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Abstract：
Brodie\'s abscess is a manifestation of subacute to chronic osteomyelitis, characterized as intraosseous abscess formation, usually on the metaphysis of the long tubular bones in the lower extremities of male pediatric patients. Clinically, Brodie\'s abscess presents with atraumatic bone pain of an insidious onset, with absence of systemic findings. Delay in diagnosis is common, as diagnostic imaging, followed by biopsy for culture and histologic examination are generally required to secure a diagnosis of Brodie\'s abscess. Treatment of Brodie\'s abscess is non-standardized, and usually consists of surgical debridement and antibacterial therapy. Despite the variability in therapeutic approaches, outcomes of Brodie\'s abscess treated with surgery and antibiotics are favourable. Herein we report a case of a delayed diagnosis of Brodie\'s abscess in the upper extremity of an adult female. While she improved with treatment of Brodie\'s abscess, the case serves to remind clinicians to consider this entity in adult individuals who present with atraumatic bone pain.
摘要：
Brodie脓肿是慢性骨髓炎的亚急性表现，以骨内脓肿形成为特征，通常在男性儿科患者下肢长管状骨的干phy端。临床上,Brodie的脓肿表现为隐匿发作的无创伤骨痛，缺乏系统性发现。诊断延迟很常见，作为诊断成像，通常需要活检以进行培养和组织学检查，以确保Brodie脓肿的诊断。Brodie脓肿的治疗是非标准化的，通常包括手术清创和抗菌治疗。尽管治疗方法存在差异，Brodie脓肿经手术和抗生素治疗的结果是有利的。在此，我们报告了一例成年女性上肢Brodie脓肿的延迟诊断病例。虽然她通过治疗Brodie的脓肿得到了改善,该病例有助于提醒临床医生在出现无创伤骨痛的成年个体中考虑这一实体。
