A 49-year-old man presented with chest pain and was found to have hemorrhage and drainage from a chest wound secondary to disseminated tuberculosis involving the sternum and ankle. He then developed acute hemorrhage from an innominate artery pseudoaneurysm originating just below a severely diseased sternoclavicular junction. A staged approach was used to manage his pathology given the life-threatening bleeding and his debilitated condition. He underwent endovascular stent grafting to exclude the pseudoaneurysm, followed by aggressive debridement of the affected sternal area.
McLellanDGPhilipsKBCorbettCEBronzeMS. Sternal osteomyelitis caused by Mycobacterium tuberculosis: case report and review of the literature. Am J of Med Sci2000; 319: 250–254.
2.
OuarssaniAAtoiniFAit LhouFIdrissi RguibiM. Sternal tuberculosis: report of 2 cases. Pan Afr Med J2012; 11: 33–33.
3.
WattsRAPaiceEWWhiteAG. Spontaneous fracture of the sternum and sternal tuberculosis. Thorax1987; 42: 984–985.
4.
DuttAKMoersDSteadWW. Short-course chemotherapy for extrapulmonary tuberculosis. Nine years’ experience. Ann Intern Med1986; 104: 7–12.
