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Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy
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Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy
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Journal Article
Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy
2013
Overview
A Pott's puffy tumour is a subperiosteal abscess and osteomyelitis of the frontal bone secondary to frontal sinusitis. Intracranial complications are seen in approximately 40 per cent of cases and are potentially life-threatening; such complications have not previously been reported in pregnancy.
A 21-year-old woman at 35 weeks' gestation presented with a history of frontal headaches and swelling, periorbital oedema, pain and chemosis. Imaging confirmed Pott's puffy tumour with right-sided epidural empyema and periorbital cellulitis. A multidisciplinary team was involved in the patient's management. Intravenous antibiotics were commenced and initial percutaneous drainage through the frontal sinus skin was performed, followed by endoscopic sinus drainage. A caesarean section was performed 3 days later. Complete resolution of the sinus and intracranial collections was noted on imaging performed six weeks later.
This case highlights the challenges of managing rare intracranial complications of sinusitis in pregnancy, and the importance of multidisciplinary care.
Publisher
Cambridge University Press
Subject
/ Anti-Bacterial Agents - administration & dosage
/ Anti-Bacterial Agents - therapeutic use
/ Ceftriaxone - administration & dosage
/ Ceftriaxone - therapeutic use
/ Drainage
/ Epidural
/ Female
/ Frontal Sinusitis - complications
/ Frontal Sinusitis - drug therapy
/ Humans
/ Orbital Cellulitis - etiology
/ Pott Puffy Tumor - pathology
/ Pregnancy Complications, Infectious - drug therapy
/ Pregnancy Complications, Infectious - etiology
/ Pregnancy Complications, Infectious - surgery
/ Sinuses
/ Streptococcal Infections - complications
/ Streptococcal Infections - drug therapy
/ Streptococcal Infections - surgery
/ Thienamycins - administration & dosage
/ Thienamycins - therapeutic use
/ Vancomycin - administration & dosage
