Kaabia N, Abdelkafi M, Bellara I, Khalifa M, Bahri F, Letaief A
Unit of Internal Medicine and Infectious Disease, CHU, Farhat Hached Hospital, Sousse 4000, Tunisia.
Med Mal Infect. 2007 Jun;37(6):350-3. doi: 10.1016/j.medmal.2006.08.005. Epub 2007 Feb 15.
Pott's puffy tumor is an infrequent entity characterized by a subperiosteal abscess associated with frontal bone osteomyelitis. It is usually seen as a complication of frontal sinusitis. This common condition is usually not diagnosed initially and is easily confused with neoplasms, skin and soft-tissue infection, and infected haematoma. Although Pott's puffy tumor is more commonly described in children, it should also be included in the differential diagnosis of swelling on the forehead in adults. This report describes the case of a 25-year-old man with Pott's puffy tumor resulting from frontal sinusitis, complicated by frontal brain abscess, and a subdural empyema. It was successfully treated with abscess drainage and prolonged use of antibiotics. To the best of our knowledge, only 13 cases of Pott's puffy tumor have been previously reported in adults. Particularities of this disease are reported here.
波特氏肿是一种罕见病症，其特征为与额骨骨髓炎相关的骨膜下脓肿。它通常被视为额窦炎的并发症。这种常见病症最初通常不易被诊断出来，且很容易与肿瘤、皮肤及软组织感染以及感染性血肿相混淆。尽管波特氏肿在儿童中更为常见，但在成人前额肿胀的鉴别诊断中也应予以考虑。本报告描述了一名25岁男性因额窦炎引发波特氏肿，并伴有额叶脑脓肿和硬脑膜下积脓的病例。通过脓肿引流和长期使用抗生素，该病例得到了成功治疗。据我们所知，此前仅有13例成人波特氏肿的病例报告。本文报告了该疾病的一些特殊情况。
