Infectious Disease Compendium

Brodies abscess

Diagnosis

Cold abscess of the bone, made on x-ray's that were obtained due to pain. Most often in the long bones.

Epidemiologic Risks

Staph bacteremia, often occult.

Microbiology

S. aureus.

Empiric Therapy

Debride, then nafcillin / oxacillin or vancomycin.

Specific Therapy

Treat as osteomyelitis with six weeks of iv therapy.

Pearls

The diagnosis is often a surprise, it will be thought to be a bone tumor.

Rants

ICD9 Codes (Soon to be supplanted by ICD10)

Brodie's abscess 730.1.