Tuberculosis of the manubriosternal joint and concurrent asymptomatic active pulmonary tuberculosis in a patient presenting with a chest wall mass

Clin Imaging. 2015 Mar-Apr;39(2):311-4. doi: 10.1016/j.clinimag.2014.08.006. Epub 2014 Oct 16.

Abstract

A 62-year-old woman presented to our hospital with an anterior chest wall swelling. Computed tomography (CT) and magnetic resonance imaging showed findings consistent with an infectious arthritis of the manubriosternal joint, and CT images also demonstrated multiple centrilobular nodules in both lungs, suggesting an infectious bronchiolitis. A CT-guided fine needle aspiration of a presternal mass yielded growth of Mycobacterium tuberculosis. Bronchoalveolar lavage confirmed an active pulmonary tuberculosis. Septic arthritis of the manubriosternal joint is exceedingly rare.

Keywords: CT; MR imaging; Septic arthritis; Sternum; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Arthritis, Infectious / diagnosis*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Manubrium / diagnostic imaging
  • Manubrium / microbiology*
  • Manubrium / pathology
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification
  • Sternum / diagnostic imaging
  • Sternum / microbiology*
  • Sternum / pathology
  • Thoracic Wall / diagnostic imaging
  • Tomography, X-Ray Computed
  • Tuberculosis / diagnosis*
  • Tuberculosis, Pulmonary / diagnosis*