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J Thorac Cardiovasc Surg 2007;133:1365-1366
© 2007 The American Association for Thoracic Surgery

Brief Communication

Sternal tuberculosis after sternotomy for coronary artery bypass surgery: A case report and review of the literature

Kirun Gopal, MSa,c,*, Austin Raj, DNBa, M.R. Rajesh, MBBSa, S.K. Prabhu, FRCSa, Jayasree Geothe, MDb

a Department of Cardiovascular and Thoracic Surgery, SUT Hospital, Trivandrum, Kerala, India
b Department of Pathology, SUT Hospital, Trivandrum, Kerala, India.

Received for publication December 14, 2006; accepted for publication January 8, 2007.

* Address for reprints: Kirun Gopal, Add: Chathayam, Ancheril Gardens, Gandhinagar PO, Kottayam 686008, Kerala, India. (Email: kirungopal@yahoo.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Gopal


Clinical Summary

A 72-year-old man presented with upper back pain for 1 month and swelling over the sternum of 4 days’ duration. He had no constitutional symptoms. One year earlier he had undergone coronary artery bypass surgery with an uneventful postoperative recovery. Clinical examination revealed a fluctuant swelling over the body of the sternum. There was mild tenderness but no erythema. Radiography of the chest and thoracic spine showed normal results (Figure 1). He had a total white blood cell count of 10,000/mm,3Go with a differential count of 68% neutrophils and 30% lymphocytes, and an erythrocyte sedimentation rate of 105 mm/hour. Drainage of sternal abscess and removal of underlying possibly infected sternal wires were performed. Intraoperatively, a large abscess cavity (3.5 x 3 cm) was detected in the body of the sternum unrelated to the sternal wires. The cavity . . . [Full Text of this Article]






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