A rare presentation of tuberculosis.
Primary involvement of the musculoskeletal system with tuberculosis is rare. We present a case of a young, immunocompetent woman with primary sternal tuberculosis. The disease led to destruction of the manubrium and a portion of the gladiolus and required extensive debridement and partial sternectomy, followed by musculocutaneous flap closure. Long-term postoperative management included four-drug antitubercular therapy.
Division of Cardiothoracic Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA.
Xian
X
Zhao
Stephen
S
Chen
Abe
A
Deanda
Jon
J
Kiev
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D013249:Sternum / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000601:surgery