The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report

Introduction: Pott’s puffy tumor (PPT) is a rare clinical disease characterized by forehead swelling from a subperiosteal abscess coupled with frontal bone osteomyelitis. It is often associated with severe complications and poor outcomes if left undiagnosed; thus, rapid recognition is crucial. Point...

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Autores principales:	Josie Acuña, Daniel Shockey, Srikar Adhikari
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/f7ddd2d7e08f47cba37be02537a886ba
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spelling	oai:doaj.org-article:f7ddd2d7e08f47cba37be02537a886ba2021-11-23T20:02:52ZThe Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report2474-252X10.5811/cpcem.2021.6.52726https://doaj.org/article/f7ddd2d7e08f47cba37be02537a886ba2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/4n80r84chttps://doaj.org/toc/2474-252XIntroduction: Pott’s puffy tumor (PPT) is a rare clinical disease characterized by forehead swelling from a subperiosteal abscess coupled with frontal bone osteomyelitis. It is often associated with severe complications and poor outcomes if left undiagnosed; thus, rapid recognition is crucial. Point-of-care ultrasound (POCUS) may provide an alternative pathway to diagnosis. It can be performed rapidly at the bedside and assist in early screening of patients, identifying those with high suspicion for PPT and prioritizing imaging and consultation. Case Report: A 59-yghb ar-old-male presented to the emergency department for evaluation of a “lump” on his forehead. He recently had a bifrontal craniotomy to de-bulk a polyp burden in an effort to manage his recurrent sinusitis. To further characterize the mass, a POCUS examination was performed by the treating emergency physician. The examination found a subcutaneous, hypoechoic fluid collection extending superficially along the frontal bone. A discontinuity in the surface of the frontal bone was visualized through which the collection appeared to extend. Given the heightened concern for PPT based on the POCUS examination findings, otolaryngology service was consulted and the patient was admitted for further imaging and treatment. Conclusion: Pott’s puffy tumor is a rare diagnosis that has the potential for life-threatening complications. Timely diagnosis is imperative. Point-of-care ultrasound can easily be used to help identify patients with suspicion for PPT in the acute care setting and influence patient management with regard to obtaining further imaging and plans for early consultation.Josie AcuñaDaniel ShockeySrikar AdhikarieScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Josie Acuña Daniel Shockey Srikar Adhikari The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
description	Introduction: Pott’s puffy tumor (PPT) is a rare clinical disease characterized by forehead swelling from a subperiosteal abscess coupled with frontal bone osteomyelitis. It is often associated with severe complications and poor outcomes if left undiagnosed; thus, rapid recognition is crucial. Point-of-care ultrasound (POCUS) may provide an alternative pathway to diagnosis. It can be performed rapidly at the bedside and assist in early screening of patients, identifying those with high suspicion for PPT and prioritizing imaging and consultation. Case Report: A 59-yghb ar-old-male presented to the emergency department for evaluation of a “lump” on his forehead. He recently had a bifrontal craniotomy to de-bulk a polyp burden in an effort to manage his recurrent sinusitis. To further characterize the mass, a POCUS examination was performed by the treating emergency physician. The examination found a subcutaneous, hypoechoic fluid collection extending superficially along the frontal bone. A discontinuity in the surface of the frontal bone was visualized through which the collection appeared to extend. Given the heightened concern for PPT based on the POCUS examination findings, otolaryngology service was consulted and the patient was admitted for further imaging and treatment. Conclusion: Pott’s puffy tumor is a rare diagnosis that has the potential for life-threatening complications. Timely diagnosis is imperative. Point-of-care ultrasound can easily be used to help identify patients with suspicion for PPT in the acute care setting and influence patient management with regard to obtaining further imaging and plans for early consultation.
format	article
author	Josie Acuña Daniel Shockey Srikar Adhikari
author_facet	Josie Acuña Daniel Shockey Srikar Adhikari
author_sort	Josie Acuña
title	The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
title_short	The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
title_full	The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
title_fullStr	The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
title_full_unstemmed	The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report
title_sort	use of point-of-care ultrasound in the diagnosis of pott’s puffy tumor: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/f7ddd2d7e08f47cba37be02537a886ba
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The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report

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