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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 170-172

Infantile sternal tuberculosis: A rare condition


1 Consultant Paediatric Orthopaedic Surgeon at OrthoKids Clinic, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India
2 Clinical Fellow (Paediatric Orthopaedics) at OrthoKids Clinic, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India
3 Consultant, CVTS Surgeon, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India
4 HOD and Professor of Pediatrics, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Maulin M Shah
Orthokids Clinic, 7th Floor, Golden Icon, Opp. Medilink Hospital, Near Shivranjini Flyover, Satellite, Ahmedabad - 380 015, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ipcares.ipcares_92_21

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Background: Tuberculosis (TB) of sternum is one of the rarest forms of skeletal TB. Incidence of sternal TB has been calculated to be <1.5% amongst osteo-articular TB, with very few cases reported in infants. Due to its subtle signs and symptoms, early diagnosis of this entity becomes a challenge. Clinical Description: We reported case of 6-month-old boy who presented with complaints of progressively increasing swelling at the anterior chest wall. Radiological, histological, and microbiological investigations helped establish a diagnosis of infantile sternal TB. Management: Drainage of the lesion and excision of affected necrotic tissue was done. Culture and histopathological examination were suggestive of tubercular osteomyelitis of sternum. Weight adjusted antitubercular medications were given for 1 year. At 3 years of follow-up, the lesion had healed well without any recurrence, sinus formation or local deformity. Conclusions: High index of suspicion and detailed diagnostic work up are required for early diagnosis and management of infantile sternal tuberculous osteomyelitis.


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