Diagnosis: Osteomyelitis of the frontal bone of the skull
Findings on Imaging:
• Plain film imaging showed evidence of bone destruction and sclerosis in the frontal bone.
• CT and MRI may reveal the extent of bony involvement, the presence of abscesses, and the involvement of adjacent structures, such as the meninges.
Next Steps in Management:
• Empiric antibiotic therapy while awaiting culture and sensitivity results
• Surgical debridement and drainage may be necessary in cases of significant bony involvement or abscess formation
• Close follow-up imaging to monitor response to treatment and detect any potential complications
Key Take Away Points:
• Osteomyelitis of the skull is a rare but potentially serious infection that can result in significant morbidity and mortality if left untreated.
• Plain film imaging is an important initial modality for diagnosis of osteomyelitis of the skull.
• CT and MRI can provide additional information about the extent of disease and the involvement of adjacent structures, and may be necessary in more complicated cases.
• Early diagnosis and prompt initiation of appropriate antibiotic therapy is essential to achieve good clinical outcomes.
• In cases of significant bony involvement or abscess formation, surgical intervention may be necessary to facilitate drainage and promote healing.
• Close follow-up imaging is necessary to monitor response to treatment and detect any potential complications.
