Title: A Rare Case of Sternal Koch's
Authors: Dr Mohammed Hidayath Hussain, Dr Shahzad Arastu, Dr Punnam Pradeep Kumar, Dr Jaweria Naaz Fatima, Dr Syed Murtuza Naqshabandi
DOI: https://dx.doi.org/10.18535/jmscr/v11i1.23
Abstract
Tuberculosis is one of the oldest diseases known to affect humans and a major cause of death worldwide. Even though tuberculosis mainly affects the lungs, it has various extrapulmonary manifestations, one of them being skeletal, affecting bones (most commonly vertebrae) and joints (most commonly hip and knee joints).
Isolated sternal involvement in tuberculosis is uncommon. Very few case reports are available in literature even from the countries where tuberculosis is endemic.
Tuberculosis of bones and joints accounts for 1-3% of patients with the disease.
Tuberculosis of the sternum makes less than 1% of cases of tubercular osteomyelitis.
We present to you a case of a young girl with painful chest swelling, in whom extensive work up did not reveal any other foci of infection. Later investigation of Fine needle aspiration biopsy of sternum revealed Epithelioid granulomas, acid-fast bacilli and a positive culture for M.tuberculosis.
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