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PubMed · 17113986

Pituitary abscess.

Yen-Hao Su·Yun Chen·Sheng-Hong Tseng
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Abstract

Pituitary abscess is a rare disease, but one with potentially high mortality and morbidity. We present a 46-year-old man with progressive visual disturbance and general malaise for 1 year. Endocrine studies revealed hypopituitarism, and magnetic resonance imaging revealed a pituitary lesion with suprasellar extension. We attempted to excise the lesion using a transsphenoidal approach, but pus in the pituitary fossa was found at operation, and no tumour was identified. The culture yielded coagulase-negative Staphylococcus. Antibiotics were administered for 3 weeks, and the patient made a good postoperative recovery. He required life-long hormone replacement therapy. After one and a half years of follow-up, he was well and had no evidence of focal or systemic infection. We review the literature regarding pituitary abscess and discuss the appropriate treatment and possible pathological mechanism.

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Anti-Bacterial AgentsBrain AbscessCentral Nervous System Bacterial InfectionsHormone Replacement TherapyHumansHypopituitarismMagnetic Resonance ImagingMaleMiddle AgedNeurosurgical ProceduresPituitary DiseasesPituitary GlandSella TurcicaStaphylococcal InfectionsTreatment OutcomeVision DisordersCase ReportsJournal Article

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BibTeXRIS

Yen-Hao Su, Yun Chen, Sheng-Hong Tseng. 2006. Pituitary abscess.. https://doi.org/10.1016/j.jocn.2005.12.033

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