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Recalcitrant scrofuloderma due to rib tuberculosis.

Sukhjot Kaur1, Gurvinder P Thami, P N Gupta

  • 1Department of Dermatology, Government Medical College and Hospital, Chandigarh, India.

Pediatric Dermatology
|July 19, 2003
PubMed
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Tuberculosis of the ribs is rare, often diagnosed late. Surgical resection of the affected rib provided complete resolution in a pediatric case, highlighting surgery

Area of Science:

  • Medical Microbiology
  • Pediatric Surgery
  • Thoracic Surgery

Background:

  • Tuberculosis (TB) of the ribs is an exceptionally rare condition.
  • Diagnosis is frequently delayed due to subtle and late-appearing radiological signs.
  • Antituberculous drugs are the primary treatment, but surgery is crucial for resistant or recurring cases.

Observation:

  • A 5-year-old boy presented with scrofuloderma of the chest wall.
  • The scrofuloderma was indicative of an underlying tuberculosis (TB) infection of the rib.
  • Initial treatment with antituberculous drugs resulted in only partial improvement.

Findings:

  • Surgical resection of the affected rib was performed.
  • The surgical intervention led to complete resolution of the condition.

Related Experiment Videos

  • This case underscores the diagnostic challenges and treatment outcomes for rare rib TB.

    • Implications:

    • Early diagnosis of rib tuberculosis is critical for effective management.
    • Surgical intervention plays a vital role in managing recalcitrant or recurrent rib TB.
    • This case highlights the importance of considering rare TB presentations in pediatric patients.