TY - JOUR AU - González Saldaña, Napoleón AU - Galvis Trujillo, Diego M AU - Solórzano Morales, Sara A AU - Veloz Corona, Quetzalli AU - Trujillo Jimenez, Francisca AU - Juarez Olguin, Hugo PY - 2022/07/28 Y2 - 2024/03/29 TI - Tuberculosis of the ribcage by dissemination of Koch bacilli JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 16 IS - 07 SE - Case Reports DO - 10.3855/jidc.14062 UR - https://jidc.org/index.php/journal/article/view/35905028 SP - 1221-1225 AB - <p>Introduction: Tuberculosis (TB) is an infectious, transmissible and immune disease caused by the <em>Mycobacterium tuberculosis</em>-complex (MTBC). Although osteoarticular tuberculosis (OATB) has been widely described, the ribcage variety remains a rare form.</p><p>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.</p> ER -