Unusual Presentation of Pott's puffy tumour in a child: our recent experience and review of the literature.

Autor:	McGee AE; Department of Otolaryngology, NHS Grampian, Aberdeen, UK alice.mcgee@nhs.scot., Cooper F; Department of Otolaryngology, NHS Grampian, Aberdeen, UK., Maini SK; Department of Otolaryngology, NHS Grampian, Aberdeen, UK., Vallamkondu V; Department of Otolaryngology, NHS Grampian, Aberdeen, UK.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2022 Mar 04; Vol. 15 (3). Date of Electronic Publication: 2022 Mar 04.
DOI:	10.1136/bcr-2021-247325
Abstrakt:	Pott's puffy tumour (PPT) is a rarely seen, but highly important, complication of frontal sinusitis. Early recognition followed by prompt imaging and treatment of this condition are essential to improve patient outcomes and prevent complications. This case report describes an atypical presentation of radiologically confirmed PPT in a boy who presented with a 2.5-week history of progressive frontal headache and midline frontal swelling. Flexible nasendoscopy revealed no acute findings. Prompt CT imaging confirmed the diagnosis and early surgical intervention via endoscopic approach with aggressive antibiotic therapy led to good recovery. This case highlights the need to remember PPT in assessing any child or adolescent with a new forehead swelling, with or without sinusitis symptoms. If there is strong clinical suspicion, further imaging should not be delayed. Surgical intervention should be performed as early as possible to prevent intracranial complications; antibiotics alone are not sufficient. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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