Abstract
Tuberculosis is one of the oldest diseases known to affect humans and a major cause of death worldwide. Even though tuberculosis mainly affects the lungs, it has various extrapulmonary manifestations, one of them being skeletal, affecting bones (most commonly vertebrae) and joints (most commonly hip and knee joints).
Isolated sternal involvement in tuberculosis is uncommon. Very few case reports are available in literature even from the countries where tuberculosis is endemic.
Tuberculosis of bones and joints accounts for 1-3% of patients with the disease.
Tuberculosis of the sternum makes less than 1% of cases of tubercular osteomyelitis.
We present to you a case of a young girl with painful chest swelling, in whom extensive work up did not reveal any other foci of infection. Later investigation of Fine needle aspiration biopsy of sternum revealed Epithelioid granulomas, acid-fast bacilli and a positive culture for M.tuberculosis.
References
- Sharma, M. Juneja, A. Garg Primary tubercular osteomyelitis of the sternum Indian J Pediatr, 72 (2005), pp. 709-710
- A. Boh, D. Janner Mycobacterium tuberculosis sternal osteomyelitis presenting as anterior chest wall mass Pediatr Infect Dis J, 18 (1 999), pp. 1028-1029
- G. Watts, L. Angrles, R.M. Lifesto Current concepts review: tuberculosis of bones and joints J Bone Joint surg Am, 78 (1 996), pp. 288-298
- Choi, C.J. Lee, K.J. Lee, K.D. Moon, Primary tuberculous osteomyelitis of the sternum, J Cardiovasc Surg (Torino), 42 (2001), pp. 841-843
- Allali, R. Dafiri Tuberculosis of the sternum, J Radiol, 86 (6 Pt 1) (2005), pp. 655-656
- K. Jain, Y. Singh, A. Shukla, D. Mittal Tuberculous osteomyelitis of sternum: a case report ,J Clin Diagn Res, 1 (2007), pp. 1 63-1 67
- Kato, Y. Horikawa, Y. Nishimura, H. Shimoda, E. Shigeto, K. Ueda Sternal tuberculosis in a 9-month-old infant after BCG vaccination Acta Paediatr, 89 (2000), pp. 1495-1497
- F. Corrales, J.A. Cortes, M.L. Mesa, G. Zamora Sternal osteomyelitis and scrofuloderma due to BCG vaccination Biomedica, 23 (2003), pp. 202-207
- I. Withagen, A. Ruitenberg, D. Van Soolingen, H.C. Rümke, A.F. Diepstraten, R. de Groot Osteomyelitis as a complication following BCG vaccination Ned Tijdschr Geneeskd, 139 (1 995), pp. 2047-2050
- G. McLellan, K.B. Phillips, C.E. Corbett, M.S. Bronze Sternal osteomyelitis caused by Mycobacterium tuberculosis. case report and review of the literature Am J Med Sci, 319 (2000), pp. 250-254
- Atasoy, P.S. Oztekin, N. Ozdemir, S.D. Sak, I. Erden, S. Akyar CT and MRI in tuberculous sternal osteomyelitis: a case report Clin Imaging, 26 (2002), pp. 1 12-1 1 5
- A. Khan, M.K. Varshney, A.S. Hasan, A. Kumar, V. Trikha Tuberculosis of the sternum: a clinical study J Bone Joint surg Br, 89 (2007), pp. 817-820
- A.Y. Sarlak, H. Gundes, S. Gundes, M. Alp Primary sternal tuberculosis: a rare unhealed case treated by resection and local rotational flap Thorac Cardiovasc Surg, 49 (2001), pp. 58-59
- S.J. Ford, S. Rathinam, J.E. King, R. Vaughan Tuberculous osteomyelitis of the sternum: successful management with debridement and vacuum assisted closure Eur J Cardiothorac Surg, 28 (2005), pp. 645-647
Corresponding Author
Dr Jaweria Naaz Fatima
First Year Post graduate Shadan Institute of Medical Sciences, Hderabad, Telangana