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The Korean Journal of Medicine 2009;77(1): 133-138.
내과적 치료로 호전된 Klebsiella pneumoniae에 의한 뇌하수체 농양 1예
김성수, 박경화, 정숙인, 장미옥, 강승지, 정영선, 신종희
A case of Klebsiella pneumoniae pituitary abscess cured by medical treatment
Sung Soo Kim, Kyung-Hwa Park, Sook-In Jung, Mi Ok Jang, Seung Ji Kang, Young-Sun Jung, Jong Hee Shin
ABSTRACT
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. (Korean J Med 77:133- 138, 2009)
Keywords: Pituitary abscess; Klebsiella pneumoniae
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