A Rare Case Presentation of Spina Ventosa Associated with Lichen Scrofulosorum and A Tuberculoma

INTRODUCTION: Tuberculosis (TB) can present in different ways and should be regarded as one of the possible diagnoses of several bony, cutaneous, and neurological pathologies. CASE REPORT: We present a case report of a 13-year-old female, who presented with swelling of the left index finger, then diagnosed to have Pulmonary and extra-pulmonary TB (Spina Ventosa, Lichen scrofulosorum, cervical lymphadenitis, mediastinal lymphadenopathy, and a frontal lobe Tuberculoma). We further discuss its features and management. The patient’s condition improved on the initiation of Anti Koch’s Treatment, and debridement of the left index finger’s lesion. CONCLUSION: Patients can be asymptomatic with widespread TB. As TB can present in different ways, when examining a patient, always consider the possibility of multiple organs being involved.