Subcutaneous Abscess on Frontal Region and Acute Exacerbated Chronic Multisinusitis on HIV-Infected Patient
| Main Authors: | Sinto, Robert; Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo National Hospital, Wardani, Retno S; Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo National Hospital |
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| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of the Indonesian Medical Association
, 2009
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/idnmed/article/view/638 |
Daftar Isi:
- Sinusitis, covers almost 50% cases on rhinology clinic Ear Nose Throat – Head Neck Departement Cipto Mangunkusumo National Hospital. Because of the variety of sinusitis complications, some of which are rarely found, and the different clinical manifestations found in patient with comorbid diseases, doctors often miss linking the clinical manifestation, which actually can be a sinusitis complication, with the diagnosis of sinusitis. One example of sinusitis complication is subperiosteal abscess (Pott’s puffy tumor), which can be thought of as a differential diagnosis of tumor found on frontal region. A 29 year old male, an intravenous drug user, with chief complaint a mass on frontal region which getting bigger since 4 weeks before admission. Came to the clinic patient has also been diagnosed of sinusitis (confirmed by CT-scan). Oral antibiotic administration gave no improvement on patient condition. The mass got bigger, more painful, and hotter. ENT examination showed finding as with multisinusitis. On left frontal region, a solitary hyperemic elastic mass with 6 centimeter diameter, was showed and felt. The mass was painful on palpation and was well circumscribed. The working diagnosis is frontal region tumor suspected Pott’s puffy tumor, with differential diagnosis subcutaneous abscess; acute exacerbated chronic multisinusitis; nasal septum deviation on HIV-infected patient. Education and drugs, i.e. intravenous antibiotic, intravenous steroid, nasal spray decongestant, were given to the patient. Tumor was then operated. From the tumor, 25 cc pus was aspirated. The post operation tumor diagnosis was right frontal region subcutaneous abscess.Keywords: subcutaneous abscess, sinusitis, HIV infection, Pott’s puffy tumor