alexa Primary Tubercular Osteomyelitis of Manubrio Sternal Joint: A Case Report
ISSN: 2161-1068

Mycobacterial Diseases
Open Access

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Case Report

Primary Tubercular Osteomyelitis of Manubrio Sternal Joint: A Case Report

Monika Gupta, Mahesh Kumar Mittal, Amit kumar Agarwal* and Brij Bhushan Thukral

Indraprastha Apollo Hospital, New Delhi, India

Corresponding Author:
Amit kumar Agarwal
Indraprastha Apollo Hospital, New Delhi, India
Tel: +91- 9968578514
E-mail: [email protected]

Received Date: June 15, 2015 Accepted Date: July 17, 2015 Published Date: July 23, 2015

Citation: Gupta M, Mittal MK, Agarwal AK, Thukral BB (2015) Primary Tubercular Osteomyelitis of Manubrio Sternal Joint: A Case Report. Mycobact Dis 5:188. doi:10.4172/2161-1068.1000188

Copyright: © 2015 Gupta M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Primary tubercular osteomyelitis of sternum is a rare clinical entity and involvement of manubrio-sternal joint is even rarer, with only few cases reported in the literature. Tuberculous sternal involvement is seen in approximately 1% of all skeletal TB cases. We report an unusual case of primary manubrio-sternal joint tuberculosis presenting as vague anterior chest wall swelling and pain. ESR and CRP were elevated, Montoux was positive and PCR for tuberculosis was positive. Computed tomography of chest done after giving intravenous contrast showed erosion at manubrio-sternal joint with minimal soft tissue component. The patient is put on anti-tubercular drugs and is responding well with regular follow-up.


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