Rare case of Pott's puffy tumor due to nasal foreign body.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Caspian Journal of Internal Medicine Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI:10.22088/cjim.15.3.553

Mohsen Mohammadi, Haniyeh Esfandiar, Nazanin Saeidizand, Ali Shaabani, Firooze Esmaeilzadeh

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Abstract

Background: Pott's Puffy tumor (PPT) is a complicated frontal sinusitis that is also described as frontal bone osteomyelitis and a localized sub periosteal abscess. Early diagnosis and immediate active treatment are necessary to prevent severe neurologic sequelae.

Case presentation: Here, we report on a case of Pott's puffy tumor in a previously healthy 13-year-old girl with a worsening headache and swelling of the frontal bone accompanied by vomiting and fever. Magnetic resonance imaging revealed osteomyelitis of the frontal bone. A foreign body was discovered and removed via endoscopy which was then followed by 6 weeks of parenteral and enteral antibiotic therapy, resulting in resolution of all symptoms.

Conclusion: A complete history in terms of trauma and insect bite or foreign body in the nose is paramount for a correct diagnosis, and performing a full examination of ear, nose and throat (ENT) to rule out a foreign body is advised.

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伊朗外阴皮纤维肉瘤突起及文献综述：首例病例报告。

背景：Pott's Puffy tumor（PPT）是一种复杂的额窦炎，也被描述为额骨骨髓炎和局部骨膜下脓肿。为防止出现严重的神经系统后遗症，必须及早诊断并立即积极治疗：在此，我们报告了一例波特浮肿瘤病例，患者是一名 13 岁的女孩，之前身体健康，但因头痛和额骨肿胀加重，并伴有呕吐和发热。磁共振成像显示她患有额骨骨髓炎。通过内窥镜检查发现并取出了异物，随后进行了为期 6 周的肠外和肠内抗生素治疗，所有症状均得到缓解：结论：完整的病史，包括外伤、昆虫叮咬或鼻腔异物是正确诊断的关键，建议对耳鼻喉科（ENT）进行全面检查以排除异物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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