Pott’s Puffy Tumor: a Case Report

Pott’s puffy tumor is a rare clinical phenomenon characterized by subperiosteal abscess manifests primarily as a non-neo plastic complication of frontal sinusitis or as an aftermath of head trauma. Herein, we report a 65-year-old hypertensive female diagnosed with pott's puffy tumor. She presented to us with altered mental status and seizures. Radiological scans revealed left sided frontal and ethmoidal sinusitis with overlying focal swelling of the scalp and intracranial extension of the infective process. The patient was treated conservatively with antibiotic and antiepileptic. The condition is often difficult to diagnose based on clinical presentation. The treatment is surgical drainage followed by subsequent antibiotic use. This case report however highlights that only medical management may be feasible if patient is monitored strictly for any worsening neurological squeal and patient is placed under a strict antibiotic regimen.

 Keywords: potts puffy tumor, sinusitis, complication