National Epidemiological Surveillance System (SINAVE) of Mexico, 2015. Epidemiological Profile of Tuberculosis in Mexico [Perfil Epidemiológico de la Tuberculosis en México]. Health Ministry, SINAVE.
National Epidemiological Surveillance System (SINAVE) of Mexico, 2015. Epidemiological Profile of Tuberculosis in Mexico [Perfil Epidemiológico de la Tuberculosis en México]. Health Ministry, SINAVE.)| false
Primary rib cage tuberculosis (TB) is an infrequent form of presentation and represents 1% of all cases of osteoarticular TB. We report three cases of children who were previously healthy and who began with swelling of the anterior surface of the rib as initial manifestation of TB. The most important clinical presentations in this series were swelling and pain, with lytic lesions and a soft tissue mass in image studies simulating oncologic pathologies. Because none of the cases had positive epidemiological contact, TB was initially not considered, so the delay in diagnosis from the onset of symptoms was 4, 1, and 2 months, respectively. The diagnosis was made through histomorphological analyses. Treatment was administered during 12, 10, and 9 months. Posttreatment studies did not show any evidence of extrapulmonary TB and until date, the patients remained without relapse or active disease. The findings in our cases illustrate that the diagnosis of chest wall TB should be suspected in all patients from endemic areas who present rib injury.
Address correspondence to Hugo Juarez Olguin, Laboratorio de Farmacología, Instituto Nacional de Pediatría, Avenida Imán N° 1, 3rd piso Colonia Cuicuilco, Mexico City 04530, Mexico. E-mails: email@example.com or firstname.lastname@example.org
Disclosure: The study was authorized by the Ethics Committee of National Institute of Pediatrics. All data generated or analyzed during this study are included in this published article. Besides, any additional data/files may be obtained from the corresponding author.