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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Ed. by Bereket, Abdullah / Darendeliler, Feyza / Dattani, Mehul / Gustafsson, Jan / Luo, Feihong / Mericq, Veronica / Roth, Christian / Toppari, Jorma

Editorial Board Member: Battelino, Tadej / Buyukgebiz, Atilla / Cassorla, Fernando / Chrousos, George P. / Cutfield, Wayne / Fideleff, Hugo L. / Hershkovitz, Eli / Hiort, Olaf / LaFranchi, Stephen H. / Lanes M. D., Roberto / Mohn, Angelika / Root, Allen W. / Rosenfeld, Ron G. / Werther, George / Zadik, Zvi

12 Issues per year


IMPACT FACTOR 2016: 1.233

CiteScore 2016: 1.09

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Source Normalized Impact per Paper (SNIP) 2016: 0.602

Online
ISSN
2191-0251
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Volume 24, Issue 9-10 (Oct 2011)

Issues

Seventeen-year-old adolescent with pituitary abscess

Michelle I. Lin / Anna J. Janss
  • Division of Hematology Oncology in the Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ David Wrubel / Lillian R. Meacham
  • Division of Pediatric Endocrinology, Emory University School of Medicine, Atlanta, GA, USA
  • Division of Hematology Oncology in the Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2011-09-08 | DOI: https://doi.org/10.1515/JPEM.2011.344

Abstract

Pituitary abscess is a rare but potentially life-threatening infectious process. Diagnosis is challenging as symptoms are non-specific and signs of infection may be absent. We report the case of a previously healthy 17-year-old male who presented with worsening headaches, polyuria, polydipsia and no clinical signs of infection. On evaluation, he was found to have hypopituitarism with diabetes insipidus, hypothyroidism and adrenal insufficiency. An imaging study revealed a pituitary mass. He underwent transsphenoidal biopsy to rule out tumor. The abscess was drained transsphenoidally and he was treated with parental antibiotics. Magnetic resonance imaging one year later revealed a normal pituitary without any evidence of abscess or mass. He continues to require thyroid, adrenal and anti-diuretic hormone replacements. As with any pituitary lesion, prompt complete hypothalamic pituitary evaluation is essential to avoid potentially life-threatening consequences.

Keywords: abscess; adolescent; hypopituitarism; pituitary disease

About the article

Corresponding author: Michelle I. Lin, Division of Pediatric Endocrinology, Emory Children’s Center, 2015 Uppergate Drive, Atlanta, GA 30322, USA


Received: 2011-07-07

Accepted: 2011-07-20

Published Online: 2011-09-08

Published in Print: 2011-10-01


Citation Information: Journal of Pediatric Endocrinology and Metabolism, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/JPEM.2011.344.

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