi.org/10.3390/medicina57060544 |
_version_ | 1783712629748924416 |
---|---|
author | Hogea, Bogdan Gheorghe Patrascu, Jenel Marian Lazarescu, Adrian Emil El Mehdi, Louchi Bolovan, Andrei Daniel Hogea, Lavinia Maria Ilie, Adrian Cosmin Andor, Bogdan Corneliu Patrascu, Jenel Marian |
author_facet | Hogea, Bogdan Gheorghe Patrascu, Jenel Marian Lazarescu, Adrian Emil El Mehdi, Louchi Bolovan, Andrei Daniel Hogea, Lavinia Maria Ilie, Adrian Cosmin Andor, Bogdan Corneliu Patrascu, Jenel Marian |
author_sort | Hogea, Bogdan Gheorghe |
collection | PubMed |
description | Brodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly with spontaneous fistula and septic complications. Laboratory tests also suggested chronic septic alterations. Complex imaging investigations including X-ray (RX), computer tomography (CT) and Magnetic Resonance imaging (MRI) confirmed the diagnosis with characteristic aspects, such as the penumbra sign on the T1 weighted MRI image. Management included aggressive debridement, defect reconstruction, and long-term specific antibiotics according to culture harvested intra-operatively. Evolution was positive with inflammatory blood tests returning to physiological values within four weeks and patient full recovery within six months, without any physical deficits. The novelty aspect found in this case presentation is represented by the long-term natural evolution of this pathology, and the fact that even in these conditions, the Brodie’s abscess did not evolve into a ‘malignant’ septic condition, but remained rather benign until the spontaneous fistula prompted the patient to seek medical care. |
format | Online Article Text |
id | pubmed-8227956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82279562021-06-26 Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms Hogea, Bogdan Gheorghe Patrascu, Jenel Marian Lazarescu, Adrian Emil El Mehdi, Louchi Bolovan, Andrei Daniel Hogea, Lavinia Maria Ilie, Adrian Cosmin Andor, Bogdan Corneliu Patrascu, Jenel Marian Medicina (Kaunas) Case Report Brodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly with spontaneous fistula and septic complications. Laboratory tests also suggested chronic septic alterations. Complex imaging investigations including X-ray (RX), computer tomography (CT) and Magnetic Resonance imaging (MRI) confirmed the diagnosis with characteristic aspects, such as the penumbra sign on the T1 weighted MRI image. Management included aggressive debridement, defect reconstruction, and long-term specific antibiotics according to culture harvested intra-operatively. Evolution was positive with inflammatory blood tests returning to physiological values within four weeks and patient full recovery within six months, without any physical deficits. The novelty aspect found in this case presentation is represented by the long-term natural evolution of this pathology, and the fact that even in these conditions, the Brodie’s abscess did not evolve into a ‘malignant’ septic condition, but remained rather benign until the spontaneous fistula prompted the patient to seek medical care. MDPI 2021-05-28 /pmc/articles/PMC8227956/ /pubmed/34071346 http://dx.doi.org/10.3390/medicina57060544 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Hogea, Bogdan Gheorghe Patrascu, Jenel Marian Lazarescu, Adrian Emil El Mehdi, Louchi Bolovan, Andrei Daniel Hogea, Lavinia Maria Ilie, Adrian Cosmin Andor, Bogdan Corneliu Patrascu, Jenel Marian Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title_full | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title_fullStr | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title_full_unstemmed | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title_short | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
title_sort | rare intercondylar distal femoral brodie’s abscess in a 21-year-old man who refused medical care for three years after initial symptoms |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227956/ https://www.ncbi.nlm.nih.gov/pubmed/34071346 http://dx.doi.org/10.3390/medicina57060544 |
work_keys_str_mv | AT hogeabogdangheorghe rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT patrascujenelmarian rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT lazarescuadrianemil rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT elmehdilouchi rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT bolovanandreidaniel rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT hogealaviniamaria rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT ilieadriancosmin rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT andorbogdancorneliu rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms AT patrascujenelmarian rareintercondylardistalfemoralbrodiesabscessina21yearoldmanwhorefusedmedicalcareforthreeyearsafterinitialsymptoms |