Tuberculous Osteomyelitis Presenting as a Sternal Mass in Paediatric Patient: A Case Report

Asian Journal of Pediatric Research Pub Date : 2023-08-21 DOI:10.9734/ajpr/2023/v13i3273

C. Nasmi, A. Radi, R. Abilkassem, A. Agadr

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Abstract

Background: Sternal tuberculosis is an uncommon form of extrapulmonary tuberculosis and it can be a diagnostic challenge for pediatricians. Case Presentation: We report the case of a young 14-year-old boy, who had a gradually increasing swelling of the sternum over the past 2 months preceded by weight loss, asthenia and night sweats. Radiological, histological, and microbiological investigations confirmed it as a case of sternal tuberculosis (TB). He was managed with surgical debridement during the sternal biopsy and quadruple antituberculosis therapy with good response. Discussion: Tuberculosis (TB) of sternum is one of the rarest forms of skeletal tuberculosis. The incidence of sternal tuberculosis has been calculated to be <1.5% amongst osteo-articular tuberculosis, with very few cases reported in infants. The diagnosis is based on histological and bacteriologic arguments. Conclusion: Tuberculous osteomyelitis of the sternum is a rare finding in children. Our aim is to increase awareness around atypical presentations and the uncommon involvement of the sternum in musculoskeletal tuberculosis.

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结核性骨髓炎表现为小儿胸骨肿块:1例报告

背景:胸骨结核是一种罕见的肺外结核，对儿科医生来说是一个诊断挑战。病例介绍:我们报告一个14岁的男孩，在过去的2个月里，他的胸骨逐渐肿胀，体重下降，虚弱和盗汗。放射学、组织学和微生物学检查证实为胸骨结核(TB)。他在胸骨活检期间接受手术清创和四联抗结核治疗，反应良好。讨论:胸骨结核是最罕见的骨结核之一。据计算，骨关节结核中胸骨结核的发病率<1.5%，婴儿中很少有病例报告。诊断是基于组织学和细菌学的论点。结论:儿童胸骨结核性骨髓炎是一种罕见的疾病。我们的目的是提高对非典型表现和不常见的累及胸骨肌肉骨骼结核的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Asian Journal of Pediatric Research

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