Endocrine Abstracts

Pituitary abscess is a rare condition, with approximately 200 cases reported in the literatüre. Two-thirds of pituitary abscess which occurs without any of the aforementioned risk factors are primary type while remaining are secondary type-abscess. A 58 year old female patient presented with fatigue, headache and loss of appetite for two months. Laboratory analysis showed high ESR and CRP levels also hypocortisolism, hypothyroidism, hypogonadism. Pituitary MRI showed a mass measuring 30x20 mm dense, cystic, lesion on T2 weighted coronal view, which caused enlargement in the sella turcica, suprasellar cistern obliteration, indistinguishable from the pituitary gland, pushing the stalk to the superior and right posterolateral. She has no visual defect on ophtalmological examination. TSE surgery was done and purulent material was seen intraoperatively. No tumor or other associated lesion was detected. Culture of the specimen was negative. The patient treated with metronidazole,ceftriaxone and linezolid for 2 weeks and 4 weeks of metronidazole, ceftriaxone and sulfamethoxazole/trimethoprim. Her headache, fatigue, loss of appetite resolved. After surgery hypopituitarism continued and treated with oral prednisolon and L-thyroxine therapy.