Tuberculosis (TB) of the rib is a very rare form of skeletal TB and its diagnosis may be difficult because of a low index of suspicion by clinicians. The presentation often mimics malignant disease clinically and radiologically and diagnosis may only be confirmed by tissue biopsy. We present a 32-year-old HIV-negative man who presented with a three-month history of progressively worsening pleuritic chest pain, weight loss, fatigue, anorexia and low-grade fever with night sweats. A chest computerized tomography (CT) scan showed destructive lesions in the right fourth and seventh ribs with no pulmonary lesions. A diagnosis of TB of the rib was made after surgical resection and histopathology of the affected tissue. There was significant improvement when anti-TB therapy was initiated. This case report emphasizes the importance of a high index of suspicion of TB in patients presenting with destructive bone lesions in regions with high prevalence of TB.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1258/td.2012.110342 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Rare Presentation of Malignant Melanoma in an Adult: Diagnostic and Therapeutic Insights.
Cureus
December 2024
General Surgery, P.E.S. Institute of Medical Sciences and Research, Kuppam, IND.
This case presents a rare and aggressive manifestation of malignant melanoma, initially presenting as a chest wall swelling in a young male with a history of trauma and subsequent management for hemothorax and pyothorax. The complexity of this case lies in its atypical presentation and the challenges posed in diagnosis and treatment. A 30-year-old gentleman presented to the general surgery clinic with a chief complaint of swelling on the right side of his chest, persisting for two months following a traumatic fall, which later resulted in hemothorax and prothorax required drainage and eventually ended up developing a swelling requiring further investigations.
View Article and Find Full Text PDFAggressive Mesenchymal Chondrosarcoma of the Rib With Early Skeletal Metastases: A Diagnostic Challenge.
Cureus
November 2024
Internal Medicine, Centro Hospitalar Tondela Viseu, Viseu, PRT.
Mesenchymal chondrosarcoma (MCS) is a rare, aggressive subtype of chondrosarcoma characterized by biphasic histology, often misdiagnosed due to its rarity and histological resemblance to other small round cell tumors. It predominantly affects adolescents and young adults. We report a 27-year-old male presenting with a progressively enlarging, painless mass in the right inframammary region, initially attributed to muscular strain.
View Article and Find Full Text PDFCavernous hemangioma of the rib mimicking malignant bone tumor: A case report.
Radiol Case Rep
February 2025
Department of Pathology, Armauer Hansen Research Institute, Addis Ababa, Ethiopia.
Intraosseous hemangiomas are benign vascular tumors which are more commonly seen in the vertebrae and skull but they rare in the ribs. Rib hemangiomas can mimic malignant rib lesions and definitive clinical and imaging diagnosis might be difficult and pathological confirmation will be required. Here we report a rib hemangioma in a 49-year-old male presented with painless chest wall swelling of 9 years duration, on chest CT scan the lesion showed dense radiating type calcification with cortical destruction.
View Article and Find Full Text PDFAtypical Presentation of Plasmacytoma in a Young Woman.
Cureus
October 2024
Internal Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA.
Article Synopsis
- * Subsequent tests, including a bone marrow biopsy and PET scan, led to the diagnosis of a solitary plasmacytoma (SP), which is a rare tumor type, highlighting the unusual presentation of the condition in a patient experiencing chest pain.
- * The patient received localized radiation therapy for treatment, while also being monitored for the potential progression to multiple myeloma (MM), emphasizing the need for ongoing surveillance in such cases.
Breast tuberculosis with bone destruction mimicking breast cancer with bone metastasis: a case report and literature review.
Gland Surg
October 2024
Department of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Article Synopsis
- * A case study revealed BTB mistaken for breast cancer, where imaging suggested cancer but a biopsy confirmed chronic inflammation and TB; T-SPOT testing and MRI also indicated TB infection.
- * The patient underwent a 4-month anti-TB treatment followed by surgery, resulting in no recurrence after nine months, underscoring the importance of accurate diagnosis to avoid misidentifying BTB as other conditions.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!