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[胸骨结核导致胸骨自发性骨折]

[Sternal tuberculosis causing spontaneous fracture of the sternum].

作者信息

Chermiti Ben Abdallah F, Boudaya M S, Chtourou A, Taktak S, Mahouachi R, Ayadi A, Ben Kheder A

机构信息

Service de Pneumologie IV, Hôpital Abderrahman Mami, 2080 Ariana, Tunisie.

出版信息

Rev Pneumol Clin. 2013 Apr;69(2):89-92. doi: 10.1016/j.pneumo.2013.01.003. Epub 2013 Mar 6.

Abstract

Sternal tuberculosis is an uncommon condition. Few cases have been reported. We report the case of a 74-year-old man, presented with a swelling and pain of the anterior chest wall associated to worsening of general state. All routine investigations were normal. Chest radiograph in lateral view showed sternal and chest wall hypertrophy with spontaneous fracture of the sternum. Computed tomography (CT) scan demonstrated ring-enhancing hypodense soft tissue mass surrounding the sternum with sternal fracture. Tuberculosis diagnosis was confirmed by histological study of the mass biopsy. We noted clinical and radiological recovery with medical tuberculosis treatment.

摘要

胸骨结核是一种罕见的病症。报道的病例很少。我们报告一例74岁男性患者,表现为前胸壁肿胀和疼痛,同时全身状况恶化。所有常规检查均正常。胸部侧位X线片显示胸骨和胸壁肥厚,胸骨自发性骨折。计算机断层扫描(CT)显示胸骨周围有环形强化的低密度软组织肿块,伴有胸骨骨折。通过肿块活检的组织学研究确诊为结核病。我们注意到经抗结核治疗后临床和影像学表现均有改善。

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