Primary sternal osteomyelitis mimicking a neoplastic growth

Nagadarshini Ramagiri Vinod, Hassan Tahir, Arslan Ahmed


Chronic osteomyelitis usually present as bony growth but it can rarely present as a soft tissue growth mimicking neoplasm and is usually diagnosed by the combination of radiology and microbiology. This is a case report of an adult male who had chronic osteomyelitis mimicking a neoplastic growth of soft tissue. CT scan showed soft tissue mass mimicking a soft tissue tumor but microbiology test and MRI confirmed the diagnosis of chronic osteomyelitis.


Sternal osteomyelitis, Sternal neoplasm

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Girschick HJ, Mornet E, Beer M, Warmuth-Metz M, Schneider P. Chronic multifocal non-bacterial osteomyelitis in hypophosphatasia mimicking malignancy. BMC Pedia. 2007;7(1):3.

Gordon RJ, Lowy FD. Bacterial infections in drug users. N Engl J Med. 2005;353:1945.

Lew DP, Waldvogel FA. Osteomyelitis. Lancet. 2004;364:369.

Vasa M, Ohikhuare C, Brickner L. Primary sternal tuberculosis osteomyelitis: a case report and discussion. Can J Infect Dis Med Microbiol. 2009;20(4):e181-4.

Gill EA, Stevens DL. Primary sternal osteomyelitis. West J Med. 1989;151:199-203.

Calhoun JH, Manring MM, Shirtliff M. Osteomyelitis of the long bones. Semin Plast Surg. 2009;23:59.

Elasri MO, Thomas JR, Skinner RA, Blevins JS, Beenken KE, Nelson CL, et al. Staphylococcus aureus collagen adhesion contributes to the pathogenesis of osteomyelitis. Bone. 2002;30:275.

Ledermann HP, Kaim A, Bongartz G, Steinbrich W. Pitfalls and limitations of magnetic resonance imaging in chronic posttraumatic osteomyelitis. Eur Radiol. 2000;10:1815.

Tecce PM, Fishman EK. Spiral CT with multiplanar reconstruction in the diagnosis of sternoclavicular osteomyelitis. Skeletal Radiol. 1995;24:275.

Khoury J, Jerushalmi J, Kats I, Mograbi A, Shtarker H, Cohen HI, et al. J Clinical Imaging. 2003;27:358-62.

Hasan Z, Hanna Meldrum W. Primary sternal osteomyelitis: a case report and review of the literature. J Cardiothorac Med. 2016;4(1):418-21.

Lazzarini L, Lipsky BA, Mader JT. Antibiotic treatment of osteomyelitis: what have we learned from 30 years of clinical trials?. Int J Infect Dis. 2005;9:127.

Lin JC, Miller SR, Gazzaniga AB. Primary sternal osteomyelitis. Ann Thorac Surg. 1996;61:225-7.

De Nadai TR, Daniel RF, De Nadai MN, Da Rocha JJ, Feres O. Hyperbaric oxygen therapy for primary sternal osteomyelitis: a case report. J Med Case Reports. 2013;7(1):167.