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Rare disease
An uncommon cause of recurrent pyogenic meningitis: pituitary abscess
  1. Rama Walia1,
  2. Anil Bhansali1,
  3. Pinaki Dutta1,
  4. G Shanmugasundar1,
  5. Kanchan Kumar Mukherjee2,
  6. Vimal Upreti1,
  7. Ashim Das3
  1. 1Department of Endocrinology, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
  2. 2Department of Neurosurgery, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
  3. 3Department of Histopathology, Postgraduate Institute of Medical and Educational Research, Chandigarh, India
  1. Correspondence to Anil Bhansali, anilbhansali_endocrine{at}rediffmail.com

Summary

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.

https://doi.org/10.1136/bcr.06.2009.1945

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.