title: Primary tubercular osteomyelitis of the sternum.
abstract: 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.
authors.affiliation: Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. suvasinisharma@rediffmail.com
authors.forename: Suvasini
authors.initials: S
authors.lastname: Sharma
authors.forename: Monica
authors.initials: M
authors.lastname: Juneja
authors.forename: Anju
authors.initials: A
authors.lastname: Garg
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents