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Calvarial Tuberculosis: A Diagnostic Quandary: A Case Report.
Homagain, Sushan; Shrestha, Suraj; Sah, Sushil; Sedain, Gopal.
Afiliación
  • Homagain S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Shrestha S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Sah S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
  • Sedain G; Department of Neurosurgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc ; 57(217): 198-201, 2019.
Article en En | MEDLINE | ID: mdl-31477963
Primary Calvarial Tuberculosis, a rare entity of skull is even rarer after second decade of life in a healthy person without evidence of tuberculosis elsewhere in the body. Most of the cases are often misdiagnosed as osteomyelitis/syphilis/bony metastasis. We report a case of primary skull tuberculosis in 26-year-old male with complains of headache and swelling in the right frontal region with no history of previous tuberculosis. The patient was operated and the histopathological examination of excised tissue was suggestive of tubercular pathology. The patient is doing well after anti-tubercular therapy. Being a rare disease, tubercular osteomyelitis of skull bones is often missed and misdiagnosed due to lack of clinical suspicion and slow growth of mycobacterium cultures. Histopathological examination of biopsy material and demonstration of acid-fast bacilli in the pus are helpful for diagnosis and early management of the disease. Keywords: calvaria; Mycobacterium; osteomyelitis; tuberculosis.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cráneo / Tuberculosis Osteoarticular / Antituberculosos Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Humans / Male Idioma: En Revista: JNMA J Nepal Med Assoc Año: 2019 Tipo del documento: Article País de afiliación: Nepal Pais de publicación: Nepal

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cráneo / Tuberculosis Osteoarticular / Antituberculosos Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Humans / Male Idioma: En Revista: JNMA J Nepal Med Assoc Año: 2019 Tipo del documento: Article País de afiliación: Nepal Pais de publicación: Nepal