Tuberculus osteomyelitis of sternum

Case contributed by Dr Maulik S Patel

Presentation

35 year old male presenting with pain in anterior chest wall for 2 months. Treated as costo-chondritis which failed to cure symtoms. Later on localized pain in midline chest wall. Referring surgeon says - Just do sternum lateral. Put sonography probe at point of pain. Nothing expected from study. He says patient is probably crazy.

Patient Data

Age: 35
Gender: Male
Modality: X-ray
Modality: Ultrasound

Case Discussion

Xray - Sternum - No bony abnormality noted.

US - Cortical erosion present in lower body with abnormal soft tissue showing high vascularity.  

MR - Next day - Similar findings with retrosternal collection 8 mm thick.

FNA - fails to get adequate material for pathology reporting.

Open biopsy was then performed. 

Histopathology - Tuberculous osteomyelitis

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Case Information

rID: 13396
Case created: 5th Apr 2011
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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