Article Text
Summary
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.
- ear, nose and throat/otolaryngology
- bone and joint infections
- otolaryngology / ent
- neurosurgery
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Footnotes
Contributors RM: wrote the article including literature review. RG: contributed writing up the article. PR and JM: edited the article. PW pointed out importance of osteomyelitis in Pott’s puffy tumour.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.