Rodríguez BR, Yáńez CR, Leal GLR, Valenzuela MJC

Language: Spanish
References: 24
Page: 168-172
PDF size: 397.59 Kb.

ABSTRACT

It is a 2 years 9 months old preschool child who consulted because this mother observed a 5 days of evolution painless tumor located in sternum's manubrium. He also presented 38.5 C fever (axilar) with chills during 2 days. In the physical examination the tumor was described as a 4 X 5 cm mass, bone dependent, painless, no fluctuant, without signs of phlogosis. The tumor was studied by X-ray, CT, MRI several diagnosis possibilities were considered, such as; eosinophilic granuloma, sarcoma, plasmacytoma. Finally, the biopsy reported a chronic granulomatous process with central necrosis compatible with a mycobacterial origen (bone tuberculosis). The treatment was based on rifampin, ethambutol e isoniazid with good response. At the eigth month of treatment, the patient was considered on absolute remission. Conclusion: Bone tuberculosis of sternum is a rare form presentation that should be considered in the differencial diagnosis of this kind of tumors.

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