Tuberculosis of the ribcage by dissemination of Koch bacilli

  • Napoleón González Saldaña Service of Infectology, National Institute of Pediatrics (NIP), Mexico City, Mexico
  • Diego M Galvis Trujillo Service of Infectology, National Institute of Pediatrics (NIP), Mexico City, Mexico
  • Sara A Solórzano Morales Service of Radiology, National Institute of Pediatrics (NIP), Mexico City, Mexico
  • Quetzalli Veloz Corona Laboratory of Pharmacology, National Institute of Pediatrics (NIP), Mexico City, Mexico
  • Francisca Trujillo Jimenez Laboratory of Pharmacology, National Institute of Pediatrics (NIP), Mexico City, Mexico
  • Hugo Juarez Olguin Laboratory of Pharmacology, National Institute of Pediatrics (NIP), Mexico City, Mexico
Keywords: children, Koch bacilli, Mycobacterium, rib cage, tuberculosis

Abstract

Introduction: Tuberculosis (TB) is an infectious, transmissible and immune disease caused by the Mycobacterium tuberculosis-complex (MTBC). Although osteoarticular tuberculosis (OATB) has been widely described, the ribcage variety remains a rare form.

Case report: A thirteen-month-old male and a twenty-month-old female, both with pain and increased volume of anterolateral left rib cage were described. Physical examination revealed the presence of a soft consistent mass at the level of the 9th and 5th costal arches in the male and female patients respectively. Upon clinical evaluation, tuberculosis was suspected, which was confirmed by X-ray and histopathological studies. After confirmation, the management, based on anti-tuberculosis therapy was started as follows: nine months of anti-tuberculosis therapy for the male patient and fourteen months for the female. The outcomes were favorable for both patients. However, further interventions, consisting of abscess drainage in the male patient and excisional biopsy in the female patient were necessary. With these therapeutic interventions, to date, the patients are without any evidence of active TB.

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Published
2022-07-28
How to Cite
1.
González SaldañaN, Galvis TrujilloDM, Solórzano MoralesSA, Veloz CoronaQ, Trujillo JimenezF, Juarez OlguinH (2022) Tuberculosis of the ribcage by dissemination of Koch bacilli. J Infect Dev Ctries 16:1221-1225. doi: 10.3855/jidc.14062
Section
Case Reports