Korean J Med.
2009 Jul;77(1):133-138.
A case of Klebsiella pneumoniae pituitary abscess cured by medical treatment
- Affiliations
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- 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. medkid@dreamwiz.com
- 2Department of Laboratory Medicine, Chonnam National University Medical School, Gwangju, Korea.
Abstract
- Pituitary abscesses are rare, but potentially life-threatening. Drainage of the abscess through a transsphenoidal approach is the standard treatment for a pituitary abscess. Recently, we experienced a patient with a Klebsiella pneumoniae pituitary abscess who was cured using antibiotics, without surgery. A 52-year-old man had a chronic, persistent headache for 1 month. Magnetic resonance imaging showed a fluid collection in his pituitary fossa. Pituitary hormone tests showed mild hypopituitarism. He was put on antibiotics and discharged after 6 weeks without sequelae. An early diagnosis and adequate antibiotics treatment for this life-threatening infection can result in an excellent prognosis.
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