Sternal Osteomyelitis Caused by Mycobacterium tuberculosis: Case Report and Review of the Literature

Primary Chest Wall Abscess Caused by tuberculous Costal chondritis: A case report

“…The clinical presentation used to be insidious with localized pain, swelling as predominant symptoms. This presentation contrasts with pyogenic rib osteomyelitis, in which the onset used to be rapid with more prominent systemic symptoms [12]. The etiology of a cold abscess often cannot be distinguished, as in our case.…”

Osteomielite esternal por Mycobacterium tuberculosis

“…(4,5,9) Technetium triphasic scintigraphy has high sensitivity and specificity for the diagnosis of osteomyelitis. (2,4) In the case presented here, there was no increased radiotracer uptake in the sternum or photopenia in the osteolytic lesion, nor were there any other findings consistent with osteomyelitis.…”

“…In one study, microbiological evaluation was positive for acid-fast bacilli in 38% of the cases, cultures were positive for M. tuberculosis in 85% of the cases, and typical granulomas were found in 67% of the cases. (1,2) According to the literature, the definitive diagnosis of sternal TB is based on microbiological evaluation together with histopathological confirmation. (6) Two groups of authors evaluating methods applied in the diagnosis of TB found that the sensitivity and specificity of PCR (90% and 80%, respectively) were similar to those of culture.…”

“…Although early drainage and complete debridement improve cicatrization and prevent recurrence, some authors suggest that conservative treatment with antituberculous drugs be performed and surgical debridement be reserved for chronic cases with structural complications or for cases of treatment failure. (2,5,7) The use of affects young adult males, with or without predisposing factors, living in areas where TB is endemic. (2) Contamination can originate from infected local lymph nodes (contiguous with the lung parenchyma) or due to reactivation of a quiescent focus.…”

“…Since the advent of modern antituberculous therapy, the number of cases of sternal TB has dramatically decreased, there having been fewer than 20 cases reported in the literature since that time. (2) We report the case of a male patient without active pulmonary disease who was under follow-up treatment at a clinical medicine outpatient clinic when he developed sternal TB.…”