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CASE REPORT
Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 49-51

Chronic pyogenic osteomyelitis of the Rib: A case report in a sickle cell disease patient


1 Department of Surgery, Orthopaedics Unit, Aminu Kano Teaching Hospital, Bayero University Kano, Kano, Nigeria
2 Department of Surgery, Cardiothoracic Unit, Aminu Kano Teaching Hospital, Bayero University Kano, Kano, Nigeria

Correspondence Address:
Dr. Ismail Muhammad Inuwa
Department of Surgery, Cardiothoracic Unit, Aminu Kano Teaching Hospital, Bayero University Kano, Kano
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njbcs.njbcs_20_20

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Rib osteomyelitis is extremely rare and accounts for <1% of haematogenous osteomyelitis. We report a rare case of chronic pyogenic osteomyelitis involving the rib in a 29-year-old female sickle cell disease (SCD) patient who presented with recurrent discharging sinus over the right chest wall for 20 years. The patient had partial excision of the 5th rib/sequestrectomy with chest tube insertion. She did very well and was discharged after chest tube removal to the orthopaedic outpatient department for follow-up. Being of various aetiology with non-specific clinical manifestation, its diagnosis is challenging. Clinicians should be aware of the possibility of rib osteomyelities in a SCD patient. Early recognition and prompt treatment allow high cure rate.


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