2012年9月
Pituitary Abscess Presenting a Very Rapid Progression Report of a Fatal Case
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY
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- 巻
- 33
- 号
- 3
- 開始ページ
- 280
- 終了ページ
- 283
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1097/PAF.0b013e3182557dcf
- 出版者・発行元
- LIPPINCOTT WILLIAMS & WILKINS
Pituitary abscess is a rare disease presenting with nonspecific clinical symptoms, and diagnosis is often difficult. This disease is potentially life-threatening, but most cases have a chronic and indolent course. We report a case of a 60-year-old man with a pituitary abscess associated with pituitary adenoma who died 5 days after the onset of clinical symptoms without a definitive diagnosis. Postmortem computed tomography and autopsy findings revealed a sellar mass with cystic change and extension toward the optic chiasm. Histopathology of the lesion demonstrated an abscess with suppurative meningitis and encephalitis. The disturbance of the cardiac autonomic nervous system because of hypothalamus involvement was suggested as the cause of rapid progression and death. This case provides useful information for clinicians to avoid a lethal outcome.
- リンク情報
- ID情報
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- DOI : 10.1097/PAF.0b013e3182557dcf
- ISSN : 0195-7910
- eISSN : 1533-404X
- PubMed ID : 22835970
- Web of Science ID : WOS:000308045500029