Osteomielite esternal por Mycobacterium tuberculosis Sternal osteomyelitis caused by infection with Mycobacterium tuberculosis

Autor:	Diego Michelon De Carli, Mateus Dornelles Severo, Carlos Jesus Pereira Haygert, Marcelo Guollo, Alex Omairi, Vinícius Dallagasperina Pedro, Eduardo Pedrolo Silva, Arnaldo Teixeira Rodrigues
Jazyk:	English<br />Portuguese
Rok vydání:	2009
Předmět:	Tórax Infecções por Mycobacterium Tuberculose osteoarticular Esterno Diagnóstico Thorax Mycobacterium infections Tuberculosis osteoarticular Sternum Diagnosis Diseases of the respiratory system RC705-779
Zdroj:	Jornal Brasileiro de Pneumologia, Vol 35, Iss 7, Pp 709-712 (2009)
Druh dokumentu:	article
ISSN:	1806-3713 1806-3756
DOI:	10.1590/S1806-37132009000700013
Popis:	Descrevemos o caso de um paciente de 74 anos, masculino, com dor torácica na porção superior do esterno com um ano de evolução associada a eritema, edema e fístula com drenagem de material purulento. Paciente HIV negativo e sem história prévia de contato com TB. A TC de tórax evidenciou lesão osteolítica esternal, e o material de biópsia revelou granuloma caseoso negativo para fungos e bacilos álcool-ácido resistentes no exame microbiológico direto. O diagnóstico de osteomielite esternal por Mycobacterium tuberculosis foi realizado por PCR.We 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.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/c67b73ad342040bca46572054aa99ecc Zobrazit plný text záznamu View record in DOAJ