Extensive calvarial tuberculosis presenting as exophytic ulcerated growth on scalp in an infant: an interesting case report with review of literature

Abstract

We report here a case of extensive calvarial tuberculosis seen in an infant presenting as exophytic ulcerated growth on the scalp. Differential diagnosis, neuroimaging, and management issues with pertinent literature are reviewed.

Calvarial tuberculosis: two cases in children

“…In the literature, there are reports of only six patients aged 4 years or less, as our patient number 1 and eight reports of children between 5 and 9 years old as our patient number 2. In the last five years, most articles were from India 1,2,4,10,11,13 .…”

“…The infection can be contained by a fibrotic envelope layer formation or it can extend through each border. If the process is rapid, bone sequestration may occur with formation of caseous necrosis 1,2 . The involvement of the external border appears as a palpable nodule, usually painless and soft, with or without fistulization.…”