Primary tubercular osteomyelitis of the sternum
Sharma, S.; Juneja, M.; Garg, A.
Indian Journal of Pediatrics 72(8): 709-710
2005
ISSN/ISBN: 0019-5456 PMID: 16131781 DOI: 10.1007/bf02724085Document Number: 256705
Tubercular involvement of the sternum, leading to osteomyelitis, is a rarely described entity even in countries where tuberculosis is endemic. Presentation in pediatric age group is even more uncommon. We describe a 12 year old girl who presented with a mass over the manubruim sterni and fever. CT chest demonstrated a soft tissue mass in the anterior mediastinum, eroding the cortex of the manubrium. Tubercular etiology was suggested by presence of epithelioid granulomas and acid fast bacilli in the Ziehl-Neelsen staining of the aspirate from the lesion. The patient responded well to antitubercular treatment.
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