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Sternal Tuberculosis: Case Series of Two Cases
1Department of Orthopaedic, K B Bhabha Municipal General Hospital, Mumbai, Maharashtra, India.
Journal of Orthopaedic Case Reports
|April 13, 2022
Summary
Sternal tuberculosis (TB) is a rare condition, often presenting as chest swelling. This study highlights successful treatment with anti-tubercular drugs, emphasizing medication as the primary approach for this uncommon extrapulmonary TB manifestation.
Area of Science:
- Infectious Diseases
- Orthopedics
- Thoracic Surgery
Background:
- Extrapulmonary tuberculosis (TB) commonly affects the spine and joints, with sternal TB representing only 1% of musculoskeletal TB cases.
- Isolated sternal TB is rare and often presents atypically, posing diagnostic and management challenges.
- Early recognition and appropriate treatment are crucial for favorable outcomes in sternal TB.
Observation:
- Two cases of sternal TB are presented: a 52-year-old male with a 2-month history of chest wall swelling and a 19-year-old female with a 1-week history.
- Both patients presented with localized chest wall swelling and no constitutional symptoms.
- Initial presentations were managed conservatively with anti-tubercular drugs.
Findings:
- Both patients received a 12-month course of anti-tubercular medication.
- Complete resolution of sternal TB was achieved in both cases without surgical intervention.
- No prior medications were noted in either patient before presentation.
Implications:
- Anti-tubercular medication is the cornerstone of sternal TB treatment.
- Surgical intervention is typically reserved for refractory or complicated cases.
- Increased awareness of sternal TB presentations can improve diagnostic accuracy and patient management.
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