Pituitary abscess: clinical manifestations, diagnosis and treatment of 66 cases from a large pituitary center over 23 years

Gao, Lu; Guo, Xiaopeng; Tian, Rui; Wang, Qiang; Feng, Ming; Bao, Xinjie; Deng, Kan; Yao, Yong; Lian, Wei; Wang, Renzhi; Xing, Bing

doi:10.1007/s11102-016-0757-7

Cited by 63 publications

(114 citation statements)

References 30 publications

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“…Additionally, plenty of different microorganisms have been seen in surgical cultures from PA such as Neisseria spp., Micrococcus, Citrobacter spp., Escherichia coli, Brucella, Salmonella, Corynebacterium , and Mycobacterium 9. However, Aspergillus fumigatus was most frequently noted in cases of secondary PA 6. In our first case, no infectious agent was isolated, which might be due to previous antibiotic treatment.…”

Section: Discussionmentioning

confidence: 58%

“…Headache is the second-most common symptom. In another series of 66 patients, 46 reported a headache 6. Visual disorders, such as hemianopsia, are also commonly observed.…”

Section: Discussionmentioning

confidence: 94%

“…PAs are uncommon, with only about 270 cases globally reported to date 6. PA has an incidence of 1% among pituitary lesions 2,6–9…”

Section: Discussionmentioning

confidence: 99%

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Pituitary abscess: report of two cases and review of the literature

Liu¹,

Liu²,

Qi³

et al. 2017

NDT

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Pituitary abscess is a rare but critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. Since symptoms, signs and radiographic characteristics of pituitary abscess are similar to several other pituitary lesions, correct diagnosis before surgery is challenging. In this article, two cases of pituitary abscess treated in our department are reported, followed by a literature review. In these two cases, both patients presented with intermittent fever. Magnetic resonance imaging revealed a suprasellar lesion with rim enhancement after contrast injection. After transsphenoidal surgery, the diagnosis of pituitary abscess was confirmed. The patients were then given antibiotic treatment and recovered fully in less than 2 months. Findings of this article support timely diagnosis and proper treatment including transsphenoidal surgery and antibiotic therapy for pituitary abscess, leading to lower mortality rates and higher probability of pituitary hormone function recovery.

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Section: Discussionmentioning

confidence: 58%

“…Headache is the second-most common symptom. In another series of 66 patients, 46 reported a headache 6. Visual disorders, such as hemianopsia, are also commonly observed.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Pituitary abscess: report of two cases and review of the literature

Liu¹,

Liu²,

Qi³

et al. 2017

NDT

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show abstract

“…After gadolinium administration, pituitary abscess demonstrates typical rim enhancement [3]. In particular, a recent case series shows this characteristic in about 67% of affected patients [6].…”

mentioning

confidence: 94%

Differential diagnosis of pituitary masses at magnetic resonance imaging

Corsello

Paragliola

2017

Endocrine

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“…Based on this database, several clinical trials have been carried out and some papers published. [12] Big data on Chinese pituitary disease have been obtained, which filled the defects of the pituitary disease epidemiology in the world, because China is one of the most important parts of the world. These precious data have provided solid evidence for the writing of expert consensus and guidelines about the management of pituitary disease.…”

mentioning

confidence: 99%