I read the article by Jaiswal et al
[1]
with great interest and I need to make few contibutions. In 2001, we published our
experience with a very similar case in a journal indexed by Science Citation Index
[2]
. The patient was a 37-year-old man who presented with reddening of the left eye.
A pituitary mass was diagnosed during work-up and endocrinologic evaluation revealed
a prolactin level of 542.9 ng/ml (N:2–15). The patient underwent transsphenoidal surgery.
During the removal of the sellar floor, possibly due to a minute inadvertent tear
in the dura, a yellow viscous material filled the operative field. The hole was then
enlarged to drain a total of 8–9 ml of yellowish, creamy pus with a few air bubbles.
After relaxation of the sellar anatomy, a yellow-pink fragile tumor was curetted from
the lateral and inferoposterior aspects of the sella. The microbiological smears from
the pus revealed gram-postive cocci and aerobic cultures revealed growth of methicillin-sensitive
Staphyloccus aureus. With appropriate intravenous antibiotic treatment, the patient made an uneventful
recovery. Prolactin level at discharge was 13.6 ng/ml. At 6 years’ follow-up, the
patient remains free of any symptom and/or recurrence.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Clinical NeuroscienceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Pituitary abscess associated with prolactinoma.J Clin Neurosci. 2004; 11: 533-534
- Abscess formation within a pituitary adenoma: Report of a case and review of the literature.Infect Dis Clin Prac. 2001; 10: 373-376
- Pituitary abscess.J Clin Neurosci. 1999; 6: 351-353
- Abscess formation in a pituitary adenoma.J Neurol Neurosurg Psychiatry. 1952; 15: 66-67
- Abscess of the pituitary gland in a diabetic patient.Diabetes. 1955; : 223-225
- Pituitary abscess following general sepsis in a diabetic patient.JAMA. 1976; 235: 1476
Article info
Identification
Copyright
© 2005 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
