Tuberculosis of the sternum

Khan, Shah Alam; Varshney, Manish Kumar; Hasan, A.R.; Kumar, Amit; Trikha, Vivek

doi:10.1302/0301-620x.89b6.18777

Cited by 30 publications

(50 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(3) Bone and joint involvement accounts for 1-3% of TB cases, and involvement of the sternum accounts for less than 1%. (4,5) Sternal TB predominantly roxine, hydralazine, clonazepam, sertraline, finasteride and doxazosin. Physical examination at admission revealed satisfactory general heath, extremely pale mucosae, an arterial pressure of 130/80 mmHg, a heart rate of 80 bpm, an axillary temperature of 36°C and a respiratory rate of 35 breaths/min.…”

Section: Discussionmentioning

confidence: 99%

“…X-ray in the evaluation of bone involvement, it is significantly superior in the evaluation of perilesional soft tissues, mediastinal involvement and pulmonary involvement. (5)(6)(7)(8)(9) Magnetic resonance imaging is a good option for the evaluation of soft tissues and bone lesions, revealing early alterations in the bone marrow, especially at early stages with normal X-ray findings. (4,5,9) Technetium triphasic scintigraphy has high sensitivity and specificity for the diagnosis of osteomyelitis.…”

Section: Discussionmentioning

confidence: 99%

“…(5)(6)(7)(8)(9) Magnetic resonance imaging is a good option for the evaluation of soft tissues and bone lesions, revealing early alterations in the bone marrow, especially at early stages with normal X-ray findings. (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.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…(2) Other reported cases have also shown a persistent increase in ESR. (4)(5)(6)(7) From a radiological standpoint, sternal TB can present the following patterns of bone destruction: osteolytic lesions; periosteal reaction; enhancement patterns; and soft tissue abscess with or without internal calcium formations. (6) These findings, which are not exclusive to sternal TB, can be found in aggressive infections such as actinomycosis.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Osteomielite esternal por Mycobacterium tuberculosis

et al. 2009

View full text Add to dashboard Cite

A 74-year-old white male who was a retired farmer, a nonsmoker and a former drinker presented with a one-year history of chest pain in the suprasternal notch, accompanied by edema and local erythema. His condition had worsened two weeks prior, aggravated by drainage of purulent material from a fistulous lesion. In addition, he reported evening fever, night sweats and weight loss (25 kg) in the last 12 months. The patient was under outpatient follow-up treatment in various sectors of the Santa Maria University Hospital, due to multiple comorbidities: systemic arterial hypertension; heart failure; mitral valve disease; pulmonary arterial hypertension; hypothyroidism; chronic renal failure; nonspecific colitis; and benign prostatic hyperplasia. He was being treated with furosemide, simvastatin, omeprazole, levothy- IntroductionThe extrapulmonary form of TB involving the sternum is quite rare. The most significant risk factor for the disease is open heart surgery.(1) Other risk factors include intravenous drug abuse, blunt thoracic trauma, closed cardiopulmonary resuscitation, subclavian vein catheterization, diabetes mellitus, HIV infection, alcoholism and BCG vaccination.(1) Sternal TB usually affects young adults living in areas where TB is endemic. 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. Sternal osteomyelitis caused by AbstractWe report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli.The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.

show abstract

Section: Discussionmentioning

confidence: 99%