MEDIASTINAL TUBERCULOSIS PRESENTING WITH STERNAL OSTEOMYELITIS AND DISCHARGING SINUS

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Ghulam Murtaza Gondal
Sumera Mushtaq
Rehan Masood
Tassawar Hussain
Adnan Ghafoor
Dawar Majeed

Abstract

Tuberculosis even in countries where tuberculosis is endemic like Pakistan. Frank presentation as

discharging sinus is even more uncommon. We describe a case where a patient presented with

constitutional symptoms of fever, loss of appetite, significant weight loss and an erythematous tender lesion

over the sternum with a discharging sinus without any features of pulmonary tuberculosis. The case was

initially not diagnosed by routine laboratory tests and the lesion was just considered as a boil until

presented to tertiary care hospital as discharging sinus. Plain Radiographs showed lytic lesion on the

inner aspect of sternum and histopathology of the aspirate from the lesion confirmed the presence of

epithelioid granulomas and acid fast bacilli on staining. Patient responded very well to 12 months of antituberculosis treatment.

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How to Cite
1.
Gondal GM, Mushtaq S, Masood R, Hussain T, Ghafoor A, Majeed D. MEDIASTINAL TUBERCULOSIS PRESENTING WITH STERNAL OSTEOMYELITIS AND DISCHARGING SINUS. J Postgrad Med Inst [Internet]. 2011 Dec. 5 [cited 2022 May 28];25(4). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/1158
Section
Case Report