PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0620091945.
Published online 2010 July 26. doi:  10.1136/bcr.06.2009.1945
PMCID: PMC3030136
Rare disease
An uncommon cause of recurrent pyogenic meningitis: pituitary abscess
Rama Walia,1 Anil Bhansali,1 Pinaki Dutta,1 G Shanmugasundar,1 Kanchan Kumar Mukherjee,2 Vimal Upreti,1 and Ashim Das3
1Department of Endocrinology, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
2Department of Neurosurgery, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
3Department of Histopathology, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
Correspondence to Anil Bhansali, anilbhansali_endocrine/at/rediffmail.com
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.
Articles from BMJ Case Reports are provided here courtesy of
BMJ Group