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

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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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