Fungal sellar abscess is rare. A 42-year-old man was admitted with 2-month headache characterized by right peri-orbital pain. An intrasellar mass was found to be simulated a pituitary neoplasm after magnetic resonance imaging examination, and operated on via an endoscopic trans-sphenoidal approach. Milk-like pus and a mass of ash black mixed and necrotic material were found and removed. Histopathology revealed numerous aspergillus hyphae. Itraconazole was given on a dosage of 200 mg twice a day orally for 6 weeks. No recurrence was observed during follow-up. Complete surgical resection through endoscopic trans-sphenoidal approach combined with systemic anti-fungal therapy, should be considered as the optimal treatment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4582039 | PMC |
| http://dx.doi.org/10.1186/s40064-015-1343-6 | DOI Listing |
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Article Synopsis
- * A case of a 52-year-old male with visual disturbances led to the discovery of a PA during surgery, where pus was drained and Staphylococcus aureus was cultured; he successfully recovered after 12 weeks of antibiotics.
- * Diagnosis of PA is challenging due to non-specific symptoms, but early recognition and treatment, including surgery and antibiotics, generally result in positive outcomes.
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