Article

Frontal Sinusitis Causing Epidural Abscess and Puffy Tumor

New England Journal of Medicine (Impact Factor: 55.87). 03/2014; 370(11):e18. DOI: 10.1056/NEJMicm1307740
Source: PubMed

ABSTRACT

A previously healthy 13-year-old boy presented to the otorhinolaryngology clinic with soft, well-demarcated, painless swelling of the forehead. He had no definite symptoms of sinusitis but had had a headache and fluctuating fever for 3 weeks. A previously healthy 13-year-old boy presented to the otorhinolaryngology clinic with soft, well-demarcated, painless swelling of the forehead (Panel A, arrow). He had no definite symptoms of sinusitis but had had a headache and fluctuating fever for 3 weeks. He had no neurologic deficit or abnormality on physical examination. A blood chemical profile showed a C-reactive protein level of 29 mg per liter and a white-cell count of 11,900 per cubic millimeter. Computed tomography revealed unilateral opacification of the left frontal and ethmoid sinuses (Panel B, white and green arrows, respectively) as well as defects in the frontal bone (Panel ...

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