Primary tubercular osteomyelitis of the sternum.
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.
Sharma
Suvasini
S
Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. suvasinisharma@rediffmail.com
Juneja
Monica
M
Garg
Anju
A
D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D008371:Manubrium / Q000000981:diagnostic imaging*; D011859:Radiography; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents