Case presentation A 5-year-old boy reported to the hospital with forehead swelling preceded by a recent sinus infection. His initial symptoms included fever and nasal congestion, for which he was prescribed antibiotics for ten days. The patient had completed the antibiotic course three days before the admission.
He subsequently developed headache, photophobia, unsteady gait, vomiting, and progressive forehead swelling. Physical examination revealed: Central forehead edema and tenderness with no overlying erythema (cover image A) No neurological or ophthalmological deficits Magnetic resonance imaging (MRI)/ Magnetic resonance venography (MRV) of the head revealed (Cover image B): A 3.5×1.2×3.9 cm subgaleal abscess with communication to the frontal sinuses Osteomyelitis of the frontal bone The patient underwent surgical drainage of the abscess, which expressed a purulent fluid (Figure 1).…
