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CASE STUDIES

Primary Tuberculous Sternal Osteomyelitis: A Clinical Rarity

Vijay Yashpal Bhatia, MCh, Vinod Aggarwal, MCh1, Umesh Sharma, MS, Anubhav Gupta, MCh

Department of Plastic & Reconstructive Surgery
1 Department of Cardiothoracic & Vascular Surgery Vadilal Sarabhai General Hospital & NHL Medical College Ahmedabad, India

Vijay Yashpal Bhatia, MCh Tel: +91 9825073828 Fax: +91 7926407617 Email: bhatia101{at}gmail.com, Burns, Plastic & Cosmetic Surgery Hospital, Ground Floor, Sunder Gopal Complex, Ambawadi Circle, Ahmedabad–380006, India.

Primary tuberculous sternal osteomyelitis is a rare condition, presenting as painful swelling and discharging sinuses over the chest wall. Diagnosis is based on radiological findings and histological examination of debrided infected tissues, with specific cultures for mycobacteria. Two cases were successfully treated by surgical debridement and reconstruction using pectoralis major muscle flaps, followed by antituberculous therapy.

Key Words: Osteomyelitis • Sternum • Tuberculosis • Osteoarticular

Asian Cardiovasc Thorac Ann 2009; 17:310-312
© 2009 by SAGE Publications
DOI: 10.1177/0218492309104751




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