Osteomielite esternal por Mycobacterium tuberculosis / Sternal osteomyelitis caused by infection with Mycobacterium tuberculosis
J. bras. pneumol
;
35(7): 709-712, jul. 2009. ilus
Article
in English, Portuguese
| LILACS
| ID: lil-521400
RESUMO
Descrevemos o caso de um paciente de 74 anos, masculino, com dor torácica na porção superior do esterno com um ano de evolução associada a eritema, edema e fístula com drenagem de material purulento. Paciente HIV negativo e sem história prévia de contato com TB. A TC de tórax evidenciou lesão osteolítica esternal, e o material de biópsia revelou granuloma caseoso negativo para fungos e bacilos álcool-ácido resistentes no exame microbiológico direto. O diagnóstico de osteomielite esternal por Mycobacterium tuberculosis foi realizado por PCR.
ABSTRACT
We report the case of a 74-year-old male patient with a one-year history of chest pain in the suprasternal notch associated with erythema, edema and drainage of purulent material from a fistulous lesion. The patient was HIV-negative with no history of TB. A CT scan of the chest showed an osteolytic lesion in the sternum, and a biopsy revealed caseous granuloma, which, in the microbiological evaluation, was negative for fungi and acid-fast bacilli. The diagnosis of sternal osteomyelitis caused by Mycobacterium tuberculosis was confirmed using PCR.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sternum
/
Tuberculosis, Osteoarticular
/
Mycobacterium tuberculosis
Limits:
Aged
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
J. bras. pneumol
Journal subject:
Pulmonary Disease (Specialty)
Year:
2009
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Fundação Universitária de Cardiologia/BR
/
Hospital São Vicente de Paulo/BR
/
Universidade Federal de Santa Maria/BR
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