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Revista Médica Sinergia

2022, Number 09

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Revista Médica Sinergia 2022; 7 (09)

Tubercular osteomyelitis of skull, a case report

Silva PVA, Nauque MNA, Andrade ANR

Language: Spanish
References: 15
Page:
PDF size: 278.34 Kb.


ABSTRACT

Cranial tuberculosis is a rare entity, which starts with an infection of the spinal cord and spreads to the external and internal plates of the skull, causing destruction of the bone and the formation of granulation tissue causing a collection of purulent discharge, edema and pain in the affected area. Diagnosis requires the demonstration of acid-fast bacilli in the smear specimen by Ziehl-Neelsen staining and the presence of a histopathological caseous granuloma. Treatment may be medical or surgical depending on the complexity of the pathology. We report the case of a 45-year-old male patient, who presented with an open wound in the left parietal region, caused by a history of craniotomy due to cranioencephalic trauma 6 years ago. The culture of the lesion described was positive for acid-fast bacilli, and the patient received antituberculosis therapy with good clinical response. This is an unusual case that is reported for knowledge and to define diagnostic and therapeutic conducts before an atypical presentation of extrapulmonary tuberculosis.


REFERENCES

  1. Organización Mundial de la Salud. Tuberculosis. Ficha Técnica. OMS. [Online]. 2021 [consultado el 29 de octubre, 2021]. Disponible a partir de: https://www.who.int/es/news-room/fact-sheets/detail/tuberculosis.

  2. Ministerio de Salud Pública. Boletín Anual: Tuberculosis 2018. [Online]. 2019 [consultado el 29 de octubre, 2021. Disponible a partir de: https://www.salud.gob.ec/wp-content/uploads/2019/03/informe_anual_TB_2018UV.pdf.

  3. Wang X, Zhang Q, Wu W. Unusual Tuberculosis of the Frontal Bone: A Case Report. Open Journal of Internal Medicine. [Online]. 2020 [consulted Oct 29, 2021];10:321-325. Doi: https://doi.org/10.4236/ojim.2020.104033.

  4. Kumar S, Kumar A, Gadhavi H, Maheshwari V. Tubercular skull base osteomyelitis – A case report. Interdiciplinary Neurosurgery. [Online]. 2021 [consulted Oct 29, 2021];24. Doi: https://doi.org/10.1016/j.idcr.2021.e01360.

  5. Khan M, Qader A, Syed A, Kwatra V, Ramachandran A, Gustin A, et al. A Comprehensive Review of Skull Base Osteomyelitis: Diagnostic and Therapeutic Challenges among Various Presentations. Asian Journal of Neurosurgery. [Online]. 2018 [consulted Oct 29, 2021];13(4):959–970. Doi: https://dx.doi.org/10.4103%2Fajns.AJNS_90_17.

  6. Mehdi B, Berriche A, Ammari L, Abdelmalek R, Kilani B, Benaissa T. Tuberculous Frontal Bone Osteomyelitis. Annals of Clinical Case Reports. [Online]. 2017 [consulted Oct 29, 2021]. Available from: http://www.anncaserep.com/full-text/accr-v2-id1274.php.

  7. Sari A, Dinçel Y, Erdogdu I, Sezgin H, Agir I, Çetin M. Tuberculosis osteomyelitis of the tibia mimicking Brodie abscess: A case report and review of the literature. SAGE open medical casereports. [Online]. 2019 [consulted Oct 29, 2021]. Doi: https://dx.doi.org/10.1177%2F2050313X19869455.

  8. Srihari S, Balasubramanian D. Primary calvarial tuberculosis. Surgical Neurology International. [Online]. 2017 [consulted Oct 29, 2021];8:126. Doi: https://dx.doi.org/10.4103%2Fsni.sni_495_16.

  9. Couto C, Ferrerira P, Machado A, Goudoris E, Cisne A. Calvarial tuberculosis: two cases in children. Case report. Rev. Inst. Med. trop. S. Paulo 62. [Online]. 2020 [consulted Oct 29, 2021]. Doi: https://doi.org/10.1590/S1678-9946202062068.

  10. Akpınar A, Erdoğan U, Koçyiğit M. Primary Calvarial Tuberculosis Presenting with Scalp Swelling and Lytic Bone Lesion: A Case Report. [Online]. 2018 [consulted Oct 29, 2021]. Doi: http://dx.doi.org/10.4274/haseki.3532.

  11. Homagain S, Shrestha S, Sah S, Sedain G. Calvarial Tuberculosis: A Diagnostic Quandary: A Case Report. Journal of the Nepal Medical Association. [Online]. 2019 [consulted Oct 29, 2021];57(217):198-201. Available from: https://pubmed.ncbi.nlm.nih.gov/31477963/.

  12. Santos A, Fanjul F, Campins A, Melchor R. Calvarial tuberculosis: an unusual presentation of disseminated tuberculosis. BMJ Case Rep. [Online]. 2019 [consulted Oct 29, 2021]. Doi: http://dx.doi.org/10.1136/bcr-2018-226967.

  13. Knipe H, Jones J. Tuberculous osteomyelitis.Radiopaedia.org. [Online]. 2020 [consulted Oct 29, 2021]. Doi: https://doi.org/10.53347/rID-78457.

  14. Lalchandani S, Rai R, Kumar R, Singh N. Tuberculosis of Calvaria - A Rare Entity. Med Case Rep. [Online]. 2017 [consulted Oct 29, 2021];3(30) Available from: https://medical-case-reports.imedpub.com/tuberculosis-of-calvaria--a-rare-entity.php?aid=20640.

  15. Ministerio de Salud Pública. Guía de Práctica Clínica: Prevención, diagnóstico, tratamiento y control de la tuberculosis. [Online]. 2018 [consultado el 29 de octubre, 2021]. Disponible a partir de: https://www.salud.gob.ec/wp-content/uploads/2018/03/GP_Tuberculosis-1.pdf.




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