Pott's puffy tumor: A comprehensive review of the literature

Rohde, Rebecca L.; North, Lauren M.; Murray, M P; Khalili, Sammy; Poetker, David M.

doi:10.1016/j.amjoto.2022.103529

Cited by 16 publications

(45 citation statements)

References 24 publications

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“…Our analysis indicates that the number of reported PPT cases in adults and the development of intracranial complications have increased over the past four decades, with almost 50% of them being reported in the last ten years. This may be the result of improved imaging methods and increased awareness of PPT among adults or a possible association with antibiotic resistance in the community [ 113 , 114 ]. In addition, Makery et al report that adults with recurrent acute rhinosinusitis are more likely to have antibody deficits than children [ 115 ].…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Intracranial Complications in Adults with Pott Puffy Tumor over Four Decades

et al. 2023

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The purpose of this study is to investigate the risk factors of intracranial complications in adult patients with Pott Puffy Tumor (PPT). A systematic review was conducted of clinical studies from January 1983 to December 2022 that reported on PPT adult patients. The full-text articles were reviewed for the patients’ ages, sex, cultured organisms, surgical procedures, clinical sequalae, and underlying diseases that may affect the onset of intracranial complications in PPT adult patients. A total of 106 studies were included. Medical data were reviewed for 125 patients (94 males, 31 females). The median age was 45 years. A total of 52% had comorbidities, mostly head trauma (24.5%), sinus/neurosurgical operations (22.4%), immunosuppression conditions (13.3%), diabetes mellitus (9.1%), cocaine use (7.1%), or dental infections (6.1%). A total of 28 cultures revealed Streptococcus (22.4%), 24 contained staphylococci (19.2%), and 22 cultures contained other pathogens (17.6%). An amount of 30.4% developed intracranial complications, with the most common being epidural abscesses or empyemas (55.3%), as well as subdural (15.7%) and extradural lesions (13.2%). Age, DM, and immunosuppression conditions are significantly associated with intracranial complications (p < 0.001, p = 0.018 and p = 0.022, respectively). Streptococcus infection is associated with intracranial complications (p = 0.001), although Staphylococcus and other microorganisms are not. Surgical intervention, mainly ESS, and broad-spectrum antibiotics remain the cornerstones of treatment.

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Section: Discussionmentioning

confidence: 99%

“…They also report that 78% lacked focal neurologic findings. No direct comparisons can be drawn with the aforementioned study because its authors present data from the literature that also pertain to younger generations [ 113 ].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Intracranial Complications in Adults with Pott Puffy Tumor over Four Decades

et al. 2023

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“…Its clinical presentation varied from forehead swelling or frontal headaches to purulent or non-purulent rhinorrhea. This complication results in a subperiosteal abscess from frontal osteomyelitis and can lead to serious consequences in the form of bacterial meningitis, intracranial abscess, and venous sinus thrombosis [ 53 ]. Further investigation in pediatric patients remains difficult as the symptoms of sinus infections, if present, overlap with uncomplicated viral upper respiratory tract infections.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Co-Infection May Promote Development of Sinusitis Complication in Children

Szewczyk

Mitosek-Szewczyk

2022

Children

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Background: The olfactory dysfunction that occurs during a COVID-19 infection has sparked much debate about its similarity to sinusitis. Up to 65% of COVID-19 pediatric patients may be asymptomatic; however, when symptoms are observed, fever and cough are the most common. Nasal congestion and discharge as well as headaches can also be seen, which makes both entities, i.e., COVID-19 and sinusitis, similar to each other. Methods: In this review, we present the clinical case of a teenager with a history of acute sinusitis and COVID-19 co-infection followed by purulent meningoencephalitis. We aim to summarize available findings on the association between COVID-19, sinusitis, and possible common complications of both diseases. Results: Differentiating between COVID-19 and sinusitis can be confusing because presented symptoms may overlap or mimic each other. Increased risk of complications, especially in patients with bacterial sinusitis co-infected with SARS-CoV-2, should prompt physicians to monitor young patients and inform parents about disturbing symptoms and possible complications. Conclusions: Acute sinusitis and COVID-19 co-infection may lead to numerous complications and should be included among the factors predisposing to worse prognosis. It is especially related to patients with high risk factors and even more important in children as they often pass the infection asymptomatically and its complications can lead to loss of health or life.

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“…Pott's puffy tumor (PPT) is defined as soft tissue swelling of the forehead due to subperiosteal edema, granulation tissue, or accumulation of pus 1 . Considered rare in the antibiotic era, there has been an increase in reported cases in the last 20 years 2 . PPT can affect all age groups but occurs predominantly in adolescence 3 .…”

Section: Diagnosismentioning

confidence: 99%

“…PPT can affect all age groups but occurs predominantly in adolescence 3 . PPT is most commonly a complication of sinusitis but may also be the result of forehead trauma 2 . Most patients present with forehead swelling and a frontal headache, often with fever 2 .…”

Section: Diagnosismentioning

confidence: 99%

Girl with a frontal headache and fever

Adnani,

Wawrzyniak,

Eilbert

2023

JACEP Open

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Pott's puffy tumor: A comprehensive review of the literature

Cited by 16 publications

References 24 publications

A Systematic Review of Intracranial Complications in Adults with Pott Puffy Tumor over Four Decades

A Systematic Review of Intracranial Complications in Adults with Pott Puffy Tumor over Four Decades

COVID-19 Co-Infection May Promote Development of Sinusitis Complication in Children

Girl with a frontal headache and fever

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