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Am J Case Rep. 2012;13:133-6. doi: 10.12659/AJCR.883236. Epub 2012 Jul 2.

A tumor that is not a tumor but it sure can kill!

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1
Internal Medicine, Metrohealth Campus of Case Western Reserve University, Cleveland, OH, U.S.A.

Abstract

BACKGROUND:

Pott's puffy tumor is a life threatening complication of infectious sinusitis which is the osteomyelitis of the frontal bone with associated subperiosteal abscess causing swelling and edema over the forehead and scalp.

CASE REPORT:

Here we present a case a 38 year old male with a rare infectious complication of untreated or inadequately treated sinusitis called Pott's puffy tumor which was diagnosed due to high clinical suspicion and confirmed with CT imaging and biopsy.

CONCLUSIONS:

This case highlights the need to recognize and easily prevent this fatal complication of a seemingly benign infection like bacterial sinusitis. Unfortunately, if it does occur, clinicians can avoid missing the diagnosis by upholding a high clinical suspicion in the setting of known risk factors and must look for underlying causes both medical and psychosocial.

KEYWORDS:

Pott’s puffy tumor; bacterial sinusitis; complications of bacterial sinusitis

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