Multifocal Osteolytic Lesions in Skull Bone with Mycobacterium Tuberculosis: A Case Report.

Bone Tuberculosis of the skull base as well as maxillofacial and oral cavity involvement can occur rarely and on-ly occur in about 3% of the cases in systemic diseases or in case of pulmonary involvement. A 37-year-old patient with fe-ver and swelling in his face and neck referred to our center. After MRI and CT scan it was revealed that multiple erosions and destructions are seen in the Hard Palate bones, the pre-maxillary process, alveolar ridge, and the floor of maxillary sinus on both sides. In the Ziel Nelson staining, there were 5 bacilli in each field. He received standard anti-tuberculosis and clar-ithromycin. In the follow up, 3 months later, the patient's condition improved and MRI showed significant remission. The present case confirms that tuberculosis may occur in patients with skull bone involvement and Osteolytic Lesions that early diagnosis and treatment can result in gaining good outcomes.