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Case Reports
. 1998 Mar;9(2):115-21.
doi: 10.1155/1998/457984.

Frontal osteomyelitis (Pott's puffy tumour) associated with Pasteurella multocida-A case report and review of the literature

R Skomro  1 , K L McClean
Affiliations
Case Reports

Frontal osteomyelitis (Pott's puffy tumour) associated with Pasteurella multocida-A case report and review of the literature

R Skomro et al. Can J Infect Dis. 1998 Mar.

Abstract
in English, French

A 58-year-old woman presented with progressive midforehead swelling and erythema with frontal headache. Investigations revealed erosion of the anterior wall of the frontal sinus with subgaleal abscess formation, establishing a diagnosis of Pott's puffy tumour. Pasteurella multocida was isolated in pure growth from an aspirate of the abscess. P multocida is a rare cause of sinusitis. It is isolated from the respiratory tract of asymptomatic individuals and, more commonly, patients with chronic respiratory conditions. Although a cause of osteomyelitis associated with animal bites or scratches, P multocida has not previously been implicated as a cause of frontal osteomyelitis or Pott's puffy tumour. A review of reported cases of Pott's puffy tumour, including clinical presentation, microbiology, treatment and outcome, is provided.

Une femme de 58 ans s’est présentée avec une enflure progressive au milieu du front, accompagnée d’un érythème et de céphalée frontales. Les épreuves de laboratoire ont révélé la présence d’une érosion de la paroi antérieure du sinus frontal avec abcès sous-galéal en formation, ce qui a confirmé le diagnostic de tumeur de Pott. Pasteurella multocida a été isolé dans une croissance pure à partir d’un aspirat de l’abcès. P. multocida est une rare cause de sinusite. On l’isole dans les voies respiratoires de sujets asymptomatiques et, plus fréquemment, de patients atteints de maladies respiratoires chroniques. P. multocida est une cause d’ostéomyélite associée aux morsures ou aux égratignures infligées par des animaux, et n’avait jamais auparavant été incriminé dans l’ostéomyélite frontale ou tumeur de Pott. Un survol des cas de tumeur de Pott signalés, y compris le tableau clinique, la microbiologie, le traitement et l’issue du traitement est présenté ici.

Keywords: Frontal osteomyelitis; Pasteurella multocida; Pott’s puffy tumour; Sinusitis.

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Figures

Figure 1
Figure 1
Midfrontal lesion, Pott’s puffy tumour (postincision and drainage). Normal saline packing is visible in the centre of the lesion
Figure 2
Figure 2
Contrast-enhanced computed tomography scan demonstrating subgaleal abscess, erosion of anterior and posterior wall of left frontal sinus and small epidural fluid collection
See this image and copyright information in PMC

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