Utility of CT scan for the diagnosis of chest wall tuberculosis

Khalil, Antoine; Breton, C. Le; Tassart, M.; Korzec, J.; Bigot, Jean-Michel; Carette, Marie-France

doi:10.1007/s003300050900

Cited by 38 publications

(30 citation statements)

References 9 publications

(13 reference statements)

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“…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%

“…(6) These findings, which are not exclusive to sternal TB, can be found in aggressive infections such as actinomycosis. (8) Although CT does not appear to have any advantage over sternum prophylaxis in open heart surgery candidates with a history of TB or contact with TB is not indicated due to the rarity of the infection. (9) In our patient, treatment with regimen I resulted in clinical improvement and better cicatrization of the sternal lesion.…”

Section: Discussionmentioning

confidence: 99%

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Osteomielite esternal por Mycobacterium tuberculosis

et al. 2009

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Osteomielite esternal por Mycobacterium tuberculosis

et al. 2009

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“…Radiologically, computed tomography (CT) scan is helpful in anatomical localization, bone and joint involvement and soft tissue abnormalities. Khalil et al suggested the utility of CT in the diagnosis of chest wall TB and described ring enhancing hypodense soft tissue lesion [15]. Magnetic Resonance Imaging (MRI) holds good in places for detection of early marrow and soft tissue involvement due to high contrast resolution of MRI.…”

Section: Discussionmentioning

confidence: 99%

Primary Tubercular Osteomyelitis of Manubrio Sternal Joint: A Case Report

Kumar¹

2015

Mycobact Dis

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Primary tubercular osteomyelitis of sternum is a rare clinical entity and involvement of manubrio-sternal joint is even rarer, with only few cases reported in the literature. Tuberculous sternal involvement is seen in approximately 1% of all skeletal TB cases. We report an unusual case of primary manubrio-sternal joint tuberculosis presenting as vague anterior chest wall swelling and pain. ESR and CRP were elevated, Montoux was positive and PCR for tuberculosis was positive. Computed tomography of chest done after giving intravenous contrast showed erosion at manubrio-sternal joint with minimal soft tissue component. The patient is put on anti-tubercular drugs and is responding well with regular follow-up.

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“…[4,6] The rarity of the occurrence of sternoclavicular arthritis was attributed to the peculiar blood supply of the joint. [7] Sternoclavicular joint tuberculosis can present as painful swelling alone or discharging sinus.…”

Section: Discussionmentioning

confidence: 99%

“…[2] The sternum, ribs, and the sternoclavicular joints are uncommonly affected. [3,4] DOI: http://dx.doi.org/10.22192/ijcrbm.2018.03.07.001…”

Section: Introductionmentioning

confidence: 99%

Rare case of Sternoclavicular joint tuberculosis with non contiguous multifocal spine involvement.

2018

Int. J. Curr. Res. Biol. Med.

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Tuberculosis is a chronic disease which may have varied presentations. Though pulmonary tuberculosis is the commonest, extrapulmonary tuberculosis involving skeletal system is often seen. We here present a case of tuberculosis involving multiple anatomical locations in an immune-competent patient which was diagnosed radiologically and confirmed with histological examination. Patient was put on multidrug antitubercular therapy and responded well to the treatment with improvement clinically.This report of a rare case makes us aware of the varied presentations which tuberculosis can present with. This is even more important in countries with poor socioeconomic conditions.

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Utility of CT scan for the diagnosis of chest wall tuberculosis

Cited by 38 publications

References 9 publications

Osteomielite esternal por Mycobacterium tuberculosis

Osteomielite esternal por Mycobacterium tuberculosis

Primary Tubercular Osteomyelitis of Manubrio Sternal Joint: A Case Report

Rare case of Sternoclavicular joint tuberculosis with non contiguous multifocal spine involvement.

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