Document Detail

Osteomyelitis of the ribs: a strategy for prompt diagnosis and effective management.
MedLine Citation:
PMID:  18820198     Owner:  NLM     Status:  MEDLINE    
Seven patients were treated for osteomyelitis rib (OR). Discharging sinuses and painful swellings were the presenting symptoms. An initial chest X-ray was unremarkable in all patients. Fine needle aspiration cytology and microscopy of pus did not reveal acid-fast bacillus in any patient. Computerized tomography (CT) of thorax was consistent with the diagnosis of OR in five patients. The patients underwent a subperiosteal excision of the affected part of the ribs or an excision biopsy of the unhealthy granulation tissue. Histopathological diagnosis was consistent with the diagnosis of tuberculosis (TB) OR in six patients. The patients received anti-TB drugs or appropriate antibiotics following surgery. All responded to treatment except one with a non-TB OR, who required further excision of the unhealthy rib ends. Inclusion of a CT of the thorax and an excision biopsy in the diagnostic process facilitates prompt diagnosis and effective management of OR.
Debajyoti Mohanty; Vivek Agrawal; Bhupendra Kumar Jain; Richa Gupta; Vinita Rathi; Arun Gupta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  38     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-29     Completed Date:  2008-11-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  239-41     Citation Subset:  IM    
Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur, Hospital, Delhi 110 095, India.
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MeSH Terms
Biopsy, Needle
Middle Aged
Osteomyelitis / diagnosis*,  therapy*
Radiography, Thoracic
Ribs / pathology*
Tomography, X-Ray Computed
Tuberculosis, Osteoarticular / complications*

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