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Case Reports
. 2016 Jan;10(1):RD01-3.
doi: 10.7860/JCDR/2016/15395.7096. Epub 2016 Jan 1.

Primary Extrapulmonary Multidrug-Resistant Tuberculosis of the Sternum without HIV Infection

Sankalp Yadav  1 , Gautam Rawal  2
Affiliations
Case Reports

Primary Extrapulmonary Multidrug-Resistant Tuberculosis of the Sternum without HIV Infection

Sankalp Yadav et al. J Clin Diagn Res. 2016 Jan.

Abstract

Skeletal tuberculosis (TB) accounts for about 9% of all TB cases. Tuberculosis of the sternum is not a common presentation. The case of primary multidrug-resistant (MDR) TB of the sternum is even rare. So far no such case has been reported in the medical literature. Herein, we present the very first case of primary extrapulmonary MDR TB of the sternum in a 21-year-old immunocompetent Indian female who presented with chest pain and an increased swelling over the anterior chest with an intermittently discharging sinus. She was diagnosed with multidrug-resistant tuberculosis of the sternum without the active pulmonary disease. Conservative management with oral multidrug antitubercular therapy (ATT) completely cured the patient.

Keywords: Antitubercular therapy; History taking; Osteomyelitis; Sternum.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Picture showing the anterior chest wall swelling.
[Table/Fig-2]:
[Table/Fig-2]:
USG-Chest suggesting abscess formation in the sternal/parasternal region on the left side with bone involvement.
[Table/Fig-3]:
[Table/Fig-3]:
Chest radiograph PA view showing normal lung fields.
[Table/Fig-4]:
[Table/Fig-4]:
CECT of the chest suggesting a hypodense lytic lesion eroding the body of the sternum, with chest wall, suggestive of osteomyelitis of the sternum with cold abscess formation.
See this image and copyright information in PMC

References

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