Page 59 - Revista Portuguesa - SPORL - Vol 62. Nº2

Tumor inchado de Pott e empiema

epidural em paciente pediátrico

Caso Clínico

Autores Resumo
We report a case of a 12-year-old adolescent
Vicky Galstyan-Minasova diagnosed with Pott’s puffy tumor (PPT) and
La Fe University and Polytechnic Hospital. Valencia, epidural empyema as a complication of acute
Spain. University of Valencia rhinosinusitis.
PPT is described as an inflammation in the frontal
Agustín Alamar-Velazquez region due to the formation of a subperiotic
La Fe University and Polytechnic Hospital. Valencia, abscess and osteomyelitis of the frontal bone.
Spain.
Although uncommon nowadays, this entity
Isabel Ibáñez-Alcañiz usually appears in adolescents, and it is frequently
La Fe University and Polytechnic Hospital. Valencia, Spain associated with intracranial complications.
Early diagnosis, antibiotic therapy and endoscopic
María José Lesmas-Navarro treatment when required are essential to avoid
La Fe University and Polytechnic Hospital. Valencia, Spain the risk of intracranial progression.
Keywords: Pott’s puffy tumor, epidural empyema,
Miguel Armengot-Carceller frontal sinusitis.
La Fe University and Polytechnic Hospital. Valencia,
Spain. University of Valencia
Introduction
Pott's puffy tumor (PPT) refers to the frontal
subperiosteal abscess, that manifests as
swelling in the frontal region associated with
osteomyelitis . First described by Percival
1
Pott in 1760 as a lesion led by trauma, was
later related to a complication from frontal
sinusitis .
2
Adolescents are the most affected group,
although it can also happen to adults. The
infection spread through bone erosions or
septic thrombosis (through Haversian canal),
which explains why it is often associated with
orbital and intracranial complications such as
meningitis, epidural empyema, and venous
sinus thrombosis .
3
Even though it is a very rare entity since the
beginning of the use of antibiotics, it can still
Correspondência: occur when the sinusitis is misdiagnosed
Vicky Galstyan-Minasova or not properly treated. Early diagnosis and
vic.galstian@gmail.com effective antibiotic and endoscopic treatment

when required, are essential to prevent
Artigo recebido a 22 de Novembro de 2023. intracranial progression and reduce morbidity
Aceite para publicação a 7 de Março de 2024.
and mortality .
4

Volume 62 . Nº2 . Junho 2024 169