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Pediatric sternal tubercular osteomyelitis presenting as a subcutaneous abscess: A rare entity
A R Mehta1, P Kothari1, B A Sheth2
1Department of Paediatric Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
Journal of Postgraduate Medicine
|September 22, 2025
Summary
Pediatric sternal abscess with osteomyelitis is rare and difficult to diagnose. This case highlights successful treatment with anti-tubercular therapy and surgical intervention for a 5-year-old boy.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Orthopedic Surgery
Background:
- Pediatric sternal abscess with osteomyelitis presents infrequently and poses diagnostic challenges.
- Atypical presentations and negative bacterial cultures can complicate diagnosis.
Purpose of the Study:
- To report a case of pediatric sternal abscess with osteomyelitis.
- To emphasize the role of anti-tubercular therapy in successful management.
Main Methods:
- Case report of a 5-year-old boy with a month-long sternal swelling.
- Diagnostic work-up included laboratory tests and magnetic resonance imaging (MRI).
- Treatment involved surgical drainage, curettage, sinus tract excision, and anti-tubercular therapy.
Main Results:
- MRI revealed a subcutaneous and retrosternal collection with osteomyelitic changes in the manubrium.
- Surgical intervention and anti-tubercular therapy led to favorable response.
- Follow-up demonstrated adequate healing and new bone formation.
Conclusions:
- Anti-tubercular therapy is crucial for treating pediatric sternal abscess with tubercular osteomyelitis.
- Timely surgical intervention and interdisciplinary collaboration are essential for optimal outcomes.
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