Calvarial Tuberculosis Presenting with Skin Defect in an Elderly Patient

Tuberculosis is a common disease; however, the prevalence of calvarial tuberculosis is very rare. Most cases of calvarial tuberculosis occur in young patients. We report a rare case of calvarial tuberculosis in an elderly patient. An 89-year-old woman presented with a forehead skin defect. Radiologi...

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Published inWorld neurosurgery Vol. 140; pp. 267 - 270
Main Authors Choo, Yoon-Hee, Seo, Youngbeom, Choi, Joonhyuk
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2020
Subjects
Calvarial
Osteomyelitis
Skull
Tuberculosis
Osteomyelitis
CT
Skull
Tuberculosis
AFB
Calvarial
osteomyelitis
calvarial
skull
tuberculosis
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Abstract Tuberculosis is a common disease; however, the prevalence of calvarial tuberculosis is very rare. Most cases of calvarial tuberculosis occur in young patients. We report a rare case of calvarial tuberculosis in an elderly patient. An 89-year-old woman presented with a forehead skin defect. Radiologic imaging showed bony erosion 20 × 10 mm in size with adjacent dural enhancement in the left frontal bone. The patient underwent surgical treatment. Pathology revealed chronic granulomatous inflammation with caseous necrosis, consistent with tuberculosis. Antituberculous medications were prescribed for 6 months. A careful assessment should be performed to obtain an appropriate diagnosis in cases of osteolytic lesions of the skull.
AbstractList Tuberculosis is a common disease; however, the prevalence of calvarial tuberculosis is very rare. Most cases of calvarial tuberculosis occur in young patients. We report a rare case of calvarial tuberculosis in an elderly patient. A 89-year-old woman presented with a forehead skin defect. Radiologic imaging showed bony erosion 20x10 mm in size with adjacent dural enhancement in the left frontal bone. The patient underwent surgical treatment. Pathology revealed chronic granulomatous inflammation with caseous necrosis, consistent with tuberculosis. Antituberculous medications were prescribed for 6 months. A careful assessment should be performed to obtain an appropriate diagnosis in cases of osteolytic lesions of the skull.
Tuberculosis is a common disease; however, the prevalence of calvarial tuberculosis is very rare. Most cases of calvarial tuberculosis occur in young patients. We report a rare case of calvarial tuberculosis in an elderly patient. An 89-year-old woman presented with a forehead skin defect. Radiologic imaging showed bony erosion 20 × 10 mm in size with adjacent dural enhancement in the left frontal bone. The patient underwent surgical treatment. Pathology revealed chronic granulomatous inflammation with caseous necrosis, consistent with tuberculosis. Antituberculous medications were prescribed for 6 months. A careful assessment should be performed to obtain an appropriate diagnosis in cases of osteolytic lesions of the skull.
Author Choo, Yoon-Hee
Choi, Joonhyuk
Seo, Youngbeom
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10.1080/02688697.2017.1409879
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10.1016/j.wneu.2016.11.065
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10.1259/0007-1285-34-401-286
10.1136/bcr-2018-226967
10.4103/jnrp.jnrp_332_18
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Keywords Osteomyelitis
CT
Skull
Tuberculosis
AFB
Calvarial
osteomyelitis
calvarial
skull
tuberculosis
Language English
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SubjectTerms Calvarial
Osteomyelitis
Skull
Tuberculosis
Title Calvarial Tuberculosis Presenting with Skin Defect in an Elderly Patient
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