Brodie's abscess typically presents with chronic localized bone pain without systemic signs like high fever, as it is a subacute or chronic form of osteomyelitis. The pain is often insidious and persistent, reflecting the body's attempt to contain the infection within a limited bone cavity. Swelling is usually minimal or localized, and aggressive bone destruction seen in acute osteomyelitis is absent due to the slow progression of the abscess. Recognition of this pattern is crucial for early diagnosis and appropriate surgical intervention such as curettage and antibiotic therapy to prevent chronic complications.

Reference: Campbell’s Operative Orthopaedics, 14th Edition.