关键词: brodie's abscess chronic sub-acute osteomyelitis curettage escherichia coli infection penetrating trauma tarsal cuboid

来  源:   DOI:10.7759/cureus.53158   PDF(Pubmed)

Abstract:
Brodie\'s abscess of the tarsal cuboid is a relatively rare presentation of this disease. In this study, we present the case of a 20-year-old male with post-traumatic Brodie\'s abscess of the tarsal cuboid that was left untreated for three years after the traumatic episode (penetrating injury with a sharp piece of wood). The patient presented pain over the injured area, limping, while plain foot radiographs showed a small lytic cavitary area in the cuboid. The magnetic resonance imaging revealed the presence of the abscess in a 2-cm diameter cavity in the cuboid bone and chronic inflammation of the surrounding plantar musculature. The treatment regime included curettage of the cavity, debridement of the inflammatory tissues, and administration of antibiotics, according to the cultures harvested intraoperatively, for six weeks. During this period, symptoms completely resolved.
摘要:
Brodie的arsal角状脓肿是这种疾病的相对罕见表现。在这项研究中,我们介绍了一例20岁的男性,他患有创伤后Brodie的骨长方体脓肿,在创伤后未治疗三年(用一块锋利的木头进行穿透性损伤)。病人在受伤部位表现出疼痛,一瘸一拐的,而平足X光片显示长方体中有一个小的溶血性空洞区域。磁共振成像显示,在长方体骨的2厘米直径腔中存在脓肿,并且周围足底肌肉组织有慢性炎症。治疗方案包括刮宫,清创术的炎症组织,和抗生素的管理,根据术中收获的培养物,六个星期.在此期间,症状完全解决。
公众号