Brodie's Abscess: Case Report of an Unusual Presentation of Neisseria gonorrhoeae.

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. Neisseria gonorrhoeae is a sexually transmitted organism with genital and extra-genital manifestations. We report here the first case of Neisseria gonorrhoeae 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. Neisseria gonorrhoeae was isolated, and he was treated with susceptible antibiotics. Neisseria gonorrhoeae has various clinical presentations reported in the literature. Our study demonstrates a new presentation of the pathogen as Brodie's abscess or subacute osteomyelitis.