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Unusual presentation of more common disease/injury
CASE REPORT
Orbital abscess as a complication of Pott’s puffy tumour in an adolescent male
  1. Stefan Linton1,
  2. Alexander Pearman1,
  3. Varajini Joganathan2 and
  4. Yakubu Karagama1
  1. 1 ENT, Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UK
  2. 2 Oculoplastics, Central Manchester University Hospitals NHS Foundation Trust Education and Training, Manchester, UK
  1. Correspondence to Dr Alexander Pearman, Alexander.Pearman{at}mft.nhs.uk

Abstract

Pott’s puffy tumour (PPT) is a known complication of frontal sinusitis. It is defined as subperiosteal abscess formation due to osteomyelitis of the frontal bone presenting as a forehead swelling. It is a life-threatening condition that can lead to intracranial and intraorbital complications. Gadolinium-enhanced MRI and contrast CT scan are the best modalities to localise and define the collection, in addition to confirming disease extension. Once confirmed by imaging and depending on disease extension, management of PPT requires a multidisciplinary team approach and depends on the local provision of surgical care. Following surgical drainage of the abscess cavity, a prolonged course of antibiotics is required postoperatively to treat the underlying osteomyelitis.

  • ear, nose and throat/otolaryngology
  • bone and joint infections
  • ophthalmology

http://dx.doi.org/10.1136/bcr-2019-229664

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    Footnotes

    • Contributors SL proposed the case for publication. AP performed the literature review and wrote the case presentation. He also obtained consent from the patient and relatives. VJ took the images and contributed to the discussion. SL wrote the introduction and contributed to the discussion. YK supervised the project and reviewed the final manuscript.

    • 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.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.