Primary sternal osteomyelitis presenting as a pleural-based mass |
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Authors: | WK Lo EE Whimbey GL Walsh |
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Affiliation: | Department of Medical Specialties, University of Texas M. D. Anderson Cancer Center, Houston. |
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Abstract: | Osteomyelitis in uncommon locations can present unusual diagnostic difficulties. A patient with primary sternal osteomyelitis who presented with pain over the right supraclavicular area and a radiologic picture of a pleural-based right upper lung mass is discussed. A triple-phase bone scan was consistent with the diagnosis, and a needle aspiration of the mass revealed a staphylococcal abscess. Percutaneous drainage of the contiguous abscess and a prolonged course of antibiotic therapy cured the infection. |
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