Successful treatment of pituitary abscess with oral administration of sparfloxacin.
Pituitary abscess is a rare infection and it is difficult to make the correct diagnosis. It is usually treated by a combination of surgical drainage and intravenous administration of antibiotics. We describe a 74-year-old woman with recurrent meningo-encephalitis due to pituitary abscess. The abscess increased in size in spite of the intravenous administration of panipenem/betamipron (PAPM/BP), clindamycin (CLDM) and chloramphenicol (CP). Finally she was successfully treated with oral administration of sparfloxacin (SPFX) without operation.
Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka. uchy@cclm.med.kyushu-u.ac.jp
Yujiro
Y
Uchida
Noriko
N
Tsuchimochi
Miwako
M
Oku
Naoko
N
Fujihara
Nobuyuki
N
Shimono
Kaoru
K
Okada
Mine
M
Harada
D000284:Administration, Oral; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001922:Brain Abscess / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D024841:Fluoroquinolones / Q000008:administration & dosage*; D006801:Humans; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000188:drug therapy* / Q000209:etiology; D010900:Pituitary Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*
D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones; C061363:sparfloxacin