Jornal de doenças infecciosas e terapia

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Complicated Pott’s Puffy Tumour Involving both Frontal and Parietal Bones: A Case Report

Jude-Kennedy C Emejulu* and Ofodile C Ekweogwu

Pott’s puffy tumour is a rare clinical condition, especially in this antibiotic era. It presents as frontal skull osteomyelitis with resultant frontal subperiosteal abscess, arising usually from frontal sinusitis. Other extracranial regions may also be unusually involved in addition to intracranial, periorbital and intra-orbital extensions, with various clinical manifestations, including neurological deficits, and potentially lethal complications. Its potential to cause significant morbidity emphasizes the need for a high index of suspicion in the setting of frontal scalp swellings in order to facilitate optimal outcome. This report, which is the case of a 7-year old male sickle cell anaemia patient with Pott’s puffy tumour and unusual involvement of both parietal bones, in addition to the usual frontal bone affectation, serves to highlight the need for a thorough evaluation of patients with hemoglobinopathies and skull bosselations, in order not to miss this potentially lethal disease.