Primary tuberculous sternal osteomyelitis is a rare condition, presenting as painful swelling and discharging sinuses over the chest wall. Diagnosis is based on radiological findings and histological examination of debrided infected tissues, with specific cultures for mycobacteria. Two cases were successfully treated by surgical debridement and reconstruction using pectoralis major muscle flaps, followed by antituberculous therapy.
WattsRAPaiceEWWhiteAG. Spontaneous fracture of the sternum and sternal tuberculosis. Thorax1987; 42: 984
2.
SharmaSJunejaMGargA. Primary tubercular osteomyelitis of sternum. Indian J Pediatr2005; 72: 709–10
3.
GillEAJrStevensDL. Primary sternal osteomyelitis. West J Med1989; 151: 199–203
4.
HajjarWLoganAMBelcherPR. Primary sternal tuberculosis treated by resection and reconstruction. Thorac Cardiovasc Surg1996; 44: 317–8
5.
YewWWKwanSYMaWKKhinMAMokCK. Single daily-dose ofloxacin monotherapy for Mycobacterium fortuitum sternotomy infection. Chest1989; 96: 1150–2
6.
KhanSAVarshneyMKHasanASKumarATrikhaV. Tuberculosis of the sternum: a clinical study. J Bone Joint Surg Br2007; 89: 17–20
7.
FordSJRathinamSKingJEVaughanR. Tuberculous osteomyelitis of the sternum: successful management with debridement and vacuum assisted closure. Eur J Cardiothorac Surg2005; 28: 645–7
