X-RAY SEMIOTICS OF STERNO-COSTAL TUBERCULOSIS IN CHILDREN
https://doi.org/10.21292/2075-1230-2018-96-12-27-32
Abstract
The objective of the study: to identify specific features of tuberculosis of the sternum and ribs in children using data of CT scans.
Subjects and methods. 16 children at the age from 1 to 8 years old with bacteriologically confirmed tuberculous ostitis of the sternum or ribs or perichondritis of the ribs were followed up; from 2013 to 2015, all of them had surgery in the pediatric surgical clinic of St. Petersburg Research Institute of Phthisiopulmonology. The scans of their computed tomographies performed not earlier than 2 weeks before the surgery were analyzed.
Results of the study. Tuberculous ostitis of the sternum and ribs in children is usually characterized by the presence of an extensive destructive cavity with the destruction of the cortical layer and dissemination into soft tissues (clinical examples are given).
Sclerosis, swelling of the bone in the affected area, free bone sequestration in the destructive cavity and surrounding soft tissues, described in the literature as typical signs of tuberculous bone lesions, are not often found in tuberculous ostitis of the sternum and ribs in children.
About the Authors
V. A. Gilyova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
X-ray Doctor of X-ray Diagnostic Unit
2-4, Ligovsky prosp., St. Petersburg, 191036
I. A. Baulin
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Candidate of Medical Sciences, X-Ray Doctor, Head of X-ray Diagnostic Unit
2-4, Ligovsky prosp., St. Petersburg, 191036
P. V. Gavrilov
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Candidate of Medical Sciences, X-Ray Doctor, Leading Researcher, Head of X-ray Diagnostics School
2-4, Ligovsky prosp., St. Petersburg, 191036
A. Yu. Mushkin
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head Researcher
2-4, Ligovsky prosp., St. Petersburg, 191036
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Review
For citations:
Gilyova V.A., Baulin I.A., Gavrilov P.V., Mushkin A.Yu. X-RAY SEMIOTICS OF STERNO-COSTAL TUBERCULOSIS IN CHILDREN. Tuberculosis and Lung Diseases. 2018;96(12):27-32. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-12-27-32
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