case_images: PMC11299650_01
case_images: Lateral view of the sternal swelling.
case_images: acmi-6-00795-g001.jpg
case_images: PMC11299650_01_acmi-6-00795-g001.jpg
case_images: F1
case_images: TB exposure. The history of the symptoms dates back to 4 months with the installation of a chest pain with a burning sensation radiating towards the shoulders, followed by the appearance after 1 month of a palpable swelling of about 4 cm in size at the level of the upper part of the sternum evolving in a context of apyrexia, asthenia with night perspiration and a weight loss of 3 kg (Fig. 1).
case_images: Chest CT scan showing an osteolytic tissue mass centred on the sternum (left, axial section; right, sagittal section).
case_images: acmi-6-00795-g002.jpg
case_images: PMC11299650_01_acmi-6-00795-g002.jpg
case_images: F2
case_images: The computed tomography (CT) scan showed an osseous lysis of the sternal body with infiltration of the soft tissues, a systematized pulmonary condensation on the left side associated with medio-thoracic mediastinal adenopathies and a splenomegaly with a hypodense intra-splenic image (Fig. 2).
case_images: The appearance of bacilli after Ziehl-Neelsen staining from colonies of liquid medium MGIT.
case_images: acmi-6-00795-g003.jpg
case_images: PMC11299650_01_acmi-6-00795-g003.jpg
case_images: F3