title: An uncommon cause of recurrent pyogenic meningitis: pituitary abscess.
abstract: The authors report a 36-year-old male who presented with headache and hypopituitarism, and MRI revealed a ring enhancing lesion with pituitary stalk thickening. During follow-up, he presented with recurrent pyogenic meningitis with persistence of the lesion, therefore a diagnosis of pituitary abscess was considered. He underwent trans-sphenoidal surgery (TSS) with evacuation of pus and received antibiotic treatment for the same. After this he remarkably improved and had no recurrence of symptoms. He is on levothyroxine, glucocorticoids and testosterone replacement therapy for his respective hormone deficits.
authors: Department of Endocrinology, Postgraduate Institute of Medical and Educational Research, Chandigarh, India.
authors: Rama
authors: R
authors: Walia
authors: Anil
authors: A
authors: Bhansali
authors: Pinaki
authors: P
authors: Dutta
authors: G
authors: G
authors: Shanmugasundar
authors: Kanchan Kumar
authors: KK
authors: Mukherjee
authors: Vimal
authors: V
authors: Upreti
authors: Ashim
authors: A
authors: Das
mesh_terms: D000038:Abscess / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D010902:Pituitary Gland / Q000382:microbiology; D012008:Recurrence
chemical_list: D000900:Anti-Bacterial Agents