Pott's puffy tumor: A rare complication of frontal sinusitis

Autores de IIS La Fe

• Maria Del Carmen Otero Reigada

  Autor

Participantes ajenos a IIS La Fe

• Laguna, DA
• Morales, SP
• Tormo-Figueres, AM
• Senra, MIV

Abstract

Pott's puffy tumor is a rare complication of frontal sinusitis characterized by swelling and edema in the brow due to a subperiosteal abscess associated with frontal osteomyelitis. Added complications are cellulitis by extension to the orbit and intracranial infection by posterior extension, with high risk of meningitis, intracranial abscess, and venous sinus thrombosis. Early diagnosis and aggressive medical or surgical treatment are essential for optimal recovery of affected patients. In the antibiotic age it is extremely rare, with very few cases described in the recent literature. A case is presented of a Pott inflammatory tumor in a 7 year-old boy, as a complication of acute pansinusitis who presented with front preseptal swelling and intracranial involvement with thrombosis of ophthalmic and superior orbital veins and frontal epidural abscess extending to the subarachnoid space. (C) 2013 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L. All rights reserved.

Keywords

• Pott's puffy tumor; Frontal sinusitis; Epidural abscess; Ophthalmic vein thrombosis