Sternal osteomyelitis caused by infection with Mycobacterium tuberculosis.
We report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli. The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.
de Carli
Diego Michelon
DM
Hospital São Vicente de Paulo, Passo Fundo, RS, Brasil.
Severo
Mateus Dornelles
MD
Haygert
Carlos Jesus Pereira
CJ
Guollo
Marcelo
M
Omairi
Alex
A
Pedro
Vinícius Dallagasperina
VD
Silva
Eduardo Pedrolo
EP
Rodrigues
Arnaldo Teixeira
AT
D000368:Aged; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis; D016133:Polymerase Chain Reaction; D013249:Sternum / Q000382:microbiology*; D014394:Tuberculosis, Osteoarticular / Q000382:microbiology*