title: Multifocal tuberculosis of the chest wall without pulmonary involvement.
abstract: Skeletal tuberculosis (TB) is usually seen in association with a primary pulmonary focus. However, it is being increasingly recognized that the former may be encountered without the latter, particularly in children. Sternal lesions have been frequently reported in infants, presumably secondary to Bacillus Calmette-Guerin (BCG) vaccination. Herein we report a case of rib TB and a cold abscess in a child who had previously had sternal TB ; that diagnosis had been missed at the time. Timely treatment of apparently solitary skeletal lesions may reduce the number of multifocal cases of skeletal TB in children.
authors.affiliation: Kocaeli University Medical Faculty, Department of Pediatric Surgery, Kocaeli, Turkey. ekingeng@yahoo.com
authors.forename: G
authors.initials: G
authors.lastname: Ekingen
authors.forename: B H
authors.initials: BH
authors.lastname: Guvenc
authors.forename: H
authors.initials: H
authors.lastname: Kahraman
mesh_terms: D000038:Abscess; D001500:BCG Vaccine / Q000009:adverse effects; D002675:Child, Preschool; D005260:Female; D006801:Humans; D012008:Recurrence; D012272:Ribs; D013249:Sternum; D013896:Thoracic Diseases; D035441:Thoracic Wall; D014057:Tomography, X-Ray Computed; D014394:Tuberculosis, Osteoarticular / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D001500:BCG Vaccine