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Case Reports
. 2009 Winter;20(4):e181-4.
doi: 10.1155/2009/484712.

Primary sternal tuberculosis osteomyelitis: A case report and discussion

Miten Vasa  1 , Christine Ohikhuare, Leslea Brickner
Affiliations
Case Reports

Primary sternal tuberculosis osteomyelitis: A case report and discussion

Miten Vasa et al. Can J Infect Dis Med Microbiol. 2009 Winter.

Abstract
in English, French

As immigration to the United States from countries endemic for tuberculosis (TB) increases, the incidence of pulmonary and extrapulmonary TB disease may increase. Primary tuberculous sternal osteomyelitis is one form of extrapulmonary TB that is exceedingly rare throughout the world, and falls under the differential diagnosis for chest wall masses. Management involves standard antituberculous therapy with antibiotics similar to treating other forms of extrapulmonary TB, as well as consideration of surgical intervention depending on the extent of osteomyelitis. A typical case of primary sternal TB osteomyelitis is reported, and the epidemiology, differential diagnosis, clinical manifestations and management are reviewed.

Tandis que l’immigration aux États-Unis en provenance de pays endémiques à la tuberculose (TB) augmente, l’incidence de TB pulmonaire et extrapulmonaire pourrait augmenter. L’ostéomyélite tuberculeuse sternale primaire est une forme de TB extrapulmonaire d’une extrême rareté dans le monde, et elle fait partie du diagnostic différentiel des masses de la paroi thoracique. La prise en charge inclut une thérapie antituberculeuse aux antibiotiques normale, similaire au traitement d’autres formes de TB extrapulmonaire, ainsi qu’une possibilité d’intervention chirurgicale selon l’étendue de l’ostéomyélite. Les auteurs présentent un cas classique d’ostéomyélite tuberculeuse sternale primaire et passent en revue l’épidémiologie, le diagnostic différentiel, les manifestations cliniques et la prise en charge de la maladie.

Keywords: Osteomyelitis; Primary; Review; Sternal; Sternum; Tuberculosis.

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Figures

Figure 1)
Figure 1)
Sternal tuberculosis osteomyelitis presenting as chest wall swelling and erythema
Figure 2)
Figure 2)
Computed tomography scan showing mixed sclerosis and lucency in a heterogenous hypodense soft tissue mass in the upper sternum with indistinct margins exhibiting peripheral enhancement consistent with osteomyelitis anterior and posterior to the sternum
See this image and copyright information in PMC

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