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Tuberculous osteomyelitis of sternum secondary to primary tuberculous mastitis.

Bakhshi GD, Shenoy SS, Jadhav KV, Tayade MB, Rawoot SS, Jain K - Clin Pract (2014)

Bottom Line: The invasion of the sternum following a primary focus in the breast has not been reported.This may be due to the resistance offered by pectoral fascia and periosteum to the spread of infection into the bone.We present a case of tubercular sternal osteomtyelitis following tubercular mastitis in a 40-year old female.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Grant Government Medical College & Sir J J group of Hospitals , Byculla, Mumbai, India.

ABSTRACT
Sternal tuberculosis secondary to tuberculous mastitis is uncommon. The invasion of the sternum following a primary focus in the breast has not been reported. This may be due to the resistance offered by pectoral fascia and periosteum to the spread of infection into the bone. We present a case of tubercular sternal osteomtyelitis following tubercular mastitis in a 40-year old female. A brief case report and a review of literature are presented.

No MeSH data available.


Related in: MedlinePlus

Sinogram showing features of bony erosion of sternum suggestive of osteomyelitis.
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fig002: Sinogram showing features of bony erosion of sternum suggestive of osteomyelitis.

Mentions: The patient presented a month later with a sinus and swelling over the anterior chest wall overlying the sternum. FNAC revealed a cold abscess and ZN stain of the pus showed AFB. Culture of pus was suggestive of sensitivity to first line AKT. X-ray chest with contrast injected through the sinus (Sinogram) showed osteomyelitic changes in the sternum with a cavity (Figure 2). Incision along with debridement and curettage of osteomyelitic bone was performed leaving an ulcer (Figure 3). The ulcer healed with daily dressings by secondary intention. Patient completed 12 months of AKT, which included 3 months of HERZ and 9 months of HR along with pyridoxine and antacids. Patient is now asymptomatic at 6 months of follow up.


Tuberculous osteomyelitis of sternum secondary to primary tuberculous mastitis.

Bakhshi GD, Shenoy SS, Jadhav KV, Tayade MB, Rawoot SS, Jain K - Clin Pract (2014)

Sinogram showing features of bony erosion of sternum suggestive of osteomyelitis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4202186&req=5

fig002: Sinogram showing features of bony erosion of sternum suggestive of osteomyelitis.
Mentions: The patient presented a month later with a sinus and swelling over the anterior chest wall overlying the sternum. FNAC revealed a cold abscess and ZN stain of the pus showed AFB. Culture of pus was suggestive of sensitivity to first line AKT. X-ray chest with contrast injected through the sinus (Sinogram) showed osteomyelitic changes in the sternum with a cavity (Figure 2). Incision along with debridement and curettage of osteomyelitic bone was performed leaving an ulcer (Figure 3). The ulcer healed with daily dressings by secondary intention. Patient completed 12 months of AKT, which included 3 months of HERZ and 9 months of HR along with pyridoxine and antacids. Patient is now asymptomatic at 6 months of follow up.

Bottom Line: The invasion of the sternum following a primary focus in the breast has not been reported.This may be due to the resistance offered by pectoral fascia and periosteum to the spread of infection into the bone.We present a case of tubercular sternal osteomtyelitis following tubercular mastitis in a 40-year old female.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Grant Government Medical College & Sir J J group of Hospitals , Byculla, Mumbai, India.

ABSTRACT
Sternal tuberculosis secondary to tuberculous mastitis is uncommon. The invasion of the sternum following a primary focus in the breast has not been reported. This may be due to the resistance offered by pectoral fascia and periosteum to the spread of infection into the bone. We present a case of tubercular sternal osteomtyelitis following tubercular mastitis in a 40-year old female. A brief case report and a review of literature are presented.

No MeSH data available.


Related in: MedlinePlus