Hitt Nathaniel, Rosengren Tyler, Delaney Thomas, Dettmer Timothy
Internal Medicine, MercyOne North Iowa Medical Center, Mason City, USA.
Otolaryngology, MercyOne North Iowa Medical Center, Mason City, USA.
Cureus. 2022 May 11;14(5):e24922. doi: 10.7759/cureus.24922. eCollection 2022 May.
Pott's puffy tumor (PPT) is a localized forehead swelling with underlying subperiosteal abscess formation and osteomyelitis of the frontal bone. It is a rare complication of frontal sinusitis, and it is especially rare in adult females. A careful review of existing literature identified only 17 cases in adult females. Treatment requires antibiotic therapy and often surgical drainage/debridement. Here, we present a case of a 76-year-old female diagnosed with PPT. She was placed on amoxicillin-clavulanate 875 mg twice daily for six weeks. Her symptoms resolved with the antibiotic course, and she is scheduled for otolaryngology (ENT) follow-up, including dedicated sinus computed tomography (CT). While Pott's puffy tumor is a rare manifestation of chronic sinusitis, it is important to recognize and treat to avoid serious intracranial complications.
波特氏浮肿性肿瘤（PPT）是一种局限性前额肿胀，伴有额骨骨膜下脓肿形成和骨髓炎。它是额窦炎的一种罕见并发症，在成年女性中尤为罕见。对现有文献的仔细回顾仅发现17例成年女性病例。治疗需要抗生素治疗，通常还需要手术引流/清创。在此，我们报告一例76岁女性被诊断为PPT的病例。她接受了每日两次、每次875毫克阿莫西林克拉维酸治疗，为期六周。抗生素疗程后她的症状得到缓解，她已安排接受耳鼻喉科（ENT）随访，包括专门的鼻窦计算机断层扫描（CT）。虽然波特氏浮肿性肿瘤是慢性鼻窦炎的一种罕见表现，但认识到并进行治疗以避免严重的颅内并发症很重要。
