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Multifocal tuberculous osteomyelitis
  1. Tayyib Hayat,
  2. Terry O'Shaughnessy
  1. Department of Respiratory Medicine, Newham University Hospital, London, UK
  1. Correspondence to Dr Tayyib Hayat, Department of Respiratory Medicine Newham University Hospital, Glen Road, London E13 8SL, UK; tayyib2784{at}

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A 32-year-old man gave a 6-month history of intermittent generalised headaches, later lateralising to the right side, associated with occasional night sweats. Six weeks before admission he had noticed a gradual swelling in the right temporal area (figure 1). His examination was otherwise normal. He had a raised erythrocyte sedimentation rate, and a chest X-ray showed a widened mediastinum. MR scan (visit the journal online to view the video) of the brain showed a destructive lesion of …

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  • Contributors TH: author and physician contributing to the care of the patient. TO: author and consultant physician in charge of care of patient.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by David Nicholl, Birmingham, UK.

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