A 15-year-old male presented with acute left forehead swelling (Figure, A, arrow) and tenderness following a one-month history of worsening headache secondary to extensive frontal sinusitis. Imaging showed a scalp abscess, frontal bone osteomyelitis and underlying resolving sinusitis (Figure, B, arrow). Management included abscess drainage and bilateral endoscopic sinus surgery. Streptococcus anginosus was isolated and he completed a 6-week course of intravenous benzylpenicillin.
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- 1. Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas and Bennett’s principles and practice of infectious diseases. 8th ed. Elsevier: 2014.
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We thank Jillian Lau for her contribution to the clinical case, editing of early drafts and contribution of clinical photography.
No relevant disclosures.