Aspergillus pituitary abscess

İplikçioğlu, A. Celal; Bek, Şirzat; Bikmaz, Kerem; Ceylan, D.; Gökduman, C. A.

doi:10.1007/s00701-004-0256-x

Cited by 44 publications

(50 citation statements)

References 16 publications

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“…Some clinical trials have indicated superiority of voriconazole in comparison to amphotericin-B for first-line therapy in patients with Aspergillosis in terms of survival, response rates and safety [13,14]. For the second case the voriconazole was not available, so liposomal amphotericin B was used.…”

Section: Discussionmentioning

confidence: 99%

Aspergillus flavus Brain Abscess in Immunocompetent Teenagers: a Case Series with Review of Literature

Bangash¹

2017

JCR

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Background: Aspergillus is a saprophytic filamentous fungus that is the predominant mold pathogen of the immunosuppressed population. Cerebral involvement with aspergilloma carries a very high mortality rate. Case Report: This article reports two cases of immunocompetent teenager females involved with cerebral aspergilloma with different outcomes. First patient was 15 year old girl who presented with headache after functional endoscopic surgery. CT scan showed subarachnoid hemorrhage with basilar tip aneurysm and hydrocephalus. Second patient was 19 years old female, presenting with generalized tonic-clonic seizure, CT brain showed right parietal mass. Aspergillus flavus was isolated from both patients. Conclusion: Aspergillosis is a rare presentation in immunocompetent patients with incidental diagnosis.

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Section: Discussionmentioning

confidence: 99%

Aspergillus flavus Brain Abscess in Immunocompetent Teenagers: a Case Series with Review of Literature

Bangash¹

2017

JCR

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“…and Streptococcus spp., followed by Neisseria spp., Micrococcus, Citrobacter spp., Escherichia coli, Brucella, Salmonella, Corynebacterium and Mycobacterium. However, in immunosuppressed patients, Aspergillus, Candida and Histoplasma are the most frequent pathogens [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…and Streptococcus spp., followed by Neisseria spp., Micrococcus, Citrobacter spp., Escherichia coli, Brucella, Salmonella, Corynebacterium & Mycobacterium [5]. However, in immunosuppressed patients, Aspergillus, Candida and Histoplasma are the most frequent pathogens [6]. Preoperative diagnosis is difficult because of rarity of disease, nonspecific symptoms and ring enhancing other pituitary lesions [7].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report

Nath

Shah

Barua

et al. 2017

IJRRT

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Background: Pituitary abscess is less common but life threating which is usually misdiagnosed as pituitary tumor pre-operatively, in spite of radiological advancement. Definite diagnosis is possible only postoperatively. Material and methods:we report a case of 40 years old woman, admitted in our department with symptoms of headache, visual impairment and pituitary dysfunction. MRI brain revealed sellar and supra-sellar mass consistent with pituitary tumor. She eventually underwent endoscopic trans-sphenoidal removal. Per operatively pus was evident. A month later, she was well and fully recovered pituitary function. Results:The histopathological examination confirmed presence wall of abscess cavity, however, Culture showed no growth. Conclusion:This case report gives emphasis on the importance of considering pituitary abscess as a differential diagnosis in patients with sella/supra-sellar mass. Early diagnosis and surgical management of a pituitary abscess significantly decreases morbidity and mortality, and it also helps to establish the definite diagnosis.

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“…The responsible microorganisms in abscess formation are common and include several gram-positive and gramnegative bacteria and rarely fungi such as Aspergillus [10,11] or Candida subspecies [12]. Seldom, tuberculous infection of the pituitary was described [13].…”

Section: Discussionmentioning

confidence: 99%

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

Pepene¹,

Ilie²,

Mihu³

et al. 2008

Pituitary

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Primary pituitary abscess is a rare pituitary pathology, particularly at a young age and is characterized by atypical clinical features making the diagnosis difficult. Correct diagnosis and therapy are mandatory due to the potentially lethal outcome of pituitary infection. We report the case of an adolescent girl presenting with headache, diabetes insipidus and central thyro-gonadic insufficiency with no history of infection, in whom the intra-operative diagnosis of primary pituitary abscess was made. Bacterial cultures indicated infection with Streptococcus spp. One year after neurosurgery and antibiotic therapy, recovery of diabetes insipidus and pituitary insufficiency was documented except for persistence of subnormal growth hormone secretion. Post-surgery, pituitary magnetic resonance imaging revealed an empty sella syndrome.

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Aspergillus pituitary abscess

Cited by 44 publications

References 16 publications

Aspergillus flavus Brain Abscess in Immunocompetent Teenagers: a Case Series with Review of Literature

Aspergillus flavus Brain Abscess in Immunocompetent Teenagers: a Case Series with Review of Literature

Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

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