title: Tuberculosis of the manubriosternal joint and concurrent asymptomatic active pulmonary tuberculosis in a patient presenting with a chest wall mass.
abstract: A 62-year-old woman presented to our hospital with an anterior chest wall swelling. Computed tomography (CT) and magnetic resonance imaging showed findings consistent with an infectious arthritis of the manubriosternal joint, and CT images also demonstrated multiple centrilobular nodules in both lungs, suggesting an infectious bronchiolitis. A CT-guided fine needle aspiration of a presternal mass yielded growth of Mycobacterium tuberculosis. Bronchoalveolar lavage confirmed an active pulmonary tuberculosis. Septic arthritis of the manubriosternal joint is exceedingly rare.
authors.affiliation: Department of Radiology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain. Electronic address: luisgorospe@yahoo.com.
authors.forename: Luis
authors.initials: L
authors.lastname: Gorospe
authors.affiliation: Department of Radiology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Ana María
authors.initials: AM
authors.lastname: Ayala-Carbonero
authors.affiliation: Department of Radiology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Rodríguez-Díaz
authors.affiliation: Department of Radiology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Raquel
authors.initials: R
authors.lastname: García Latorre
authors.affiliation: Department of Thoracic Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Gemma María
authors.initials: GM
authors.lastname: Muñoz-Molina
authors.affiliation: Department of Thoracic Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cabañero-Sánchez
mesh_terms: D001170:Arthritis, Infectious / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008371:Manubrium / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D013249:Sternum / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D035441:Thoracic Wall / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*
keywords: CT; MR imaging; Septic arthritis; Sternum; Tuberculosis