Tuberculus osteomyelitis of sternum

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

35 year old male presenting with pain in anterior chest wall for 2 months. Treated as costochondritis which failed to cure symptoms. Later on, localized pain in the midline chest wall.

Patient Data

Age: 35 years
Gender: Male

Lateral x-ray of the sternum shows no bony abnormality noted.

ultrasound

Ultrasound shows cortical erosion present in the lower body with abnormal soft tissue showing high vascularity.  

Case Discussion

MRI was done the next day, which showed similar findings with retrosternal collection 8 mm in thickness.

FNA - failed to get adequate material for pathology reporting.

Open biopsy was then performed. 

Histopathology - Tuberculous osteomyelitis

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