Mantu Jain, Shibashis Mohapatra, Sujit Tripathy, Baijayantimala Mishra, K P Lubaib, Ankit Bhagat
{"title":"Tuberculosis of Rib: Diagnosis and Treatment.","authors":"Mantu Jain, Shibashis Mohapatra, Sujit Tripathy, Baijayantimala Mishra, K P Lubaib, Ankit Bhagat","doi":"10.13107/jocr.2025.v15.i02.5220","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Primary tuberculosis (TB) of a rib is a very uncommon presentation and accounts for <1% of musculoskeletal TB.</p><p><strong>Case report: </strong>This case report studies a 34-year-old immunocompetent individual who presented with dull-aching right-side lower chest wall pain and swelling with constitutional symptoms. A routine X-ray of the chest was performed, which revealed no abnormality. Therefore, magnetic resonance imaging was performed given soft-tissue swelling, which suggested an extra-pulmonary swelling with lytic 9th rib lesion TB. The diagnosis was confirmed using a gene-expert of ultrasound-guided aspirated material. A drug susceptibility test was done, and it was found to be rifampicin sensitive. Hence, the patient was started on anti-tubercular therapy. The patient responded to it remarkably and was symptom-free at the end of 1 year.</p><p><strong>Conclusion: </strong>The case illustrates that a high degree of suspicion, early diagnosis, and timely intervention are the key to management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"37-41"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823840/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i02.5220","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
导言：肋骨原发性结核病（TB）是一种非常罕见的表现形式，也是病例报告中最常见的一种：本病例报告研究的是一名 34 岁的免疫功能正常者，患者出现右侧下胸壁钝痛和肿胀，并伴有全身症状。常规胸部 X 光检查未发现异常。因此，考虑到软组织肿胀，对其进行了磁共振成像检查，结果提示为肺外肿胀伴第 9 肋骨结核病变。通过基因专家对超声引导下的抽吸物进行了确诊。进行了药敏试验，发现患者对利福平敏感。因此，患者开始接受抗结核治疗。患者对治疗反应良好，1 年后无症状：本病例说明，高度怀疑、早期诊断和及时干预是治疗的关键。
Introduction: Primary tuberculosis (TB) of a rib is a very uncommon presentation and accounts for <1% of musculoskeletal TB.
Case report: This case report studies a 34-year-old immunocompetent individual who presented with dull-aching right-side lower chest wall pain and swelling with constitutional symptoms. A routine X-ray of the chest was performed, which revealed no abnormality. Therefore, magnetic resonance imaging was performed given soft-tissue swelling, which suggested an extra-pulmonary swelling with lytic 9th rib lesion TB. The diagnosis was confirmed using a gene-expert of ultrasound-guided aspirated material. A drug susceptibility test was done, and it was found to be rifampicin sensitive. Hence, the patient was started on anti-tubercular therapy. The patient responded to it remarkably and was symptom-free at the end of 1 year.
Conclusion: The case illustrates that a high degree of suspicion, early diagnosis, and timely intervention are the key to management.
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