Tuberculosis of the scalp: the tubercle bacilli has not ceased to surprise us
Adil Zegmout, Hicham Souhi
The Pan African Medical Journal. ;28:28. doi:10.11604/pamj..28.28.13131

Create an account  |  Sign in
Innovations in Measles Elimination Innovations in Measles Elimination
"Better health through knowledge sharing and information dissemination "

Images in clinical medicine

Tuberculosis of the scalp: the tubercle bacilli has not ceased to surprise us

Adil Zegmout, Hicham Souhi
Pan Afr Med J. 2017; 28:28. doi:10.11604/pamj.2017.28.28.13131. Published 13 Sep 2017

A 52-year-old men was referred with a 6-months history of a 3cm single skin lesion, erythematous, not pruriginous, with a verrucous surface, surmounted by scales, with circinated border. His history included weight loss of 8kg, but no other associated symptoms or contact with tuberculosis patients. Erythrocyte sedimentation rate (ESR) was slightly elevated at 82mm in the first hour. Mycological sampling was negative. Tuberculin skin test was positive (15mm) and anti-human immunodeficiency virus serology was negative. A skin biopsy was performed and sent for histopathology and culture. The skin biopsy showed inflammatory granuloma composed mostly of epithelioid cells and giant cells, consistent with tubercular granuloma. Mycobacteria were absent on Ziehl-Neelsen staining, tubercle bacilli were isolated and grown in culture from the lesion and confirmed a scalp localisation of tuberculosis. The scalp localization of tuberculosis very rare and not sufficiently described in the literature and demonstrates the multifaceted aspect of tuberculosis, which continues to yield surprises with its unusual clinical manifestations. Antitubercular chemotherapy consisting of isoniazid, rifampicin, ethambutol and pyrazinamide was started. Follow-up at the end of treatment at 6 months showed a clinical remission.

Corresponding author:
Adil Zegmout, Service de Pneumologie, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc

©Adil Zegmout et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

More images in clinical medicine


PAMJ Images in Medicine and Public Health are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 34 (September - December 2019)

This image

Share this image:

Filter images [Reset filter]

By language

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved