title: Actinomycotic osteomyelitis of the cranial vault presenting with headache: an unusual presentation.
abstract: A case of left parietal calvarial actinomycotic osteomyelitis in a young woman is described. She had no predisposing illnesses. She had delivered a live child at term and presented in the puerperal period. No extracranial focus of infection was identified. She responded well to a combination of surgery and medical therapy and had an excellent outcome. The authors emphasise the importance of establishing a histopathological diagnosis since radiological signs are non-specific and unreliable.
authors.affiliation: Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
authors.forename: V R
authors.initials: VR
authors.lastname: Roopesh Kumar
authors.affiliation: Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
authors.forename: Venkatesh S
authors.initials: VS
authors.lastname: Madhugiri
authors.affiliation: Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
authors.forename: Sudheer Kumar
authors.initials: SK
authors.lastname: Gundamaneni
authors.affiliation: Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
authors.forename: Surendra Kumar
authors.initials: SK
authors.lastname: Verma
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011645:Puerperal Infection / Q000175:diagnosis* / Q000188:drug therapy; D012886:Skull / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents