{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:38:39Z","timestamp":1747190319671,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2020,11,11]]},"abstract":"<jats:p>Chest wall mass in infancy is rare. Malignant lesions are more common than infection or benign tumors. This is a case of a 12-month-old girl who presented with a 2\u2009cm mass at the right costal margin and poor weight gain. Chest radiograph demonstrated a moth-eaten osteolytic lesion at the 8th rib. The resection was performed, and a mass with pus content was found. The positive acid fast stain (AFB) organism was noted. Pathology confirmed caseous granulomatous inflammation compatible with mycobacterial infection. However, QuantiFERON-TB Gold was negative, so Mycobacterium bovis (M. bovis) osteitis is highly suspected. She was treated with antimycobacterium drugs and showed good results. Osteomyelitis can manifest by mimicking bone tumors. Without a biopsy, the pathogen may go undetected. So, interventions such as biopsy are warranted and avoid mass resection without indication. High C-reactive protein (CRP), alkaline phosphatase (ALP), periosteal reaction of radiating spicules, and penumbra sign in magnetic resonance imaging (MRI) are helpful for discriminating osteomyelitis from bone tumor.<\/jats:p>","DOI":"10.1155\/2020\/8884770","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:50:08Z","timestamp":1605142208000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Chest Wall Mass in Infancy: The Presentation of Bone-Tumor-Like BCG Osteitis"],"prefix":"10.1155","volume":"2020","author":[{"given":"Phumin","family":"Chaweephisal","sequence":"first","affiliation":[{"name":"STAR Pediatric Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teesit","family":"Torchareon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vachira Phuket Hospital, Phuket, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanop","family":"Shuangshoti","sequence":"additional","affiliation":[{"name":"Departments of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1888-1446","authenticated-orcid":true,"given":"Piti","family":"Techavichit","sequence":"additional","affiliation":[{"name":"STAR Pediatric Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.02.061"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/bf00973809"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1978.03280290053022"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5223(19)41849-7"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.22.1.g02ja1287"},{"volume-title":"Thailand Tuberculosis Profile Population 2016 in Estimates of TB and MDR-TB Burden are Produced by WHO in Consultation with Countries","year":"2018","author":"WHO","key":"6"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-8-94"},{"volume-title":"The Problem of BCG Vaccine in Update on Pediatric Infectious Diseases 2017","year":"2017","author":"P. 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