Primary Tuberculotic Osteomyelitis of Rib in a Child
Published: July 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/25974.10222
Nitin Kumar Kashyap, Atul Jindal, Nitin kumar Borkar, Minal Wasnik
1. Assistant Professor, Department of Trauma and Emergency, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
2. Assistant Professor, Department of Paediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
3. Associate Professor, Department of Paediatric Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
4. Associate Professor, Department of Pathology, RIMS, Raipur, Chhattisgarh, India.
Correspondence
Dr. Nitin Kumar Kashyap,
Assistant Professor, Department of Trauma and Emergency, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
E-mail: nitinkashyap1@yahoo.com
Although extremely rare, osteomyelitis has been reported in smaller bones like ribs. A 13-year-old male child presented with a one week history of chest wall swelling. Fine Needle Aspiration Cytology (FNAC) of the lesion and initial bacterial culture could not find the aetiology of the lesion. He underwent surgical resection of entire sixth rib for osteomyelitis and was subsequently diagnosed to have tubercular osteomyelitis. Diagnosis and treatment of rib tuberculosis is both difficult and controversial. Rib tuberculosis is often not successfully treated by medical management alone and consequently needs surgery.
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