Pott's puffy tumour: a rare and life-threatening disease

Ikoma, Nahoko; Aizawa, Yuta; Sasaki, Takeshi; Oishi, Makoto; Saito, Nozomu; Yoshida, Hiroshi; Saitoh, Akihiko

doi:10.1016/s1473-3099(20)30684-8

Cited by 2 publications

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“…None the children in our case series had a prior history of recurrent sinusitis, they had all been otherwise healthy, and they were all immunocompetent, in line with the findings of other studies. 1,[8][9][10]14,15…”

Section: Epidemiology: Review Of the Literaturementioning

confidence: 99%

“…CT is well-recognized as an appropriate first tool for the evaluation of the patients in the emergency department. 1,11,14 For our purposes, it can identify intracranial and extracranial complications, such as bone erosion, osteomyelitis, subperiosteal collection and intracranial extension associated with frontal sinusitis. 8,9 Sensitivity rates for CT and MRI studies in detecting intracranial abscesses are 92% and 100%, 19 while CECT is considered most effective for identifying destruction of the frontal bone and subperiosteal fluid collection.…”

Section: Imaging Modalitiesmentioning

confidence: 99%

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Pott’s Puffy Tumor in Pediatric Patients: Case Series and Literature Review

Klivitsky

Erps

Regev

et al. 2023

Pediatric Infectious Disease Journal

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Background: Pott’s puffy tumor (PPT) is a rare complication of frontal sinusitis. Although it may occur at any age, the incidence is higher during adolescence. Methods: We report a series of 10 pediatric patients (9–17 years of age) who presented with PPT in 2 tertiary care pediatric hospitals in central Israel between January 2018 and August 2022 and review the published literature on pediatric PPT. Results: The most common clinical presentations included headache (10 cases), frontal swelling (6 cases) and fever (5 cases). Symptom duration before admission was between 1 and 28 days (median 10 days). The diagnosis of PPT was made by imaging studies at a median of 1 day after admission. All 10 patients underwent computed tomography studies, and 6 patients also underwent magnetic resonance imaging. The overall rate of intracranial complications was 70%. All 10 children were treated with systemic antibiotics and surgical interventions. Streptococcus constellatus group was the most common causal bacteria. All 10 patients recovered uneventfully. Conclusions: Our findings show that a high index of suspicion for PPT should be applied to adolescents presenting with prolonged headache and frontal swelling. Contrast-enhanced computed tomography is an appropriate first tool for the evaluation; however, an magnetic resonance imaging should be performed to determine the necessity of intracranial interventional treatments if there is any suspicion of intracranial involvement. Complete recovery can be expected with appropriate antibiotic treatment and surgical intervention in most of the cases.

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Section: Epidemiology: Review Of the Literaturementioning

confidence: 99%

Section: Imaging Modalitiesmentioning

confidence: 99%

Pott’s Puffy Tumor in Pediatric Patients: Case Series and Literature Review

Klivitsky

Erps

Regev

et al. 2023

Pediatric Infectious Disease Journal

View full text Add to dashboard Cite

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Case Report: Pott's Edematous Tumor: Complicated Frontal Sinusitis - An Unremembered Diagnosis

et al. 2022

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Pott’s Puffy tumor, also called Pott’s edematous tumor (PET), is a subperiosteal abscess of the frontal bone, associated with osteomyelitis of the frontal bone. In this paper, we report the case of a 16-year-old patient who presented with headache associated with progressive forehead swelling and fever. Clinical and imaging exams pointed to the hypothesis of PET associated with brain abscess. Patient was submitted to surgical excision of the abscess and treatment of osteomyelitis, with intraoperative findings corroborating the condition. There was a good clinical-radiological recovery associated with prolonged antibiotic therapy and satisfactory follow-up after hospital. PET, which often results from an underdiagnosed or partially treated frontal sinusitis, is a condition that must be promptly recognized and directed to an adequate therapeutic approach due to the risk of serious complications that it entails.

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Pott's puffy tumour: a rare and life-threatening disease

Cited by 2 publications

References 0 publications

Pott’s Puffy Tumor in Pediatric Patients: Case Series and Literature Review

Pott’s Puffy Tumor in Pediatric Patients: Case Series and Literature Review

Case Report: Pott's Edematous Tumor: Complicated Frontal Sinusitis - An Unremembered Diagnosis

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