More than a bump on the head

A 9-year-old boy presented with a 2-week history of fever and frontal headache, followed by a frontal swelling 3 days before admission. He had no visual or neurological symptoms and denied preceding respiratory symptoms or trauma. A well-circumscribed, tender, firm, globular swelling measuring 3x3cm was seen over the forehead (Figure 1). Neurological and ophthalmological examination were unremarkable. The differential diagnoses were Pott ’s puffy tumor, osseous tumor, and infected hematoma. Radiological imaging demonstrated frontal bone osteomyelitis with subperiosteal collection and frontal sinusitis (Figure 2).

Source: The Journal of Pediatrics - June 25, 2021 Category: Pediatrics Authors: Chin Ling, David CE. Ng, Tribeni Tags: Rediscovering the Physical Exam Source Type: research