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Published on: August 11, 2008
Primary CALVARIAL tuberculosis: A case report.
Abdulsemed Mohammed Yasin1, Eyob Zenebe1, Kibruyisfaw Zewude1
1Department of Surgery, Neurosurgery Unit, School of Medicine, Addis Ababa University, Ethiopia.
International Journal of Surgery Case Reports
|March 2, 2025
Summary
Primary calvarial tuberculosis, a rare form of extrapulmonary tuberculosis, often presents as a swelling and can be misdiagnosed. Early diagnosis and treatment with surgery and anti-tubercular therapy are crucial for a good outcome.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Radiology
Background:
- Calvarial tuberculosis is an uncommon manifestation of extrapulmonary tuberculosis, with primary cases being exceptionally rare.
- It is frequently misdiagnosed as other conditions like osteomyelitis, syphilis, or metastatic bone disease.
Observation:
- A case of primary calvarial tuberculosis in a 17-year-old female presenting with a progressive frontoparietal swelling and headache is detailed.
- The patient had no prior history of tuberculosis.
Findings:
- Histopathological examination of excised tissue confirmed tubercular pathology.
- Diagnosis of skeletal tuberculosis relies on identifying Acid Fast Bacilli (AFB) via microscopy and culture, though radiological findings can be variable and nonspecific.
Implications:
- Early clinical signs of calvarial tuberculosis are often absent, with painless swelling being the most common presentation.
- A high index of suspicion is vital for timely diagnosis, especially in tuberculosis-endemic regions.
- Combined surgical intervention and antituberculous therapy are the standard treatment, with crucial follow-up for recurrence monitoring.
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