Primary calvarial tuberculosis

Abstract

Background:Tuberculosis is a very common disease in India. Its prevalence, capacity to affect every other organ, and atypical presentations make it an important part of the differential diagnosis for cases presenting in the rural setup. Primary tuberculous caries of the calvarium is a rare manifestation of this common entity.Case Description:A young lady presented with headache and discharging sinus of the scalp. Imaging revealed epidural abscess with midline shift. She underwent surgery, and histopathological diagnosis of tuberculous etiology was made. The pre and intraoperative images, radiological images, and histopathological images are reported and discussed.Conclusion:Tuberculosis should be included in the differential diagnosis of the osteolytic lesions of skull with discharging sinus. A high degree of suspicion, especially in patients from low socioeconomic status, is warranted in managing such cases.

A case of disseminated tuberculosis mimicking metastatic cancer

“…In case of persisting fever despite treatment, central nervous system involvement should be ruled out with a lumbar puncture and a brain MRI [ 10 ]. As in our patient, rare cases of calvarial tuberculosis have been described [ 11 ]. Brain MRI can show various signs of TB including basal meningeal enhancement, parenchymal tuberculoma and TB abscesses [ 12 , 13 ].…”

A major pain in the hip - Destruction of the left acetabulum and femoral head secondary to Tuberculosis: A case report and review of the literature

“…Osteoarticular tuberculosis is classically described as having a characteristic intraoperative appearance of soft necrotic bone with underlying caseous material [ 10 , 11 ]. However, this is not consistently seen during arthroscopic washouts, and samples are not routinely sent for mycobacterial culture when there is a low index of suspicion.…”

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 .…”