Uncommon Site of Primary Tuberculosis: Sternum
Autor: | Swarn Kaur, Snigdha Goyal, Mohm Mojeeb Ahsan, Sunder Goyal |
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Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Sternum anti-tubercular therapy business.industry Secondary infection Osteomyelitis lcsh:Surgery Energy Engineering and Power Technology Physical examination lcsh:RD1-811 medicine.disease Surgery Fuel Technology medicine.anatomical_structure Biopsy erosion of sternum medicine Tuberculosis sternum Differential diagnosis Abscess business Sinus (anatomy) |
Zdroj: | Archives of Clinical and Experimental Surgery, Vol 3, Iss 4, Pp 257-261 (2014) |
ISSN: | 2146-8133 |
DOI: | 10.5455/aces.20121018123504 |
Popis: | 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] |
Databáze: | OpenAIRE |
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