title: Primary Extrapulmonary Multidrug-Resistant Tuberculosis of the Sternum without HIV Infection.
abstract: Skeletal tuberculosis (TB) accounts for about 9% of all TB cases. Tuberculosis of the sternum is not a common presentation. The case of primary multidrug-resistant (MDR) TB of the sternum is even rare. So far no such case has been reported in the medical literature. Herein, we present the very first case of primary extrapulmonary MDR TB of the sternum in a 21-year-old immunocompetent Indian female who presented with chest pain and an increased swelling over the anterior chest with an intermittently discharging sinus. She was diagnosed with multidrug-resistant tuberculosis of the sternum without the active pulmonary disease. Conservative management with oral multidrug antitubercular therapy (ATT) completely cured the patient.
authors.affiliation: General Duty Medical Officer-II, Department of Medicine & TB, Chest Clinic Moti Nagar , North Delhi Municipal Corporation, New Delhi, India .
authors.forename: Sankalp
authors.initials: S
authors.lastname: Yadav
authors.affiliation: Attending Consultant, Department of Critical Care, Rockland Hospital , Qutab Institutional Area, New Delhi, India .
authors.forename: Gautam
authors.initials: G
authors.lastname: Rawal
keywords: Antitubercular therapy; History taking; Osteomyelitis; Sternum