Extra‑pulmonary tuberculosis constitutes 15‑20% of total tuberculosis (TB) case load in immuno‑competent patients. Affliction of the skeletal system is rare with still rarer presentation of sternal osteomyelitis even in endemic countries. A patient with primary sternal TB presenting with multiple cutaneous sinuses over the anterior chest wall is being reported. A high element of suspicion is needed more so in resource limited setting for early diagnosis and treatment.
Keywords: Asia, Tuberculosis, Skeletal, Sternum,