Title |
Presumed Pituitary Abscess without Infectious Source Treated Successfully with Antibiotic Alone |
Creator |
Kaur, A; Agrawal, A; Mittal, M |
Affiliation |
Department of Ophthalmology, King George's Medical University, Lucknow, India. |
Abstract |
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. |
Subject |
Administration, Oral; Amikacin, therapeutic use; Anti-Bacterial Agents, therapeutic use; Brain Abscess, diagnosis; Brain Abscess, drug therapy; Cefadroxil, therapeutic use; Cefazolin, therapeutic use; Child; Chloramphenicol, therapeutic use; Drug Therapy, Combination; Female; Humans; Infusions, Intravenous; Pituitary Diseases, diagnosis; Pituitary Diseases, drug therapy; Tomography, X-Ray Computed |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
225433 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s69058t8/225433 |