Presumed pituitary abscess without infectious source treated successfully with antibiotics alone.
A 12-year-old girl developed acute frontal headache and severe visual loss in both eyes. A presumptive diagnosis of pituitary abscess was made on the basis of suggestive magnetic resonance imaging findings. These consisted of a large non-enhancing area within the pituitary gland and thin irregular glandular rim enhancement. There was no evidence of pre-existing intracranial or systemic infection. The patient recovered completely after treatment with intravenous and oral antibiotics without surgical drainage. This case highlights the need for a high index of suspicion for pituitary abscess based on unusual imaging findings even when there is no source of infection.
Kaur
Apjit
A
Department of Ophthalmology, King George's Medical University, Lucknow, India.
Agrawal
Ajai
A
Mittal
Manish
M
D000284:Administration, Oral; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy*; D002434:Cefadroxil / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002648:Child; D002701:Chloramphenicol / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D010900:Pituitary Diseases / Q000175:diagnosis / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D002434:Cefadroxil; D002701:Chloramphenicol; D000583:Amikacin; D002437:Cefazolin