Background: Skeletal tuberculosis constitutes about 1٪ of
all cases. Usually, spine and limb bones are involved. Tuberculosis is endemic
in many developing countries, including Bangladesh, where the disease remains
highly prevalent. Tubercular osteomyelitis of the skull is a rare entity;
therefore, diagnosis is rarely suspected. Given the rarity of the condition,
only a few patients with Tubercular osteomyelitis of the skull have been
reported in the medical literature.
Case Report: This chapter reports one such rare case of an
atypical calvarial skull osteomyelitis in a 14-year-old female who presented
with swelling on the right frontoparietal region for 3 months. CT scan of the
brain and bony window revealed a lytic bony lesion at the right parietal bone
with an associated epidural soft tissue component at the right parietal top, causing
compression over adjacent parenchyma- possibly eosinophilic granuloma or
chronic osteomyelitis. Haematological test reveals no abnormality except ESR
61mm in 1st hour with a normal chest X-ray. The patient was treated surgically
by excision of the lesion with cranioplasty using synthetic bone cement. After
surgical treatment, the specimen was sent for histopathology, which showed
granulomatous inflammation histologically consistent with tuberculosis. She was
treated with antitubercular therapy as per the national tuberculosis guideline.
Conclusion: Our Case highlights all these aspects of skull
tuberculosis with a review of the available literature relevant to skull
tubercular osteomyelitis.
Author(s) Details
Mohammad Humayun
Rashid
Department of Neurosurgery, East West Medical College & Hospital,
Dhaka, Bangladesh.
Rashed Mahmud
Department of Neurosurgery, East West Medical College & Hospital,
Dhaka, Bangladesh.
Md. Wasiul Alam
Taufique
Department of Neurosurgery, East West Medical College & Hospital,
Dhaka, Bangladesh.
Mafizul Karim
Department of Anaesthesiology, East West Medical College & Hospital,
Dhaka, Bangladesh.
Md Jahidul Islam
Department of Hospital Management, East West Medical College &
Hospital, Dhaka, Bangladesh.
Please see the book here :- https://doi.org/10.9734/bpi/aodhr/v9/7016
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