[A case of miliary tuberculosis with skull tuberculosis].
A 47-year old woman was admitted to our hospital with complaints of headache and right occipital swelling. Brain CT scan showed right occipital bone defect with a sequestrum and soft tissue swelling. T1 weighted MRI enhanced by GD-DTPA revealed several nodules. A right occipital craniotomy was performed. Subcutaneous pus and a well-circumscribed yellowish, firm mass which existed under the bone defect was extirpated. Pathologically, this mass was considered to be a tuberculoma and intracranial nodules were suspected to be cerebral tuberculosis. Anti-tuberculous therapy was started. Since her admission fecal occult blood continued and endoscopic examination with biopsy revealed sigmoid colon cancer. Sigmoidectomy was performed and she has been well during 1 year post-operative follow up. Although tuberculous disease are decreasing in number in our country, we must take into account of the existence of skull tuberculosis.
Oshika
H
H
Department of Respiratory Disease, Nagoya Daini Red Cross Hospital, Japan.
Abe
T
T
Hattori
N
N
Maeda
H
H
Ogasawara
T
T
Suzuki
M
M
Totani
Y
Y
Senda
Y
Y
D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012886:Skull; D014057:Tomography, X-Ray Computed; D014391:Tuberculosis, Miliary / Q000150:complications*; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis