Hospital São Vicente de Paulo, Passo Fundo, RS, Brasil.
J Bras Pneumol. 2009 Jul;35(7):709-12. doi: 10.1590/s1806-37132009000700013.
We report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli. The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.
我们报告了一例 74 岁男性患者，他有一年的胸骨上切迹胸痛史，伴有红斑、水肿和脓性瘘管分泌物。该患者 HIV 阴性，无结核病病史。胸部 CT 扫描显示胸骨溶骨性病变，活检显示干酪样肉芽肿，微生物学评估真菌和抗酸杆菌均为阴性。PCR 证实诊断为结核分枝杆菌引起的胸骨骨髓炎。
