Epidural–cutaneous fistula in association with the Pott puffy tumor in an adolescent

Case report

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✓The Pott puffy tumor is a subperiosteal abscess associated with underlying osteomyelitis, most often of the frontal bone in conjunction with frontal sinusitis. Intracranial sequelae can include epidural abscess, subdural empyema, intra-parenchymal abscess, meningitis, and dural venous thrombophlebitis, all with resultant neurological deterioration.

Although once common, this entity has become rare since the introduction of antibiotic agents. The authors present an unusual case of a 14-year-old girl suffering from the Pott puffy tumor whose condition was further complicated by a draining epidural–cutaneous fistula and an epidural abscess.

Abbreviation used in this paper:CT = computed tomography.
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Contributor Notes

Address reprint requests to: Laurence Davidson, M.D., LA County–USC Medical Center, 1200 North State Street, Suite 5046, Los Angeles, California 90033. email: ldavidso@usc.edu.
  • 1

    Babu RPTodor RKasoff SS: Pott’s puffy tumor: the forgotten entity. Case report. J Neurosurg 84:1101121996

  • 2

    Bagdatoglu CGüleryüz AErsöz GTalas Kandemir ÖKöksel T: A rare clinical entity: Pott’s puffy tumor. Pediatr Neurosurg 34:1561582001

    • Search Google Scholar
    • Export Citation
  • 3

    Bambakidis NCCohen AR: Intracranial complications of frontal sinusitis in children: Pott’s puffy tumor revisited. Pediatr Neurosurg 35:82892001

    • Search Google Scholar
    • Export Citation
  • 4

    Banooni PRickman LSWard DM: Pott puffy tumor associated with intranasal methamphetamine. JAMA 283:12932000

  • 5

    Effat KGKaram MEl-Kabani A: Pott’s puffy tumor caused by mucormycosis. J Laryngol Otol 119:6436452005

  • 6

    Flamm ES: Historical vignette. Percival Pott: an 18th century neurosurgeon. J Neurosurg 76:3193261992

  • 7

    Goldfarb AHocwald EGross MEliashar R: Frontal sinus cutaneous fistula: a complication of Pott’s puffy tumor. Otolaryngol Head Neck Surg 130:4904912004

    • Search Google Scholar
    • Export Citation
  • 8

    Guillén ABrell MCardona EClaramunt ECosta J: Pott’s puffy tumor: still not an eradicated entity. Childs Nerv Syst 17:3593622001

    • Search Google Scholar
    • Export Citation
  • 9

    Koch SEWintroub BU: A clinical marker for osteomyelitis of the skull. Arch Dermatol 121:5485491985

  • 10

    Maheshwar AAHarris DAAl-Mokhthar NEvans RA: Pott’s puffy tumor: an unusual presentation and management. J Laryngol Otol 115:4974992001

    • Search Google Scholar
    • Export Citation
  • 11

    Sable NSHengerer APowell KR: Acute frontal sinusitis with intracranial complications. Pediatr Infect Dis 3:58611984

  • 12

    Tattersall RTattersall R: Pott’s puffy tumor. Lancet 359:106010632002



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