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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 6,
817-820.
doi: 10.1302/0301-620X.89B6.18777 Copyright © 2007 by British Editorial Society of Bone and Joint Surgery Tuberculosis of the sternumA CLINICAL STUDYS. A. Khan, MS, DNB, MRCS(Ed), MChOrth(Liverpool), FRCS (Glasgow), Assistant Professor1; M. K. Varshney, MS, DNB, Senior Resident1; A. S. Hasan, MD, Microbiology, Senior Resident2; A. Kumar, MS, Senior Resident1; and V. Trikha, MS, Assistant Professor1
1 Department of Orthopaedics All India Institute of Medical Sciences, Ansari Nagar, New Delhi-29, India. Correspondence should be sent to Dr S. A. Khan; e-mail: shahalamkhan{at}rediffmail.com
A series of 14 patients suffering from tuberculosis of the sternum with a mean follow-up of 2.8 years (2 to 3.6) is presented. All were treated with antitubercular therapy: ten with primary therapy, two needed second-line therapy, and two required surgery (debridement). All showed complete healing and no evidence of recurrence at the last follow-up. MRI was useful in making the diagnosis at an early stage because atypical presentations resulting from HIV have become more common. Early adequate treatment with multidrug antitubercular therapy avoided the need for surgery in 12 of our 14 patients.
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