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Sideris G, Davoutis E, Panagoulis E, Maragkoudakis P, Nikolopoulos T, Delides A. A Systematic Review of Intracranial Complications in Adults with Pott Puffy Tumor over Four Decades. Brain Sci 2023; 13:brainsci13040587. [PMID: 37190552 DOI: 10.3390/brainsci13040587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 03/27/2023] [Accepted: 03/29/2023] [Indexed: 04/03/2023] Open
Abstract
The purpose of this study is to investigate the risk factors of intracranial complications in adult patients with Pott Puffy Tumor (PPT). A systematic review was conducted of clinical studies from January 1983 to December 2022 that reported on PPT adult patients. The full-text articles were reviewed for the patients’ ages, sex, cultured organisms, surgical procedures, clinical sequalae, and underlying diseases that may affect the onset of intracranial complications in PPT adult patients. A total of 106 studies were included. Medical data were reviewed for 125 patients (94 males, 31 females). The median age was 45 years. A total of 52% had comorbidities, mostly head trauma (24.5%), sinus/neurosurgical operations (22.4%), immunosuppression conditions (13.3%), diabetes mellitus (9.1%), cocaine use (7.1%), or dental infections (6.1%). A total of 28 cultures revealed Streptococcus (22.4%), 24 contained staphylococci (19.2%), and 22 cultures contained other pathogens (17.6%). An amount of 30.4% developed intracranial complications, with the most common being epidural abscesses or empyemas (55.3%), as well as subdural (15.7%) and extradural lesions (13.2%). Age, DM, and immunosuppression conditions are significantly associated with intracranial complications (p < 0.001, p = 0.018 and p = 0.022, respectively). Streptococcus infection is associated with intracranial complications (p = 0.001), although Staphylococcus and other microorganisms are not. Surgical intervention, mainly ESS, and broad-spectrum antibiotics remain the cornerstones of treatment.
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Affiliation(s)
- Giorgos Sideris
- 2nd ENT Department, Attikon University Hospital, 124 62 Athens, Greece
| | | | | | | | | | - Alexander Delides
- 2nd ENT Department, Attikon University Hospital, 124 62 Athens, Greece
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Bean H, Min Z, Como J, Bhanot N. Pott's puffy tumor caused by Actinomyces naeslundii. IDCases 2020; 22:e00974. [PMID: 33033689 PMCID: PMC7533312 DOI: 10.1016/j.idcr.2020.e00974] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/24/2020] [Accepted: 09/24/2020] [Indexed: 11/24/2022] Open
Abstract
Pott’s puffy tumor is characterized by forehead swelling from subperiosteal abscess and frontal bone osteomyelitis. It is encountered mainly in children; rarely in adults. When it does occur in the latter population, the most common risk factors include head trauma, sinusitis, or cocaine abuse. Generally, the organisms thought to be involved include streptococci, staphylococci and oral anaerobic flora. We present a case of a 53 year old female who presented with forehead swelling of 3 month duration after a dental procedure, found to be secondary to Actinomyces naeslundii. Actinomyces is a very rare etiology of this disease and has been reported only twice earlier in the literature. We present an uncommon infectious disease along with summary of clinical characteristics of this entity in the adult population.
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Affiliation(s)
- Holly Bean
- Division of Infectious Disease, Allegheny Health Network, PA, 15212, United States
| | - Zaw Min
- Division of Infectious Disease, Allegheny Health Network, PA, 15212, United States
| | - James Como
- Division of Infectious Disease, Allegheny Health Network, PA, 15212, United States
| | - Nitin Bhanot
- Division of Infectious Disease, Allegheny Health Network, PA, 15212, United States
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Akiyama K, Karaki M, Mori N. Evaluation of adult pott's puffy tumor: Our five cases and 27 literature cases. Laryngoscope 2012; 122:2382-8. [DOI: 10.1002/lary.23490] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2012] [Revised: 04/03/2012] [Accepted: 05/14/2012] [Indexed: 11/08/2022]
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Wu CT, Huang JL, Hsia SH, Lee HY, Lin JJ. Pott's puffy tumor after acupuncture therapy. Eur J Pediatr 2009; 168:1147-9. [PMID: 19057925 DOI: 10.1007/s00431-008-0892-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2008] [Accepted: 11/25/2008] [Indexed: 11/30/2022]
Abstract
We report a case of Pott's puffy tumor (PPT) with Pseudomonas infection occurring after acupuncture therapy in a ventilator-dependent child. Acupuncture use has been growing during the past decade in the whole world. Infectious complications range from benign to lethal. PPT is a subperiosteal abscess of the frontal bone associated with underlying osteomyelitis. It presents as a localised swelling of the forehead. This paper describes a 12-year-old girl with PPT. To our knowledge, this is the first case report of PTT caused by acupuncture therapy.
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Affiliation(s)
- Chang-Teng Wu
- Department of Pediatrics, Children Medical Center, Chang Gung Memorial Hospital, 5 Fu-Shing Street, Kweishan 333, Taoyuan, Taiwan, Republic of China.
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