胸骨结核

Sachdeva R, Sachdeva S, Arora S

Department of TB and Respiratory Medicine, Pt. B.D. Sharma, PGIMS, Rohtak, India.

Department of Community Medicine, Pt. B.D. Sharma, PGIMS, Rohtak, India.

Ann Med Health Sci Res. 2013 Nov;3(Suppl 1):S21-3. doi: 10.4103/2141-9248.121213.

Extra-pulmonary tuberculosis constitutes 15-20% of total tuberculosis (TB) case load in immuno-competent patients. Affliction of the skeletal system is rare with still rarer presentation of sternal osteomyelitis even in endemic countries. A patient with primary sternal TB presenting with multiple cutaneous sinuses over the anterior chest wall is being reported. A high element of suspicion is needed more so in resource limited setting for early diagnosis and treatment.

肺外结核占免疫功能正常患者结核病总病例数的15%-20%。骨骼系统受累罕见，即使在结核病流行国家，胸骨骨髓炎的表现更为罕见。本文报告了一名原发性胸骨结核患者，其前胸壁出现多个皮肤窦道。在资源有限的环境中，更需要高度怀疑，以便早期诊断和治疗。