Department of Pediatrics and Adolescent Medicine, Landeskrankenhaus Leoben-Eisenerz, Austria.
Wien Klin Wochenschr. 2009;121(21-22):719-22. doi: 10.1007/s00508-009-1268-6.
We report the case of a 14-year-old girl who presented with an 8-week history of unilateral pansinusitis. In the course of the disease a right-side frontal swelling was observed, which disappeared following antibiotic treatment. Four weeks later, however, the swelling reappeared and was now diagnosed as recurrent Pott's puffy tumor. Interestingly, C-reactive protein levels were in the normal range throughout. Following functional endoscopic frontal sinusotomy, antibiotic treatment with ceftriaxone was administered over 3 weeks and led to complete remission of the lesion. Pott's puffy tumor is a subperiostal abscess of the frontal bone, usually presenting as localized swelling of the soft tissue in the overlying region of the forehead, and is associated with localized osteomyelitis and occasionally with intracranial epidural abscess. The entity has been known since 1768, although recurrent cases with normal inflammation parameters have not been published previously.
我们报告了一例 14 岁女孩的病例，她因单侧鼻窦炎病史 8 周就诊。在疾病过程中观察到右侧额部肿胀，经抗生素治疗后消失。然而，4 周后肿胀再次出现，现诊断为复发性波特氏膨出性颅骨骨髓炎。有趣的是，整个过程中的 C-反应蛋白水平均在正常范围内。功能性内窥镜额窦切开术后，给予头孢曲松 3 周的抗生素治疗，使病变完全缓解。波特氏膨出性颅骨骨髓炎是额骨骨膜下脓肿，通常表现为额部上方区域的软组织局限性肿胀，并伴有局限性骨髓炎，偶尔伴有颅内硬脑膜外脓肿。该病症自 1768 年以来就已被人们所认识，尽管以前没有报道过炎症参数正常的复发性病例。
