Pott's Puffy tumor after minor head trauma

Abstract Posttraumatic osteomyelitis may occur as a direct result of bony injury after trauma or arise as a nosocomial infection after the treatment of trauma [1] . Most cases arise after an open fracture, but bony infection can also arise from spread of infection from contiguous soft tissues or by...

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Published inThe American journal of emergency medicine Vol. 26; no. 6; pp. 739.e1 - 739.e3
Main Authors Martinez-Diaz, Gabriel J., BS, Hsia, Renee, MD, MSc
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2008
Elsevier Limited
Subjects
Anti-Bacterial Agents - therapeutic use
Cocaine
Combined Modality Therapy
Computed tomography
Craniocerebral Trauma - complications
Diagnosis, Differential
Emergency
Emergency medical care
Emergency medical services
Family medical history
Female
Frontal Bone - injuries
Head injuries
Health care
Hemorrhage
Humans
Hypertension
Medical diagnosis
Medical imaging
Middle Aged
Motor vehicles
Nosocomial infection
Osteomyelitis - diagnostic imaging
Osteomyelitis - drug therapy
Osteomyelitis - etiology
Osteomyelitis - surgery
Otolaryngology
Pain
Sinuses
Sports related injuries
Tomography, X-Ray Computed
Trauma
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Summary:Abstract Posttraumatic osteomyelitis may occur as a direct result of bony injury after trauma or arise as a nosocomial infection after the treatment of trauma [1] . Most cases arise after an open fracture, but bony infection can also arise from spread of infection from contiguous soft tissues or by puncture wounds. Motor vehicle accidents, sport injuries, and the use of orthopedic hardware to manage trauma have contributed to the apparent increase in prevalence of posttraumatic osteomyelitis [2] . We report on a case of Pott's Puffy tumor in a previously healthy woman who had an episode of minor forehead trauma 1 month before presentation to the emergency department (ED), complaining of persistent headache and swelling of her forehead. Results of computed tomography (CT) revealed features characteristic of this condition. After postobliteration of the left frontal sinus via a bicoronal approach with an iliac crest bone graft and some dental extractions and 2 weeks of antibiotic therapy, the patient achieved a complete recovery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2007.11.038