DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20150484

Sternal tuberculous osteomyelitis: a series of four cases

Abhishek Jain, Sumit Chawla, Manoj Kumar

Abstract


Tuberculous osteomyelitis of sternum presenting as an acute swelling over chest is a rare entity accounting for less than 7% cases even in countries with endemic tuberculous disease. We herein report four such cases which were diagnosed by CT scan showing lytic lesion of sternum. Tuberculous osteomyelitis of sternum is rare and therefore differential diagnosis of chest wall mass must be considered. A series of four patients suffering from tuberculosis of the sternum with a mean follow-up of 2 yr is presented. All were treated with antituberculous therapy. All showed good healing.


Keywords


Sternum, Tuberculosis, Antitubercular treatment

Full Text:

PDF

References


Nicholson, R.A. Twenty years of bone and joint tuberculosis in Bradford. J Bone & Jt. Surg Br. 1974; 56-B: 760-765.

Sharma S, Juneja M, Garg A. Primary tubercular osteomyelitis of the sternum. Indian J Pediatr 2005; 72: 709-710.

McLellan DG, Philips KB, Corbett CE, et al. Sternal osteomyelitis caused by mycobacterium tuberculosis: Case report and review of the literature. Am J Med Sci. 2000;319:250–4.

Davies PD, Humphries MJ, Byfield SP, et al. Bone and joint tuberculosis: A survey of notifications in England and Wales. J Bone Joint Surg Br. 1984;66: 326–30.

Zhao X, Chen S, Deanda A, et al. A rare presentation of tuberculosis. Am Surg. 2006;72:96–7.

World Health Organization Global tuberculosis control – epidemiology, strategy, financing: WHO Report 2009.

Cohn DL, Catlin BJ, Peterson KL, Judson FN, Sbarbaro JA. A 62-dose, 6-month therapy for pulmonary tuberculosis and extrapulmonary tuberculosis. A twice-weekly, directly observed and cost-effective regimen. Ann Intern Med. 1990;112: 407–15.

Maier HC. Infection of the costal cartilage and sternum. Surg Gynecol Obstet. 1947;84:1038–44.

Dhillon MS, Gupta RK, Bahadur R, et al. Tuberculosis of the sternoclavicular joints. Acta Orthopaedica. 2001;72:514–7.

Tuli SM, Srivastava TP, Varma BP, Sinha GP. Tuberculosis of spine. Acta Orthop Scand 1967; 38:445–58.

Vohra R, Kang HS, Dogra S, et al. Tuberculous osteomyelitis. J Bone Joint Surg Br. 1997;79:562–6.

Martini M, Cuahes M. Bone and joint tuberculosis: A review of 652 cases. Orthopedics 1988;11:861-6.

Hsu HS, Wang LS, Wu YC, et al. Management of chest wall tuberculosis. Scand J Thorac Cardiovasc Surg. 1995;29:119–23.

Choi H, Lee CJ, Lee KJ, et al. Primary tuberculous osteomyelitis of the sternum. J Cardiovasc Surg (Torino) 2001;42:841–3.

Wang TK, Wong C, Au W, et al. Mycobacterium tuberculosis sternal wound infection after open heart surgery: A case report and review of the literature. Diagn Microbiol Infect Dis. 2007;58:245–9.

American Thoracic Society; CDC; Infectious Diseases Society of America Treatment of tuberculosis MMWR Recomm Rep200320;52RR-111–77.77(Erratum in 2005;53:1203).

Khan SA, Varshney MK, Hasan AS, et al. Tuberculosis of the sternum: A clinical study. J Bone Joint Surg Br. 2007;89:817–20.

Ford SJ, Rathinam S, King JE, Vaughan R. Tuberculous osteomyelitis of the sternum: successful management with debridement and vacuum assisted closure. Eur J Cardiothorac Surg 2005;28:645–7.

O’Brien DP, Athan E, Hughes A, et al. Successful treatment of Mycobacterium ulcerans osteomyelitis with minor surgical debridement and prolonged rifampicin and ciprofloxacin therapy: A case report. J Med Case Rep. 2008;2:123.