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Pott's Puffy Tumor A Clinical Marker for Osteomyelitis of the Skull

Pott's Puffy Tumor A Clinical Marker for Osteomyelitis of the Skull Abstract In 1771, Sir Percivall Pott1 described a condition in which massive soft-tissue swelling of the scalp was associated with an underlying osteomyelitis of the skull. This swelling is known as "Pott's puffy tumor." Sporadic cases reported in the literature have included both adults and children.2 Herein, we report such a case that occurred in an elderly man. Report of a Case A 74-year-old man had been well until two months before examination, when he had noticed the gradual onset of erythema, mild scaling, and bogginess of the midforehead, without associated fever or tenderness. He was then seen by a physician in Mexico and was given an intramuscular injection of penicillin for presumed erysipelas; the soft-tissue swelling did not resolve. He was reevaluated by another physician, who performed a needle aspiration of the frontal scalp. The culture grew coagulase positive Staphylococcus aureus, but a blood culture was negative for References 1. Pott P: The Chirurgical Works of Percivall Pott , F.R.S. London, L. Hawes, W. Clarke, and R. Collins, 1771, vol 3, pp 47-48. 2. Procino ND: Pott's puffy tumor in a 7-year-old boy . Ear Nose Throat J 1978;57:516-519. 3. Bordley JE, Bischofberger W: Osteomyelitis of the frontal bone . Laryngoscope 1967;72:1234-1244.Crossref 4. Bullit E, Lehman RAW: Osteomyelitis of the skull . Surg Neurol 1967;11:163-166. 5. Jones JW, Ignelzi RJ, Frank DH, et al: Osteomyelitis of the skull following scalp reduction and hair plug transplantation . Ann Plast Surg 1980;5:480-482.Crossref 6. Peterson HO, Keiffer SA: Neuroradiology , in Baker AB, Baker LH (eds): Clinical Neurology . New York, Harper & Row Publishers Inc, 1982, vol 1, pp 33-36. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pott's Puffy Tumor A Clinical Marker for Osteomyelitis of the Skull

Archives of Dermatology , Volume 121 (4) – Apr 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660040132029
Publisher site
See Article on Publisher Site

Abstract

Abstract In 1771, Sir Percivall Pott1 described a condition in which massive soft-tissue swelling of the scalp was associated with an underlying osteomyelitis of the skull. This swelling is known as "Pott's puffy tumor." Sporadic cases reported in the literature have included both adults and children.2 Herein, we report such a case that occurred in an elderly man. Report of a Case A 74-year-old man had been well until two months before examination, when he had noticed the gradual onset of erythema, mild scaling, and bogginess of the midforehead, without associated fever or tenderness. He was then seen by a physician in Mexico and was given an intramuscular injection of penicillin for presumed erysipelas; the soft-tissue swelling did not resolve. He was reevaluated by another physician, who performed a needle aspiration of the frontal scalp. The culture grew coagulase positive Staphylococcus aureus, but a blood culture was negative for References 1. Pott P: The Chirurgical Works of Percivall Pott , F.R.S. London, L. Hawes, W. Clarke, and R. Collins, 1771, vol 3, pp 47-48. 2. Procino ND: Pott's puffy tumor in a 7-year-old boy . Ear Nose Throat J 1978;57:516-519. 3. Bordley JE, Bischofberger W: Osteomyelitis of the frontal bone . Laryngoscope 1967;72:1234-1244.Crossref 4. Bullit E, Lehman RAW: Osteomyelitis of the skull . Surg Neurol 1967;11:163-166. 5. Jones JW, Ignelzi RJ, Frank DH, et al: Osteomyelitis of the skull following scalp reduction and hair plug transplantation . Ann Plast Surg 1980;5:480-482.Crossref 6. Peterson HO, Keiffer SA: Neuroradiology , in Baker AB, Baker LH (eds): Clinical Neurology . New York, Harper & Row Publishers Inc, 1982, vol 1, pp 33-36.

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1985

References