Multifocal Tuberculosis- an unusual encounter

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Case Report

Author Details : Ashim Kr Boro, Virendra Deo Sinha*, Sanjeev Chopra, Utkash Kalra

Volume : 7, Issue : 2, Year : 2021

Article Page : 171-174

https://doi.org/10.18231/j.ijn.2021.028

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Abstract

Multifocal tuberculosis is a rare clinical condition which presents with an indolent and atypical clinical course, leading to a delayed diagnosis along with significant bone and joint destruction. A high index of clinical suspicion along with radiological imaging and confirmation with sample testing from a proper site is required for its diagnosis. We present a case of atypical disseminated multifocal tuberculosis involving the base of skull, posterior spine, ilium, sacroiliac joint and rib that presented with atypical clinical symptoms to a neurosurgeon. Imaging findings were uncommon, more suggestive of a multifocal osteomyelitis or metastasis. Diagnosis of multifocal tuberculosis is difficult by conventional methods; strong clinical suspicion along with CT guided biopsies and in smear negative cases CBNAAT is strongly emphasized.
 

Keywords : Calvarial tb, Multifocal TB base of skull TB, Posterior spinal TB

How to cite : Boro A K, Sinha V D, Chopra S, Kalra U, Multifocal Tuberculosis- an unusual encounter. IP Indian J Neurosci 2021;7(2):171-174

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