Verbon A, Husni R N, Gordon S M, Lavertu P, Keys T F
Department of Infectious Diseases, Cleveland Clinic Foundation, Ohio 44195, USA.
Clin Infect Dis. 1996 Dec;23(6):1305-7. doi: 10.1093/clinids/23.6.1305.
Osteomyelitis of the frontal bone may be associated with a purulent collection under the periosteum, causing swelling and edema over the forehead, a condition known as Pott's puffy tumor. We describe an 83-year-old man with a Pott's puffy tumor due to Haemophilus influenzae that was successfully treated with surgery and antibiotics. A review of 22 cases of Pott's puffy tumor shows that this condition usually occurs in children, is spread from frontal or ethmoid sinusitis, and is usually due to streptococci, staphylococci, or anaerobes. Suppurative complications such as epidural, subdural, and intracerebral abscesses are common. Only seven cases of Pott's puffy tumor in adults have been reported, and only one of these cases was caused by H. influenzae. Surgical drainage and antibiotic therapy remain standard therapy for this condition.
额骨骨髓炎可能与骨膜下脓性积液有关，导致前额肿胀和水肿，这种情况称为波特氏浮肿性肿瘤。我们描述了一名83岁因流感嗜血杆菌导致波特氏浮肿性肿瘤的男性患者，该患者通过手术和抗生素治疗成功治愈。对22例波特氏浮肿性肿瘤病例的回顾显示，这种情况通常发生在儿童，由额窦或筛窦炎蔓延而来，通常由链球菌、葡萄球菌或厌氧菌引起。硬膜外、硬膜下和脑内脓肿等化脓性并发症很常见。仅报告了7例成人波特氏浮肿性肿瘤病例，其中仅1例由流感嗜血杆菌引起。手术引流和抗生素治疗仍然是这种疾病的标准治疗方法。
