First Description of a Mandibular Brodie Abscess in a Pediatric Patient: Case Report

• Published in: SN comprehensive clinical medicine Vol. 2; no. 8; pp. 1282 - 1286
• Main Authors: Zeller, Alexander-N., Neuhaus, Michael, Lafos, Marcel, Tasyürek, Deniz, Gellrich, Nils-Claudius, Tavassol, Frank, Zimmerer, Rüdiger
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.08.2020
• Subjects: Medicine; Medicine & Public Health; Surgery; Topical Collection on Surgery; Osteomyelitis; Mandible; Sarcoma; MRI; Brodie abscess
• ISSN: 2523-8973; 2523-8973
• DOI: 10.1007/s42399-020-00396-9

Brodie abscesses can be considered to be a very rare condition, especially in pediatric patients. In 2019, the first cranial Brodie abscess was published in a 51-year-old female following a dental procedure. In this article, we present our case of a 13-year-old boy suffering from recurrent, painless swelling in the left mandibular molar region. MRI, CT, and histopathological examination revealed the diagnosis of a Brodie abscess. During the clinical course, several other differential diagnoses had to be excluded by CT, MRI, and histopathological examination, as a Brodie abscess was the by far least likely diagnosis. As no standard treatment protocols were available, we conducted a profound review of the current literature and the different therapeutic approaches described. The condition was subsequently treated by enucleation and implantation of a gentamicin-impregnated collagen sponge, accompanied by the administration of long-term oral antibiotics. In our postoperative aftercare, there was no clinical or radiological evidence for recurrence.