Sternal tuberculosis

Case contributed by Dr Maulik S Patel

Presentation

Left sterno-calvicular region pain - 1 mths. No trauma. Immunocompromised status. Past history of treatment for abdominal and spinal tuberculosis.

Patient Data

Age: about 45 yrs.
Gender: Male
Modality: X-ray

No abnormality is noted.

Modality: Ultrasound

A well-defined irregular hypoechoic area is noted abutting left side of manubrium of sternum, anteriorly.  It involves lower end of sternal head of left sternocleidomastoid and sternal head of left pectoralis muscle.

Size about 26 x 25 x 10 mm.
No mobile echoes could be seen.

Erosion is noted in underlying cortex of manubrium.

Local hypervascularity is noted.

Sterno-mandibular joint - Normal

Sterno-calvicular joint - normal. No distension of joint calpsule.

1st costo-chondral junction -  normal.

Case Discussion

With clinical back ground, ultrasound features favoured tuberculous etiology.

FNA done.

AFB stain  - positive.

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Case Information

rID: 27678
Case created: 14th Feb 2014
Last edited: 18th Dec 2015
Tag: sternum
Inclusion in quiz mode: Included

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