Submitted by Brian Lee, MD, and Thomas J. Learch, MD.
Five days prior to presenting at your hospital, an 11-year-old boy without prior medical history was taken to an outside hospital by his parents for a one-day history of frontal head pain, congestion, and rhinorrhea. A CT scan was performed, which reportedly demonstrated sinusitis. The boy was prescribed antibiotics, and his symptoms improved. However, three days ago, he developed swelling around his right eye, and one day ago, the swelling spread to his left eye. At this point, his parents brought him to your hospital. Review of symptoms reveals associated cough, congestion, and low-grade fevers.
Physical exam demonstrates marked swelling around both eyes and the forehead, and examination of the right eye is precluded by the swelling. These findings, along with the history, increase suspicion that the patient has Pott puffy tumor.
What is the most common cause of Pott puffy tumor?
- Drug abuse
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