Pott’s Puffy Tumor: A Case Report - Abstract
Background: Pott’s Puffy Tumor is one of the most dangerous complications of frontal sinusitis. It’s a manifestation of frontal bone osteomyelitis associated to subperiosteal abscess. It is now a rare pathology thanks to advances in antibiotic treatment of sinusitis. The diagnosis of Pott’s puffy tumor may be challenging and might be confused with a tumor, isolated abcess or hematoma. Although this condition is frequently observed in children, rare cases in adults have been described. Early diagnosis and treatment of this condition are essential for optimal outcomes. Case Presentation: A 14-year-old male patient was admitted to the emergency department with an inflammatory frontal swelling, combined with headaches, purulent nasal discharge, and fever. CT scan revealed a collection in the anterior frontal soft tissues complicating an active pansinusitis with anterior and posterior frontal sinus walls defect. The patient underwent percutaneous drainage of the abscess under general anesthesia and was successfully treated by intravenous antibiotics. Postoperative course was uneventful. We reviewed published cases of Pott’s puffy tumor in adolescents and discussed the particularities of this condition. Conclusion: Pott’s Puffy tumor, although very rare, can evolve into intracranial extension which can be fatal. It requires early diagnosis and treatment based on appropriate antibiotic therapy and surgical approach.