Sternal tuberculous osteomyelitis presenting as a pulsatile swelling.
Primary sternal tuberculous osteomyelitis is a rare form of tuberculous osteomyelitis. We report a case of a young adult with primary tuberculous osteomyelitis of the sternum who presented with a pulsatile anterior chest wall swelling. Computed tomography of the thorax revealed a hypodense lytic lesion in the body of the sternum that had eroded into the anterior mediastinum where it lay in close contact with the right ventricle, resulting in the clinically evident transmitted pulsations. Among the protean manifestations of tuberculosis this case illustrates a unique presentation as a pulsatile chest wall mass.
Boorugu
Hari Kishan
HK
Department of Medicine, Christian Medical College and Hospital, Vellore, Tamil Nadu. drharikishan@gmail.com
Chrispal
Anugrah
A
Thomas
Elsa Mary
EM
D000328:Adult; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology*; D011673:Pulsatile Flow; D013249:Sternum / Q000382:microbiology*; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis*