Aínsa Laguna D, Pons Morales S, Muñoz Tormo-Figueres A, Vega Senra M I, Otero Reigada M C
Servicio de Pediatría, Hospital Universitario Doctor Peset, Valencia, España.
Servicio de Pediatría, Hospital Universitario Doctor Peset, Valencia, España.
An Pediatr (Barc). 2014 May;80(5):317-20. doi: 10.1016/j.anpedi.2013.06.001. Epub 2013 Oct 6.
Pott's puffy tumor is a rare complication of frontal sinusitis characterized by swelling and edema in the brow due to a subperiosteal abscess associated with frontal osteomyelitis. Added complications are cellulitis by extension to the orbit and intracranial infection by posterior extension, with high risk of meningitis, intracranial abscess, and venous sinus thrombosis. Early diagnosis and aggressive medical or surgical treatment are essential for optimal recovery of affected patients. In the antibiotic age it is extremely rare, with very few cases described in the recent literature. A case is presented of a Pott inflammatory tumor in a 7 year-old boy, as a complication of acute pansinusitis who presented with front preseptal swelling and intracranial involvement with thrombosis of ophthalmic and superior orbital veins and frontal epidural abscess extending to the subarachnoid space.
波特氏肿是额窦炎的一种罕见并发症，其特征为因与额骨骨髓炎相关的骨膜下脓肿导致眉部肿胀和水肿。额外的并发症包括炎症蔓延至眼眶引起的蜂窝织炎以及向后蔓延导致的颅内感染，存在患脑膜炎、颅内脓肿和静脉窦血栓形成的高风险。早期诊断和积极的药物或手术治疗对于受影响患者的最佳康复至关重要。在抗生素时代，这种病极为罕见，近期文献中描述的病例很少。本文介绍了一例7岁男孩患波特氏炎性肿瘤的病例，该病例为急性全鼻窦炎的并发症，表现为眶隔前肿胀、颅内受累，伴有眼静脉和眶上静脉血栓形成以及延伸至蛛网膜下腔的额部硬膜外脓肿。
