Patient Data
An enhancing nodule is present in the left temporal pole with surrounding edema.
A right parietal bone defect with subgaleal collection and dural thickening is present.
MRI of the brain confirms the left temporal lesion and right skull collection with a bony defect. Additionally, a left facial collection is present.
MRI of the cervical spine demonstrates extensive discitis/osteomyelitis and epidural abscess.
A left apical pulmonary abscess/empyema and retropharyngeal abscess are also present.
Case Discussion
This individual was from South East Asia, HIV negative, with pathologically proven extensive pulmonary and extrapulmonary tuberculosis.