Not quite Pott’s puffy tumour
| Autor: | P.E. Ross, Jaiganesh Manickavasagam, Rohit Gohil, Rasads Misirovs |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pott Puffy Tumor medicine.medical_treatment Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Rare Disease Paranasal Sinuses Incision and drainage medicine Frontal Sinusitis Edema Humans heterocyclic compounds Forehead Sinusitis 030223 otorhinolaryngology Abscess Frontal sinus business.industry Osteomyelitis General Medicine Middle Aged medicine.disease Anti-Bacterial Agents Surgery Frontal bone medicine.anatomical_structure Drainage Neurosurgery Tomography X-Ray Computed business Craniotomy 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Reports. :bcr-2018 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2018-224463 |
| Popis: | Pott’s puffy tumour (PPT) is characterised by a subperiosteal abscess associated with osteomyelitis of the frontal bone—a rare complication of frontal sinusitis, more common in the paediatric population. We describe a case mimicking PPT, where abscess extension was facilitated by previous surgery. Usually patients with PPT would be systemically unwell, but our patient, a 63-year-old Caucasian man, was systemically well with a large swelling of his forehead. A CT was performed to evaluate possible intracranial and intracerebral complications such as epidural, subdural and brain abscesses. Emergent surgical drainage was performed with prolonged administration of antibiotic therapy. 12 weeks later, he had recollection in the frontal sinus requiring incision and drainage. 6 weeks afterwards, he underwent planned Lothrop procedure and endoscopic sinus surgery. Although clinically the patient presented with overwhelming features of PPT, we emphasise that PPT involves osteomyelitis of frontal bone, which is absent in our case. |
| Databáze: | OpenAIRE |
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