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病例报告:波特氏水肿性肿瘤:合并额窦炎——一个被遗忘的诊断

Case Report: Pott's Edematous Tumor: Complicated Frontal Sinusitis - An Unremembered Diagnosis.

作者信息

Silva Ana Cristina Veiga, Lins Camila Mendonça, Mendes Renan Furtado de Almeida, Silva Marcelo Henrique Simões, de Alencar Neto Joaquim Fechine, Lopes Caio César Maia, Ferraz Gabriela Lisboa de Souza, de Sousa Diego Felipe Rodrigues, Bem Junior Luiz Severo, Valença Marcelo Moraes, de Azevedo-Filho Hildo Rocha Cirne

机构信息

Department of Neurosurgery, Hospital da Restauração, Recife, Brazil.

Neuroscience Post-Graduate Program, Federal University of Pernambuco, Recife-PE, Brazil.

出版信息

Front Surg. 2022 Jun 27;9:889463. doi: 10.3389/fsurg.2022.889463. eCollection 2022.

DOI:10.3389/fsurg.2022.889463
PMID:35832496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9271968/
Abstract

Pott's Puffy tumor, also called Pott's edematous tumor (PET), is a subperiosteal abscess of the frontal bone, associated with osteomyelitis of the frontal bone. In this paper, we report the case of a 16-year-old patient who presented with headache associated with progressive forehead swelling and fever. Clinical and imaging exams pointed to the hypothesis of PET associated with brain abscess. Patient was submitted to surgical excision of the abscess and treatment of osteomyelitis, with intraoperative findings corroborating the condition. There was a good clinical-radiological recovery associated with prolonged antibiotic therapy and satisfactory follow-up after hospital. PET, which often results from an underdiagnosed or partially treated frontal sinusitis, is a condition that must be promptly recognized and directed to an adequate therapeutic approach due to the risk of serious complications that it entails.

摘要

波特氏浮肿性肿瘤,也称为波特氏水肿性肿瘤(PET),是一种额骨骨膜下脓肿,与额骨骨髓炎相关。在本文中,我们报告了一例16岁患者的病例,该患者表现为头痛,并伴有前额渐进性肿胀和发热。临床和影像学检查提示为与脑脓肿相关的PET。患者接受了脓肿的手术切除和骨髓炎治疗,术中发现证实了该病情。经过长期抗生素治疗和出院后令人满意的随访,患者实现了良好的临床-放射学恢复。PET通常由未被诊断或治疗不充分的额窦炎引起,由于其可能引发严重并发症,必须及时识别并采取适当的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/25c977dafd04/fsurg-09-889463-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/51dda653a938/fsurg-09-889463-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/e2b7b0fd186e/fsurg-09-889463-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/3b486b4b28b6/fsurg-09-889463-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/25c977dafd04/fsurg-09-889463-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/51dda653a938/fsurg-09-889463-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/e2b7b0fd186e/fsurg-09-889463-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/3b486b4b28b6/fsurg-09-889463-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fcd/9271968/25c977dafd04/fsurg-09-889463-g004.jpg

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Pott's Puffy Tumour: A Rare Complication of Sinusitis.波特氏浮肿性肿瘤:鼻窦炎的一种罕见并发症。

本文引用的文献

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J Pak Med Assoc. 2021 Dec;71(Suppl 8)(12):S170-S173.
2
Pott's puffy tumor: a need for interdisciplinary diagnosis and treatment.波特氏脓肿:一种需要多学科诊断和治疗的疾病。
HNO. 2022 Feb;70(Suppl 1):8-13. doi: 10.1007/s00106-021-01134-w. Epub 2022 Jan 24.
3
Pott's Puffy Tumor.波特氏脓肿。
Eur J Case Rep Intern Med. 2024 Mar 11;11(4):004287. doi: 10.12890/2024_004287. eCollection 2024.
4
A 9-year-old boy with a nonmalignant forehead tumor - a rare case of pediatric Pott's puffy tumor.一位 9 岁男孩患有非恶性额部肿瘤——一种罕见的小儿波特氏炎性肿块。
BMC Pediatr. 2023 Jun 17;23(1):300. doi: 10.1186/s12887-023-04117-8.
Ear Nose Throat J. 2021 Sep;100(6_suppl):870S-872S. doi: 10.1177/01455613211039031. Epub 2021 Aug 20.
4
More than a Bump on the Head.
J Pediatr. 2021 Nov;238:331. doi: 10.1016/j.jpeds.2021.06.052. Epub 2021 Jun 25.
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Pott's Puffy Tumor in an Inflammatory Bowel Disease Patient on Anti-TNF Therapy.抗 TNF 治疗的炎症性肠病患者的 Pott 氏膨出性脓肿。
Am J Case Rep. 2021 May 25;22:e929892. doi: 10.12659/AJCR.929892.
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A rare case in childhood: Pott's puffy tumor developing secondary to frontal sinus osteoma.儿童期罕见病例:继发于额窦骨瘤的波特氏浮肿性骨炎。
Turk Pediatri Ars. 2020 Dec 16;55(4):445-448. doi: 10.14744/TurkPediatriArs.2020.28863. eCollection 2020.
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