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KMID : 1144920190150010031
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Journal of Wound Management and Research
2019 Volume.15 No. 1 p.31 ~ p.34
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Sternal Tuberculosis: A Case Report
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Kim Gyeong-Hoe
Kim Sang-Wha
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Abstract
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The sternum is a very rarely involved site in extrapulmonary tuberculosis. Here, we present a case of sternal tuberculosis, and review the literature. An 84-year-old female patient visited Seoul National University Hospital presenting a 2×3 cm chest wound with sternum exposure. Chest magnetic resonance imaging revealed a sternal bone marrow signal corresponding to sternal osteomyelitis. Wound cultures yielded Mycobacterium tuberculosis, and tuberculosis polymerase chain reaction was also positive for M. tuberculosis. The wound was totally epithelized 1 month after debridement and initiation of oral anti-tuberculosis agents. Even though the prevalence of sternal tuberculosis is not high, when there is an unresolved infection or a chest wound that does not heal, sternal tuberculosis should be suspected and tests should be performed in order to obtain an early diagnosis and provide appropriate treatment.
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KEYWORD
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Wound healing, Tuberculosis, Osteomyelitis
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