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      Pott’s Puffy Tumor in an Adult Female: A Case Report in a Rare Demographic

      case-report
      1 , 1 , , 1 , 2
      ,
      Cureus
      Cureus
      pott’s puffy tumor, incidental radiological finding, forehead mass, sinusitis, frontal sinus

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          Abstract

          Pott’s puffy tumor (PPT) is a localized forehead swelling with underlying subperiosteal abscess formation and osteomyelitis of the frontal bone. It is a rare complication of frontal sinusitis, and it is especially rare in adult females. A careful review of existing literature identified only 17 cases in adult females. Treatment requires antibiotic therapy and often surgical drainage/debridement. Here, we present a case of a 76-year-old female diagnosed with PPT. She was placed on amoxicillin-clavulanate 875 mg twice daily for six weeks. Her symptoms resolved with the antibiotic course, and she is scheduled for otolaryngology (ENT) follow-up, including dedicated sinus computed tomography (CT). While Pott’s puffy tumor is a rare manifestation of chronic sinusitis, it is important to recognize and treat to avoid serious intracranial complications.

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          Pott puffy tumor.

          Pott puffy tumor is osteomyelitis of the frontal bone with associated subperiosteal abscess causing swelling and edema over the forehead and scalp. It is a complication of frontal sinusitis or trauma. We present the case of an 8-year-old girl with frontal swelling. Imaging evaluation showed frontal osteomyelitis as a complication of frontal sinusitis with associated epidural and subperiosteal abscess. The patient was treated surgically and recovered well. This case highlights the need for high clinical suspicion and early diagnosis and management to prevent life-threatening complications. Unfortunately, in our case the patient had to undergo surgery for this complication, which could have been prevented by earlier diagnosis.
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            Pott's Puffy Tumor in an Adult: A Case Report and Review of Literature.

            Pott's puffy tumor is a subperiosteal abscess of the frontal bone with osteomyelitis which has become rare because of the widespread use of antibiotics. Here, we report a case of Pott's puffy tumor in a 46-year-old man who visited the department of dermatology with painful swelling of the forehead. Despite open drainage and oral antibiotic therapy, the symptoms recurred twice in the following month. Computed tomography revealed a fistula of frontal bone. The eventual diagnosis was Pott's puffy tumor. The patient underwent endoscopic surgery at the department of otorhinolaryngology and achieved a complete recovery.
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              Pott’s Puffy Tumor Caused by Chronic Sinusitis Resulting in Sinocutaneous Fistula

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                11 May 2022
                May 2022
                : 14
                : 5
                : e24922
                Affiliations
                [1 ] Internal Medicine, MercyOne North Iowa Medical Center, Mason City, USA
                [2 ] Otolaryngology, MercyOne North Iowa Medical Center, Mason City, USA
                Author notes
                Article
                10.7759/cureus.24922
                9187141
                8c2622ba-68e2-486c-8228-b502aed2cd27
                Copyright © 2022, Hitt et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 4 May 2022
                Categories
                Internal Medicine
                Otolaryngology
                Infectious Disease

                pott’s puffy tumor,incidental radiological finding,forehead mass,sinusitis,frontal sinus

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