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KMID : 1148020180430010034
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조선대학교의대논문집
2018 Volume.43 No. 1 p.34 ~ p.37
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Bacterial Meningitis as the Initial Presentation of Pituitary Macroadenoma
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Ha Sang-Woo
Choi Pahn-Kyu
Chung Ji-Yeon
Kang Hyun-Goo
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Abstract
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Bacterial meningitis is an uncommon complication of pituitary macroadenoma. Bacterial meningitis can occur in patients with pituitary macroadenoma who have received sphenoidal surgery or had cerebrospinal fluid (CSF) rhinorrhea. A 62-year-old male visited our hospital for headache and fever. Brain magnetic resonance imaging showed a pituitary macroadenoma. CSF study revealed acute bacterial meningitis. Intravenous antibiotics and hydrocortisone replacement therapy were started, and lead to good clinical outcome. Bacterial meningitis should be considered in patients with a pituitary macroadenoma who present with meningitis symptoms, even though in the absence of rhinorrhea or surgical history.
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KEYWORD
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Bacterial meningitis, Magnetic resonance image, Pituitary macroadenoma
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