{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:03Z","timestamp":1756305603526,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,4,9]]},"abstract":"<jats:p>Pott\u2019s puffy tumour (PPT) is characterised by a subperiosteal abscess associated with osteomyelitis of the frontal bone\u2014a rare complication of frontal sinusitis, more common in the paediatric population. We describe a case mimicking PPT, where abscess extension was facilitated by previous surgery. Usually patients with PPT would be systemically unwell, but our patient, a 63-year-old Caucasian man, was systemically well with a large swelling of his forehead. A CT was performed to evaluate possible intracranial and intracerebral complications such as epidural, subdural and brain abscesses. Emergent surgical drainage was performed with prolonged administration of antibiotic therapy. 12 weeks later, he had recollection in the frontal sinus requiring incision and drainage. 6 weeks afterwards, he underwent planned Lothrop procedure and endoscopic sinus surgery. Although clinically the patient presented with overwhelming features of PPT, we emphasise that PPT involves osteomyelitis of frontal bone, which is absent in our case.<\/jats:p>","DOI":"10.1136\/bcr-2018-224463","type":"journal-article","created":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T05:05:18Z","timestamp":1524632718000},"page":"bcr-2018-224463","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Not quite Pott\u2019s puffy tumour"],"prefix":"10.1136","volume":"2018","author":[{"given":"Rasads","family":"Misirovs","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Gohil","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, NHS Lothian, Edinburgh, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaiganesh","family":"Manickavasagam","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,4,25]]},"reference":[{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1111\/coa.12538","article-title":"Minimally invasive treatment of patients with Pott\u2019s puffy tumour with or without endocranial extension - a case series of six patients: Our Experience","volume":"41","author":"van der Poel","year":"2016","journal-title":"Clin Otolaryngol"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.2","doi-asserted-by":"crossref","unstructured":"Williams SP , Wilkie MD . Pott\u2019s puffy tumour: an unforgettable complication of frontal sinusitis,\u00a0BMJ Case Rep. 2014 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4248122\/ (cited 2018 Jan 22).","DOI":"10.1136\/bcr-2014-204061"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.3","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/23.6.1305"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.4","doi-asserted-by":"crossref","unstructured":"Rajwani KM , Desai K , Lew-Gor S . Forehead swelling and frontal headache: Pott\u2019s puffy tumour,\u00a0BMJ Case Rep. 2014 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3902761\/ (cited 2018 Jan 22).","DOI":"10.1136\/bcr-2013-202737"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.5","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1007\/s00381-014-2480-x","article-title":"Neurosurgical implications of Pott\u2019s puffy tumor in children and adolescents","volume":"30","author":"Salom\u00e3o","year":"2014","journal-title":"Childs Nerv Syst"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.6","doi-asserted-by":"crossref","unstructured":"Onesimo R , Scalzone M , Valetini P , et al . Pott\u2019s puffy tumour by Streptoccocus intermedius a rare complication of sinusitis,\u00a0BMJ Case Rep. 2011 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3207786\/ (cited 2018 Jan 22).","DOI":"10.1136\/bcr.08.2011.4660"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.7","first-page":"115","article-title":"Frontal osteomyelitis (Pott\u2019s puffy tumour) associated with Pasteurella multocida-A case report and review of the literature","volume":"9","author":"Skomro","year":"1998","journal-title":"Can J Infect Dis"},{"key":"2025082707242472000_2018.apr24_2.bcr-2018-224463.8","doi-asserted-by":"crossref","unstructured":"Ball SL , Carrie S . Pott\u2019s puffy tumour: a forgotten diagnosis,\u00a0BMJ Case Rep. 2015 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4593294\/ (cited 2018 Jan 22).","DOI":"10.1136\/bcr-2015-211099"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:24:35Z","timestamp":1756304675000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,25]]},"references-count":8,"alternative-id":["10.1136\/bcr-2018-224463"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224463","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,4,25]]}}}