Primary Calvarial Tuberculosis Presenting with Scalp Swelling and Lytic Bone Lesion: A Case Report

Abstract

Calvarial tuberculosis is a rare entity in developed countries. Even though it is a rare occurrence, the incidence of calvarial tuberculosis is increasing in developed countries because of migration from developing countries with poor socio-economic conditions, shortage of food, and high prevalence of immunodeficiency diseases. The disease mostly involves frontal and parietal bones and presents with painless swelling of the scalp. Plain X-ray and computed tomography scans show lytic calvarial lesions, and both computed tomography and magnetic resonance imaging can demonstrate parenchymal involvement of soft tissue. Surgery and antitubercular therapy are classical treatments. We present a 33-year-old male with painless scalp swelling and a lytic bone lesion.

Keywords

• Calvarium
• osteitis
• tuberculoma
• extrapulmonary tuberculosis