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Pott's puffy tumour: a case report.

B B Shehu1, M R Mahmud

  • 1Regional Centre For Neurosurgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Sokoto State, Nigeria. bellobalas@yahoo.co.uk

Annals of African Medicine
|March 4, 2009
PubMed
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A rare case of Pott's puffy tumor in a child led to a frontal bone osteomyelitis and abscess, causing a seizure. Prompt surgical drainage and antibiotics resulted in a full recovery, highlighting the importance of early intervention for this condition.

Area of Science:

  • Neurology
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Frontal sinusitis can lead to severe complications like osteomyelitis and abscess formation.
  • Pott's puffy tumor, a subperiosteal abscess of the frontal bone, is an uncommon but serious condition.
  • Neurological sequelae, such as seizures, can arise from intracranial extension of infection.

Observation:

  • A 10-year-old girl presented with seizures secondary to frontal bone osteomyelitis and subperiosteal abscess from frontal sinusitis.
  • CT imaging confirmed osteomyelitis and a subperiosteal abscess.
  • Surgical intervention involved draining the subperiosteal and subdural abscesses and performing a sequestrectomy.

Findings:

  • The patient received a 4-week course of broad-spectrum antibiotics and anticonvulsants.

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  • Complete recovery was achieved with no residual neurological deficits.
  • The patient remained well at a 5-year follow-up.

    • Implications:

    • This case underscores the potential for severe neurological complications, including seizures, from untreated or delayed treatment of frontal bone infections.
    • Early diagnosis and prompt, aggressive management, including surgical intervention and antibiotics, are crucial for favorable outcomes.
    • Despite its rarity, Pott's puffy tumor requires vigilant clinical suspicion and timely treatment to prevent long-term sequelae.