Abstract
<h2> </h2> Only two cases of primary sternal osteomyelitis are reported in the American literature during the past 25 years. Two additional cases are presented to discuss diagnosis and management of a possible difficult problem. Presentation of a mass lesion without constitutional signs signifying an infectious etiology is the primary problem associated with our two cases. A trend toward decreased acute osteomyelitis with increase in what is described as primary subacute osteomyelitis is noted. Antibiotics remain the mainstay of treatment for osteomyelitis. However, an aggressive surgical approach may be required as in the two cases presented.
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