Document Detail

Seventeen-year-old adolescent with pituitary abscess.
MedLine Citation:
PMID:  22145473     Owner:  NLM     Status:  In-Process    
Pituitary abscess is a rare but potentially life-threatening infectious process. Diagnosis is challenging as symptoms are non-specific and signs of infection may be absent. We report the case of a previously healthy 17-year-old male who presented with worsening headaches, polyuria, polydipsia and no clinical signs of infection. On evaluation, he was found to have hypopituitarism with diabetes insipidus, hypothyroidism and adrenal insufficiency. An imaging study revealed a pituitary mass. He underwent transsphenoidal biopsy to rule out tumor. The abscess was drained transsphenoidally and he was treated with parental antibiotics. Magnetic resonance imaging one year later revealed a normal pituitary without any evidence of abscess or mass. He continues to require thyroid, adrenal and anti-diuretic hormone replacements. As with any pituitary lesion, prompt complete hypothalamic pituitary evaluation is essential to avoid potentially life-threatening consequences.
Michelle I Lin; Anna J Janss; David Wrubel; Lillian R Meacham
Related Documents :
8491893 - Rib counting on ct using the sternal approach.
15338083 - Kniest dysplasia: mr correlation of histologic and radiographic peculiarities.
16650993 - The diagnostic impact of contrast-enhanced mri in management of breast disease.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric endocrinology & metabolism : JPEM     Volume:  24     ISSN:  0334-018X     ISO Abbreviation:  J. Pediatr. Endocrinol. Metab.     Publication Date:  2011  
Date Detail:
Created Date:  2011-12-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508900     Medline TA:  J Pediatr Endocrinol Metab     Country:  England    
Other Details:
Languages:  eng     Pagination:  771-3     Citation Subset:  IM    
Division of Pediatric Endocrinology, Emory Children's Center, 2015 Uppergate Drive, Atlanta, GA 30322, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Congenital hypopituitarism presenting as dilated cardiomyopathy in a child.
Next Document:  Blastomycosis of the central nervous system in a child: a rare cause of hypopituitarism.