Tuberculosis with tubercular osteomyelitis of skull

Tuberculous osteomyelitis of skull is a rare form of tuberculosis with an incidence of 0.2 – 1.3% of all skeletal tuberculosis. A 9-year-old boy presented with a history of prolonged fever, recurrent cough since 2 months before admitted and painless scalp swelling for the previous 1 month. A diagnosis of tubercular etiology was established with the rapid molecular test and histopathology of the fine needle aspiration biopsy specimen. The patient was kept on antitubercular treatment for 12 months. After 2 months treatment he responded well, with a marked resolution of symptoms and physical examination findings.