Infectious Disease Compendium

Brodies abscess

Diagnosis

Cold abscess of the bone, diagnosis often made on x-ray's that were obtained due to pain. Most often in the middle of long bones, an odd place for osteomyelitis.

Epidemiologic Risks

S. aureus 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 after debridement (PubMed).

Pearls

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

Sometimes they will form a tract and start to drain.

Named after Sir Benjamin Collins Brodie, 1st Baronet who first wrote about it in the 1830's.

Curious Cases

Relevant links to my Medscape blog

Mrs. Brodie

Last Update: 05/23/18.