Premium
Headache of a diagnosis: frontotemporal pain and inflammation associated with osteolysis
Author(s) -
Tacon Lyndal J,
Parkinson Jonathon F,
Hudson Bernard J,
Brewer Janice M,
Little Nicholas S,
CliftonBligh Roderick J
Publication year - 2008
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2008.tb02190.x
Subject(s) - osteolysis , medicine , inflammation , dermatology , frontotemporal dementia , surgery , pathology , disease , dementia
A 62-year-old woman presented with left frontotemporal pain, scalp tenderness and raised levels of inflammatory markers. Temporal arteritis was considered likely, and symptoms resolved with prednisone therapy. This delayed diagnostic bone biopsy until a soft tissue abscess formed, and Pott's puffy tumour associated with Prevotella osteomyelitis of the frontal bone was diagnosed. This case highlights the value of early histopathological examination, and is a reminder of a condition seen frequently in the pre-antibiotic era.