Ophthalmology Residency Program, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Otolaryngology Residency Program, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Mil Med. 2023 Nov 3;188(11-12):3696-3698. doi: 10.1093/milmed/usad291.
Pott's puffy tumor (PPT) describes forehead swelling with associated frontal bone osteomyelitis and a subperiosteal abscess (SPA) requiring a high suspicion index for optimal outcomes. PPT is a life-threatening complication of frontal sinusitis typically found in adolescents. Our case is one of the youngest in the literature. This report describes a 3-year-old patient who developed multifocal abscesses in the epidural space with frontal and orbital SPA, requiring surgical intervention. Additionally, her course was complicated by a superior sagittal venous thrombosis, a complication commonly associated with PPT. We present an unusual case of orbital SPA and aim to highlight a life-threatening pediatric condition that is often underrecognized.
波特氏膨出瘤（Pott's puffy tumor，PPT）描述了额部肿胀，伴有额骨骨髓炎和骨膜下脓肿（subperiosteal abscess，SPA），需要高度怀疑指数以获得最佳结果。PPT 是额窦炎的一种危及生命的并发症，通常发生在青少年中。我们的病例是文献中年龄最小的病例之一。本报告描述了一例 3 岁患者，其硬脑膜外腔出现多发性脓肿，伴有额部和眶部 SPA，需要手术干预。此外，她的病程还伴有上矢状窦血栓形成，这是一种与 PPT 常见的并发症。我们报告了一例不常见的眶部 SPA 病例，旨在强调一种常被低估的危及生命的儿科疾病。
