DOI: 10.36347/sjmcr.2015.v03i07.030

Pages: 652-655

Brodie´s abscess is a localized form of sub acute osteomyelitis affecting children and young people. Most often it is found in the metaphysic of the long bones of the lower limbs. We report two cases of Brodie´s abscess in school children .They are females with chronic lower limbs pain and CT images showing cystic and lytic lesions with sclerotic borders in the metaphysic of the tibia. Both patients received antibiotics and underwent surgery treatment. Curettage was done and thick purulent discharge was drained and cultured. The germs isolated were Pseudomonas aeruginosa in the first patient, who had favorable post discharge progression, and Staphilococcus aureus in the second case reported. This patient developed a chronic osteomyelitis. The Brodie´s abscess diagnostic is very challenging because of the pathologies considered in the differential diagnosis include benign and malignant bone diseases.