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KMID : 0882420090770010133
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Korean Journal of Medicine
2009 Volume.77 No. 1 p.133 ~ p.138
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A case of Klebsiella pneumoniae pituitary abscess cured by medical treatment
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Kim Sung-Soo
Park Kyung-Hwa
Jung Sook-In
Jang Mi-Ok
Kang Seung-Ji
Jung Young-Sun
Shin Jong-Hee
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Abstract
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Pituitary abscesses are rare, but potentially life-threatening. Drainage of the abscess through a transsphenoidal approach is the standard treatment for a pituitary abscess. Recently, we experienced a patient with a Klebsiella pneumoniae pituitary abscess who was cured using antibiotics, without surgery. A 52-year-old man had a chronic, persistent headache for 1 month. Magnetic resonance imaging showed a fluid collection in his pituitary fossa. Pituitary hormone tests showed mild hypopituitarism. He was put on antibiotics and discharged after 6 weeks without sequelae. An early diagnosis and adequate antibiotics treatment for this life-threatening infection can result in an excellent prognosis.
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KEYWORD
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Pituitary abscess, Klebsiella pneumoniae
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