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CASE REPORT   

Esperienze Dermatologiche 2018 March;20(1):18-22

DOI: 10.23736/S1128-9155.18.00454-5

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Fistula from Brodie’s abscess in a Senegalese boy

Massimo NACCA 1, Patrizia FORGIONE 2, Luigi BOCCIA 1 , Gelsomina RONZA 1, Luigi VALENZANO 3

1 Unit of Dermatology and Venereology, Azienda Ospedaliera di Rilevanza Nazionale Sant’Anna e San Sebastiano, Caserta, Italy; 2 Unit of Dermatology, Presidio Ospedaliero Ascalesi ASL NA1 di Napoli, Centro di Rif. Malattia di Hansen, Naples, Italy; 3 San Gallicano Dermatologic Institute, Rome, Italy


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Osteomyelitis is a form of osteoarticular infection/inflammation which, although rarely, is most often diagnosed in pediatric age; etiopathogenesis can be of an infectious or aseptic nature. We describe the case of a chronic osteomyelitis in a Senegalese 13-year-old child whose clinical signs have been anamnestic for over two years. The small patient shows the middle third of the left shoulder’s back face a nodule of about 2 cm in diameter on the edges that are indistinct that infiltrate the surrounding tissues with a center of the atrophic cicatrial crater covered with a crust of serum/pus. The imaging approach to the disease has highlighted Brodie’s central abscess with swelling of the radio diaphyric cylinder. The RM confirms this radiographic appearance by highlighting the fistulas on both the dorsal side and the forearm of the forearm. The lesion resolution was obtained only with exeresis of seizure and complete debridement of the bone and necrotic tissues. Cultivation of the abscess material revealed the presence of Staphylococcus aureus, which imposed the administration of oxacillin and clindamycin. Our little patient, after six months from the end of surgical and pharmacological treatment, is considered completely cured.


KEY WORDS: Osteomyelitis - Abscess - Staphylococcus aureus

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