Open AccessPrimary Extrapulmonary MultidrugResistant Tuberculosis of the Sternum without HIV Infection
Author(s) -
Sankalp Yadav,
Gautam Rawal
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/15395.7096
Subject(s) - sternum , medicine , tuberculosis , primary tuberculosis , surgery , presentation (obstetrics) , pulmonary tuberculosis , extrapulmonary tuberculosis , sinus (botany) , mycobacterium tuberculosis , pathology , botany , biology , genus
Skeletal tuberculosis (TB) accounts for about 9% of all TB cases. Tuberculosis of the sternum is not a common presentation. The case of primary multidrug-resistant (MDR) TB of the sternum is even rare. So far no such case has been reported in the medical literature. Herein, we present the very first case of primary extrapulmonary MDR TB of the sternum in a 21-year-old immunocompetent Indian female who presented with chest pain and an increased swelling over the anterior chest with an intermittently discharging sinus. She was diagnosed with multidrug-resistant tuberculosis of the sternum without the active pulmonary disease. Conservative management with oral multidrug antitubercular therapy (ATT) completely cured the patient.