Anterior chest wall musculoskeletal tuberculosis

Abstract

Musculoskeletal tuberculosis (MT) occurs in 1–3% of patients with tuberculosis, while MT of the chest wall constitutes 1% to 5% of all cases of musculoskeletal MT. They are most frequently found at the margins of the sternum and along the rib shafts. Computed tomography is a useful tool for investigation in the diagnosis of abscess and in determining the extent of an abscess. Antituberculous chemotherapy and surgical excision should be started immediately after the appropriate microbiological and histological samples have been obtained if the clinical suspicion is high. We presented our experience with a 49-year-old woman who had musculoskeletal tuberculosis at the anterior chest wall together with a review of the literature on this subject. Key words: Anterior chest wall, tuberculosis, diagnosis, treatment.

Keywords

• Anterior chest wall, tuberculosis, diagnosis, treatment.

Toraks ön duvarında kas-iskelet tüberkülozu

Öz

Kas-iskelet tüberkülozları, tüm tüberküloz vakalarının %1-3\'ünü oluştururlar ve bunlardan yalnızca %1-5\'i toraks ön duvarında yerleşir. Toraks ön duvarında en sık tutulan yapılar ise sternum kenarı ve kosta gövdesidir. Bilgisayarlı tomografi lezyonların tanımlanmasında ve genişliğinin belirlenmesinde etkilidir. Eğer yüksek klinik şüphe varsa uygun histopatolojik ve mikrobiyolojik örnekler alındıktan sonra, derhal cerrahi eksizyon yapılmalı ve antitüberküloz ilaç tedavisi başlanmalıdır. Bu yazımızda, toraks ön duvarında tüberküloz tanısı alan 49 yaşında kadın hastanın güncel literatür eşliğinde irdelenmesi amaçlanmıştır.

Anahtar Kelimeler

• Toraks ön duvarı, tüberküloz, tanı, tedavi

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