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Annals of Thoracic Medicine-Vol 5, Issue 1, January-March 2010 57 units/liter respectively. After receiving standard antitubercular therapy for one year, cold abscesses disappeared (Panel A lower) and she was asymptomatic. Follow-up CT scan showed complete resolution of abscesses (Panel B lower) and of pleural effusion with minimal residual soft tissue changes in anterior mediastinum.

Tubercular arthritis is typically monoarticular arthritis, resulting from hematogenous spread of primary infection.[1, 4] It most commonly involves the spine followed by hip and knee joints. Other joints commonly involved include the sacroiliac, shoulder, elbow, ankle, carpal and tarsal joints.[1] The sternoclavicular joint is an extremely rare site for occurrence of tubercular arthritis.[3, 5] It can be unilateral or bilateral.[2] This rarity of its occurrence can be attributed to the peculiar blood supply of this joint.[5] It most commonly presents …