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Recurrent Aseptic Meningitis Revealing Primitive Pituitary Abscess.
Cureus
February 2025
Pediatrics, King Hamad University Hospital, Muharraq, BHR.
We report a case of primitive pituitary abscess (PA) in a teenage girl who was admitted on three occasions for acute meningitis. A lumbar puncture revealed aseptic meningitis and the brain MRI showed a well-defined intrasellar space-occupying lesion with suprasellar extension suggestive of macroadenoma. The patient remained free of symptoms between episodes of meningitis however she developed a diabetes insipidus.
View Article and Find Full Text PDFCraniopharyngioma and abscess: When tumor and infection co-exist.
Neurocirugia (Astur : Engl Ed)
March 2025
Departamento de Neurocirugía en Hospital Universitario 12 de Octubre, Madrid, Spain.
Pituitary abscesses are rare entities that may occur in a previously healthy gland or in the setting of a pituitary tumor. Only eleven cases of abscesses associated with craniopharyngioma have been reported in the literature. The etiology is unknown and the diagnosis is difficult because there are no specific clinical or radiologic features that allow us to suspect the synchrony of both entities before surgery.
View Article and Find Full Text PDFFever of Unknown Origin in a Young Woman With Multiple Comorbidities: A Diagnostic Challenge.
Cureus
February 2025
Infectious Disease, Cleveland Clinic Florida, Weston, USA.
Fever of unknown origin (FUO) presents a diagnostic challenge, requiring detailed evaluation of infectious, autoimmune, inflammatory, and neoplastic causes. We report the case of a 28-year-old female patient with a history of polycystic ovary syndrome, pituitary microadenoma, and prior thromboembolic events, who presented with two months of persistent fever, abdominal pain, and diarrhea. The patient recently traveled to Europe and reported freshwater swimming and walking barefoot on beaches.
View Article and Find Full Text PDFPathologic Findings of Cranial Abscesses Involving the Pituitary Gland in Free-Ranging White-Tailed Deer () in Pennsylvania.
Animals (Basel)
February 2025
Wildlife Futures Program, Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA 19348, USA.
Intracranial abscesses are a common cause of morbidity and mortality in neurologic free-ranging white-tailed deer (). These infections are typically attributed to and occur most often in adult males with concurrent antler and skull infections. A subset of intracranial abscesses in white-tailed deer are localized to the pituitary gland, with previously described reports in five white-tailed deer.
View Article and Find Full Text PDFSuccessful maintenance therapy with moxifloxacin for disseminated nocardiosis caused by Nocardia farcinica in a patient with Cushing's syndrome.
Diagn Microbiol Infect Dis
March 2025
Clinical Microbiology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain; Department of Microbiology, Pediatrics, Radiology and Public Health, Faculty of Medicine, Universidad de Zaragoza, Zaragoza, Spain; Group of Water and Environmental Health, Institute of Environmental Sciences (IUCA), Spain.
Nocardia species are aerobic, Gram-positive actinomycetes often causing opportunistic infections, particularly in immunocompromised hosts. Nocardia farcinica is notable for disseminated nocardiosis (DN), frequently involving the lungs and central nervous system (CNS). Cushing's syndrome (CS), characterized by hypercortisolemia, further predisposes patients to severe infections.
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