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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2001 December;42(6):841-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Primary tubercolous osteomyelitis of the sternum

Choi H., Lee C. J., Lee K. J., Moon K. D.

From ­the Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea


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We ­present an 82-­year-­old wom­an ­with ante­ri­or ster­nal ­pain diag­nosed as pri­mary myco­bac­te­ri­al osteo­my­e­li­tis of ­the ster­num. She ­was treat­ed ­with simul­ta­ne­ous ­wide resec­tion ­and recon­struc­tion of ­the ­chest ­wall. On admis­sion, com­put­ed tom­o­graph­ic ­scan ­showed a scle­rot­ic ster­nal ­mass ­with ­soft tis­sue reac­tion. Mycobacterium tuber­cu­lo­sis ­was ­grown in ­initial cul­ture. First-­line anti­tu­ber­cu­lous med­i­ca­tion ­and ­local debride­ment ­failed. The suc­cess­ful ­result ­was ­achieved by exten­sive ster­nal ­and chon­dral resec­tion fol­lowed by simul­ta­ne­ous bilat­er­al pec­tor­al­is ­major mus­cle ­flap posi­tion­ing.

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