Indian Pediatrics Case Reports

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

Infantile sternal tuberculosis: A rare condition


Maulin M Shah1, Gaurav Gupta2, Pranav Modi3, S Baldev1, Prajapati4 
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

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.


How to cite this article:
Shah MM, Gupta G, Modi P, Baldev S, Prajapati. Infantile sternal tuberculosis: A rare condition.Indian Pediatr Case Rep 2021;1:170-172


How to cite this URL:
Shah MM, Gupta G, Modi P, Baldev S, Prajapati. Infantile sternal tuberculosis: A rare condition. Indian Pediatr Case Rep [serial online] 2021 [cited 2021 Oct 25 ];1:170-172
Available from: http://www.ipcares.org/article.asp?issn=WKMP-0229;year=2021;volume=1;issue=3;spage=170;epage=172;aulast=Shah;type=0