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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 20 (2009), Issue 4, Pages e181-e184
http://dx.doi.org/10.1155/2009/484712
Case Report

Primary Sternal Tuberculosis Osteomyelitis: A Case Report and Discussion

Miten Vasa, Christine Ohikhuare, and Leslea Brickner

Department of Internal Medicine, Oakland Kaiser Permanente Department of Medicine, Oakland, California, USA

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

As immigration to the United States from countries endemic for tuberculosis (TB) increases, the incidence of pulmonary and extrapulmonary TB disease may increase. Primary tuberculous sternal osteomyelitis is one form of extrapulmonary TB that is exceedingly rare throughout the world, and falls under the differential diagnosis for chest wall masses. Management involves standard antituberculous therapy with antibiotics similar to treating other forms of extrapulmonary TB, as well as consideration of surgical intervention depending on the extent of osteomyelitis. A typical case of primary sternal TB osteomyelitis is reported, and the epidemiology, differential diagnosis, clinical manifestations and management are reviewed.