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Unusual presentation of more common disease/injury
CASE REPORT
Calvarial tuberculosis: an unusual presentation of disseminated tuberculosis
  1. Alfredo Manuel Santos Pinheiro da Silva Martins,
  2. Francisco Fanjul,
  3. Antoni Abdon Campins Rosselló and
  4. Melchor Riera Jaume
  1. Infectious Diseases Unit, Hospital Universitari Son Espases, Palma de Mallorca, Spain
  1. Correspondence to Dr Francisco Fanjul, franciscoj.fanjul{at}ssib.es

Abstract

A 30-year-old man, without previous medical record, was admitted to our centre due to persistent hacking cough for the previous 2 months, accompanied by nocturnal sweating, unquantified weight loss and low-grade fever. The patient was finally diagnosed of pulmonary tuberculosis (TB). During admission, a right forehead swelling was detected, painful to palpation, fluctuating and not attached to the skin, without cutaneous alterations or neurological impairment. Surgical debridement was performed and intraoperative cultures were positive for mycobacteria TB. The patient completed 9 months of antituberculous therapy and fully recovered.

  • bone and joint infections
  • Tb and other respiratory infections
  • neuroimaging
  • tuberculosis
  • neurosurgery

https://doi.org/10.1136/bcr-2018-226967

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    Footnotes

    • Contributors AMSPdSM and FF conceived the idea of presenting this case, and were responsible for the conception and structure of this work. AACR collected data about patients with tuberculosis, and from there, obtained information about similar cases as the one presented in this article. He was also one of the reviewers of this report. MRJ gave a critical revision of the article and gave the final approval of the version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Not required.