An 81 year-old man with a medical history of smoking, mild alchool intake, hypertension
and diabetes, presented to the Internal Medicine Unit with 4 cm soft, well demarcated, painless swelling of the forehead which appeared 2 weeks earlier (Panel A, B arrow). He had no definite symptoms of sinusitis. He had
no headache, fever or neurologic deficit. He reported weight loss (about 5 Kg) and profound asthenia by at least one month. Laboratory examinations showed increased
CRP (31 mg/L), normal white-blood cellcount. Computed tomography of the head revealed unilateral
opacification of the left maxillar, ethmoid and frontal sinuses with defects in the
frontal bone and spread to subcutaneus tissue other than an erosive aspect within
orbital roof (Panel C, D, E). On the basis of these findings, was collected specimen
by aspirate of frontal bone abscess. Cultures grew Streptococcus constellatus. The
patient was treated with intravenous antibiotic agents for 6 weeks after endoscopic sinus surgery. He remained well with no residual abscess on
follow-up obtained 1 month after drainage.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Internal MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The chirurgical works of Percival Pott, F.R.S. Vol 1.London, UK, Woods and Innes1808
- Pott's puffy tumor.Lancet. 2002; 359: 1060-1063
- Frontal sinusitis causing epidural abscess and puffy tumor.N Engl J Med. 2014; 370: 11
Article info
Publication history
Published online: May 06, 2017
Accepted:
April 30,
2017
Received:
April 2,
2017
Identification
Copyright
© 2017 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
