| Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy. | |
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MedLine Citation:
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PMID: 22892137 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Introduction: 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. Case report: 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. Conclusion: This case highlights the challenges of managing rare intracranial complications of sinusitis in pregnancy, and the importance of multidisciplinary care. |
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Authors:
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C Domville-Lewis; P L Friedland; P L Santa Maria |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-8-15 |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: - ISSN: 1748-5460 ISO Abbreviation: J Laryngol Otol Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-8-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: - |
Other Details:
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Languages: ENG Pagination: 1-4 Citation Subset: - |
Affiliation:
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Department of Otolaryngology, Head and Neck Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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