Pott's puffy tumor on an exceptional clinical case: review of the literature
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20230766Abstract
Pott's tumor or Pott's puffy tumor or osteomyelitis of the frontal bone is a rare clinical presentation. It usually occurs as a complication of trauma to the frontal region, frontal sinusitis or by blood-borne spread, the infection can also spread inwards leading to an intracranial abscess. This is a 04-month-old, 7 kg infant with left frontal swelling with ipsilateral orbital extension. This swelling had been evolving for approximately 1 month. The computed tomography showed a hypodensity of liquid in the left fronto-orbital subcutaneous topography with an intense annular parietal enhancement in the arterial and late stages. Treatment consisted of surgical drainage under general anesthesia. We made the incision via the left pterional approach and undermining up to the frontal bone. From the pus about 40 cc then we proceeded to the debridement of necrotic tissues and curettage of the frontal bone which was lysed in places. The germ found was Burkhoderia pseudomallei gram-negative bacillus sensitive to C3G. Pott's tumor is a rare complication most often from untreated or poorly treated frontal sinusitis. This lack of knowledge raises fears of an evolution towards intracranial complications that could be life-threatening for patients.
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Claros P, Ahmed H, Claros A. Post-traumatic Pott's puffy tumour: A case report. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133(2):119-21.
Belghlmaidi S, Belhoucha B, Hajji I. Orbital cellulitis: prospective study about 75 cases. Pan Afr Med J. 2015;22:340.
Miloundja J, Bamba JS, Mouba JF, Ondo TE, Lawson LMJ, N'zouba L. Cranioencephalic complications of bacterial sinusitis in children and adolescents: study of eight cases seen in Libreville (Gabon). Sante. 2011;21:215-20.
Stoddard TJ, Tung P, Kelly MN. Pott's Puffy Tumor: A Case Report. J Pediatr Health Care. 2019;33:585-8.
Heale L, Zahanova S, Bismilla Z.Pott puffy tumor in a five-year-old girl. CMAJ. 2015;187(6):433-5.
Osei-yeboah C, Neequaye J, Bulley H, Darkwa A. Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana Med J. 2007;41(2):88-90.
Palabiyik FB, Yazici Z, Cetin B, Celebi S, Hacimustafaoglu M. Pott puffy tumor in children: A rare emergency clinical entity. J Craniofacial Surg. 2016;27(3):313-6.
Faridi MMA, Pandey S, Shamsi S. Pott's Puffy Tumor Presenting as Pyogenic Meningitis in an Infant. Hindawi Case Reports in Pediatr. 2022;4732287:1-5.
Kennedy DW, Bolger WE, Zinreich SJ. Diseases of the Sinus: Diagnosis and Management. PMPH-USA. 2001:456.
Al-Bar MH, Lieberman SM, Casiano RR. Surgical Anatomy and Embryology of the Frontal Sinus. In: Kountakis SE, Senior BA, Draf W, editors. The Frontal Sinus. Berlin, Heidelberg: Springer Berlin Heidelberg. 2016: 21-28.
Suwan PT, Mogal S, Chaudhary S. Pott's Puffy Tumor: An Uncommon Clinical Entity. Case Rep Pediatr. 2012;386104:4.
V. Raja, C. Low, A. Sastry, and B. Moriarty, “Pott's puffy tumor following an insect bite. J Post graduate Medicine. 2007; 53(2):114–6.
CTWu, JL Huang, SH Hsia, HY Lee, and JJ Lin, “Pott's puffy tumor after acupuncture therapy,” European J Pediatr 2009;168(9):1147-9.
Diouf MS, Tall A, Ndiaye C, Thiam A, Deguenonvo R, Ndiaye M. Complications of sinusitis: about 80 cases collected in the ENT and neurosurgery departments of the CHNU de Fann in Dakar. Fren Ann Otolaryngol Cervicofacial Pathol. 2020;137:429-32.
Penhouët G, Betoux O, Croizier O. Pott's tumor complicating frontal sinusitis. Ann Fr Med Emergency. 2015;5:245.
Sanda MA. Pott's puffy tumor, a rare pathology complicated by neurological disorders: about a case. PAMJ Clin Med. 2021;5(76).
Bouchareb N, Adouli A, Abada RL, Rouadi S, Mahtar M, Roubal M et al. (Casablanca) Pott's tumor, a rare complication of frontal sinusitis ¬Rev Laryngol Otol Rhinol. 2012;133(5):233-6.
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