Uncommon Site of Primary Tuberculosis: Sternum

Primary tuberculosis (TB) of the sternum is uncommon even in endemic countries. It can present as swelling, discharging sinus, erosion and spontaneous fracture of sternum, and with secondary infection (abscess). A proper history with physical examination, computed tomography, Ziehl-Neelsen staining...

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Bibliographic Details
Published inArchives of Clinical and Experimental Surgery Vol. 3; no. 4; pp. 257 - 261
Main Authors Goyal, Sunder, Ahsan, Mohm, Kaur, Swarn, Goyal, Snigdha
Format Journal Article
LanguageEnglish
Published GESDAV 01.08.2014
Subjects
anti-tubercular therapy
erosion of sternum
sternum
Tuberculosis
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Summary:Primary tuberculosis (TB) of the sternum is uncommon even in endemic countries. It can present as swelling, discharging sinus, erosion and spontaneous fracture of sternum, and with secondary infection (abscess). A proper history with physical examination, computed tomography, Ziehl-Neelsen staining of aspirate, and histopathology of biopsy are the keys to forming a suitable differential diagnosis. Its treatment consists of standard antituberculous therapy with or without antibiotics as done for other forms of extra-pulmonary TB. We report one case of primary tubercular osteomyelitis of the sternum causing its destruction without any underlying pulmonary lesion. The patient was successfully managed with debridement and with second-line anti-tubercular therapy (ATT). [Arch Clin Exp Surg 2014; 3(4.000): 257-261]
ISSN:2146-8133
2146-8133
DOI:10.5455/aces.20121018123504