Abstract
Calvarial tuberculosis is a rare manifestation of tuberculosis, especially in children under five years of age. We report a two-and-a-half-year-old male child who presented to the Nilratan Sircar Medical College, Kolkata, India, in 2015 with frontoparietal fluctuant swelling of three months' duration. He had also had chronic sinus discharge from the left lower eyelid over the previous six months. Computed tomography of the head revealed a frontal swelling along with erosion of both the outer and inner plates of the left frontal bone. Fine needle aspiration of the pus indicated the presence of acid-fast bacilli. Unfortunately, no primary focus of tuberculosis could be established. The patient improved after one year of antitubercular therapy without requiring any surgical intervention and with no sign of subsequent disease recurrence.
Highlights
Case ReportThe child had experienced trivial trauma to the lateral aspect of the left eye and head; this was followed by swelling of the lateral part of the lower left eyelid
Calvarial tuberculosis is a rare manifestation of tuberculosis, especially in children under five years of age
We report a two-and-a-half-year-old male child who presented to the Nilratan Sircar Medical College, Kolkata, India, in 2015 with frontoparietal fluctuant swelling of three months’ duration
Summary
The child had experienced trivial trauma to the lateral aspect of the left eye and head; this was followed by swelling of the lateral part of the lower left eyelid. An ocular examination was normal, except for the small discharging sinus present over the lateral part of the lower left palpebra. A cartridge-based nucleic acid amplification test confirmed the presence of a rifampicin-sensitive Mycobacterium tuberculosis complex. Both a chest X-ray and ultrasonography of the abdomen did not reveal any abnormalities. While the patient was receiving ATT, the scalp swelling and left submandibular lymphadenopathy gradually reduced in size and the lower left eyelid lesion healed completely. At the time of writing, the patient had been under observation for one year following the completion of ATT, with no sign of disease recurrence
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