A Case of Calvarial Tuberculosis in an Elderly Male Patient

  • Miqdad Haider Registrar Department of Medicine, Fatima Memorial Hospital, Lahore Pakistan
  • Aijaz Zeeshan Khan Chachar Senior Registrar Department of Medicine, Fatima Memorial Hospital, Lahore Pakistan
  • Nabeel Shafqat Postgraduate Resident, DHQ Gujranwala Pakistan
  • Waqar Zaheer Medical Officer, Social Security Hospital, Islamabad Pakistan
DOI: https://doi.org/10.35787/jimdc.v10i1.624
Keywords: Calvarial TB, Pulmonary tuberculosis, Scalp swelling

Abstract

Tuberculosis (TB) is still endemic in developing countries like Pakistan. Tuberculosis affecting bones account for 1% of all TB infections. Calvarial tuberculosis, a rare manifestation of extra-pulmonary TB, accounts for 0.2%-1.3% of all cases of skeletal TB. Even in developing countries where TB is endemic, cases with this type of TB are not commonly seen. The most commonly involved sites are the frontal and parietal bones, with destruction of both the inner and outer table. Proper diagnosis and timely management help in improving prognosis. Here we describe the case of a 70-year-old male patient with pulmonary and extrapulmonary (calvarial) tuberculosis. The diagnosis was established on histopathological examination with demonstration of Acid-Fast Bacilli (AFB) and typical features seen on computed tomography (CT) scan.

Published
2021-03-31
Issue
Vol 10 No 1 (2021): January-March 2021
Section
Case Reports

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.