The illusion of a chest wall tumor: a case-report of sternal tuberculosis

Submitted: November 6, 2021
Accepted: January 12, 2022
Published: February 17, 2022
Abstract Views: 966
PDF: 496
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The incidence rate of tuberculosis in developed countries is low. The most common presentation of this disease is its pulmonary form but with the increasing use of immunosuppressive drugs, extra-pulmonary tuberculosis is re-emerging. Nevertheless, sternal bone involvement is uncommon. We report the case of an eighty-three-year-old man who presented a painful sternal mass which progressed towards cutaneous ulceration. The first diagnostic hypothesis was neoplasia. The pathological and microbiological diagnosis of tuberculosis was achieved after surgical biopsy. The patient received treatment against tuberculosis for nine months enabling recovery without surgery. This case illustrates the importance of having a diagnosis prior to any kind of treatment facing any voluminous parietal thoracic lesions.  This diagnosis is made possible by surgical samples and interdisciplinary teamwork. This case underlines that tuberculosis remains a differential diagnosis that must be evoked in case of unusual bone mass. 

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Citations

Dheda K, Barry CE, Maartens G. Tuberculosis. Lancet 2016;387:1211–26. DOI: https://doi.org/10.1016/S0140-6736(15)00151-8
Feki W, Ketata W, Mkaouar N, et al. [Tuberculose sternale isolée chez l’adulte immunocompétent].[Article in French with English Abstract]. Rev Pneumol Clin 2018;74:96–9. DOI: https://doi.org/10.1016/j.pneumo.2018.02.004
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Hasan T, Au E, Chen S, et al. Screening and prevention for latent tuberculosis in immunosuppressed patients at risk for tuberculosis: a systematic review of clinical practice guidelines. BMJ Open 2018;8:e022445. DOI: https://doi.org/10.1136/bmjopen-2018-022445

How to Cite

Daniel, Morgan, Charles Ricordel, Aurélien Lorleac’h, James Norwood, Bertrand Richard De Latour, Simon Rouzé, and Jean-Philippe Verhoye. 2022. “The Illusion of a Chest Wall Tumor: A Case-Report of Sternal Tuberculosis”. Monaldi Archives for Chest Disease 92 (4). https://doi.org/10.4081/monaldi.2022.2144.