Brodie's Abscess: Case Report of an Unusual Presentation of <i>Neisseria gonorrhoeae</i>.

George, James C; Valsalan, Brijesh; Ingale, Varsha; Nag, Ranjan Kumar; Jayan, Ranjana · Indian J Orthop · 2025

case_report · Level V

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Abstract

Brodie's abscess is a subacute osteomyelitis where there are no systemic signs and symptoms. Pain and swelling are the most common symptoms with which patients come to the clinic. <i>Neisseria gonorrhoeae</i> is a sexually transmitted organism with genital and extra-genital manifestations. We report here the first case of <i>Neisseria gonorrhoeae</i> causing Brodie's abscess, its clinical manifestation and treatment. A 26-year-old man presented with a 14-week history of slow progressive pain and swelling in the index finger of the right hand. Clinico-radiologically he was suspected to have a subacute osteomyelitis like Brodie's abscess of the middle phalanx. He underwent curettage, microbiological, immunological, and histopathological evaluation of the lesion. <i>Neisseria gonorrhoeae</i> was isolated, and he was treated with susceptible antibiotics. <i>Neisseria gonorrhoeae</i> has various clinical presentations reported in the literature. Our study demonstrates a new presentation of the pathogen as Brodie's abscess or subacute osteomyelitis.