Primary Tuberculous Osteomyelitis of Skull: Report of two cases

Joseph, Thomas; Mishra, Himanshu; Singh, Jetinder P.

doi:10.3109/02688698908992695

Cited by 5 publications

(9 citation statements)

References 6 publications

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“…Our patient was 3 years old. The condition is usually secondary to a primary focus elsewhere, mainly in the lungs 5 . Direct spread of infection from neighbouring structures such as the orbit, paranasal sinuses, face and nasal mucosa has also been implicated 6 .…”

Section: Discussionmentioning

confidence: 99%

Primary tuberculous osteomyelitis of zygoma

Sethi¹,

Sareen²,

Agarwal³

et al. 2006

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Primary tuberculous osteomyelitis of zygoma

Sethi¹,

Sareen²,

Agarwal³

et al. 2006

International Journal of Oral and Maxillofacial Surgery

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“…4,8,9,12 The diagnosis was further supported by positive acid-fast bacilli staining in four cases, enzyme-linked immunosorbent assay seropositivity for Mycobacterium tuberculosis in three cases and an elevated ESR with positive Mantoux test in four case. In all cases, histopathological evaluation showed epithelioid, caseating granulomas.…”

Section: Discussionmentioning

confidence: 79%

“…9 However, two previous studies reported a higher mean age group. This is similar to the age group reported in a previous study.…”

Section: Discussionmentioning

confidence: 92%

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Tubercular and chronic pyogenic osteomyelitis of cranio-facial bones: a retrospective analysis

Sethi

Agarwal

et al. 2007

J. Laryngol. Otol.

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Osteomyelitis of the cranio-facial bones is an uncommon entity which requires a high index of clinical suspicion along with radiological and histopathological investigations in order to establish the diagnosis. Tubercular osteomyelitis is clinically and radiologically indistinguishable from pyogenic osteomyelitis, and the two conditions can be differentiated only on the basis of histopathological evaluation of involved tissue.

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“…The overall incidence of skull tuberculosis is approximately 1/10,000 cases of tuberculosis (Davidson & Horowitz, 1970;Prinsloo & Kirsten, 1977). Tubercular osteomyelitis is caused by haematogenous or by lymphatic dissemination of bacilli from an active focus, usually in the lungs (Bhatia et al, 1980;Joseph et al, 1989). Many authors have stressed the importance of lymphatics in the spread of tuberculosis.…”

Section: Tubercular Osteomyelitismentioning

confidence: 99%

Skull Osteomyelitis

Soo¹

2012

Osteomyelitis

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Bone lesions resembling tertiary syphilis caused by Treponema pallidum or another of the treponematoses have been observed in nearly every Andean culture from Peru and Chile, dating back nearly 8000 years (Gerstzen et al., 1998). The lesions are similar in each case, with periostitis, osteitis, and osteomyelitis attacking the skull and the long bone, particularly the tibia. This tibial involvement results in the classic "saber shin". Several of the skulls observed with such lesions had been "treated" during life by repeated trephination using a scraping technique. 2.1.2 Greek and early Byzantine period The intellectual evolution of neurological surgery originated in the golden age of Greece with the founding of the Alexandrian school in 300 BC. Because of both sporting injuries, in particular gladiator injuries, and wars, head injuries appear to have been plentiful, and provided opportunities to develop neurosurgical skills (Goodrich & Flamm, 2011). In this early era of medicine, the risk of infection, lack of antiseptic technique, and minimal anesthesia prevented generations of surgeons from performing any serious or aggressive surgical intervention for head injury (Goodrich & Flamm, 2011). Galen of Pergamon (AD 129-200) detailed a safer and more reliable use of the trephine, and in particular argued for continuous irrigation during trephination to avoid delivering excessive heat and injury to the underlying brain (Goodrich, 2005). Paul of Aegina (AD 625-690), trained in the Alexandrian school, was the last great Byzantine physician. His wound management was quite sophisticated for prevention of infection. He used wine (helpful in antisepsis, although this concept was then unknown) (Goodrich, 2005). 2.1.3 Medieval Europe Inventive medieval surgeon Theodoric Borgognoni of Cervia (1205-1298) is remembered as a pioneer in the use of the aseptic technique-not the "clean" aseptic technique of today, but rather a method based on avoidance of "laudable pus". He attempted to discover the ideal conditions for good wound healing, and concluded that they comprised control of bleeding, removal of contaminated or necrotic material, avoidance of dead space, and careful application of a wound dressing bathed in wine (Goodrich & Flamm, 2011). Control of bleeding, removal of contaminated or necrotic material, and avoidance of dead space are principles that can also apply in today's neurosurgical operations. He also argued for primary closure of all wounds when possible and avoiding "laudable pus" (Goodrich & Flamm, 2011). Lanfranchi of Milan (1250-1306) noted that the head should be shaved prior to surgery to prevent hair from getting into the wound and interfering with primary healing. Today, most neurosurgeons also shave hair before an operation. However, the time of shaving is currently controversial. When dealing with depressed skull fractures, Lanfranchi advocated putting wine into the depression to assist healing (Goodrich & Flamm, 2011). Guy de Chauliac (1300-1368) was clearly the most influential European surgeon of the ...

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Primary Tuberculous Osteomyelitis of Skull: Report of two cases

Abstract: Two cases of primary tuberculous osteomyelitis of skull confirmed by appropriate laboratory investigations are described here. Primary tuberculous osteomyelitis of skull is rare. Only two cases of chronic granulomatous osteomyelitis have been described so far in the literature.

Cited by 5 publications

References 6 publications

Primary tuberculous osteomyelitis of zygoma

Primary tuberculous osteomyelitis of zygoma

Tubercular and chronic pyogenic osteomyelitis of cranio-facial bones: a retrospective analysis

Skull Osteomyelitis

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