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Title: Pituitary abscess presenting a very rapid progression: report of a fatal case.
Authors: Kotani, Hirokazu  kyouindb  KAKEN_id
Abiru, Hitoshi
Miyao, Masashi  kyouindb  KAKEN_id
Kakimoto, Yu
Kawai, Chihiro
Ozeki, Munetaka  kyouindb  KAKEN_id
Tsuruyama, Tatsuaki  kyouindb  KAKEN_id
Tamaki, Keiji  kyouindb  KAKEN_id
Author's alias: 小谷, 泰一
Keywords: pituitary abscess
pituitary adenoma
rapid progression
fatal case
hypothalamic involvement
histopathology
Issue Date: Sep-2012
Publisher: Lippincott Williams & Wilkins
Journal title: The American journal of forensic medicine and pathology
Volume: 33
Issue: 3
Start page: 280
End page: 283
Abstract: Pituitary abscess is a rare disease presenting with nonspecific clinical symptoms, and diagnosis is often difficult. This disease is potentially life-threatening, but most cases have a chronic and indolent course. We report a case of a 60-year-old man with a pituitary abscess associated with pituitary adenoma who died 5 days after the onset of clinical symptoms without a definitive diagnosis. Postmortem computed tomography and autopsy findings revealed a sellar mass with cystic change and extension toward the optic chiasm. Histopathology of the lesion demonstrated an abscess with suppurative meningitis and encephalitis. The disturbance of the cardiac autonomic nervous system because of hypothalamus involvement was suggested as the cause of rapid progression and death. This case provides useful information for clinicians to avoid a lethal outcome.
Rights: © 2012 Lippincott Williams & Wilkins, Inc.
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
URI: http://hdl.handle.net/2433/182943
DOI(Published Version): 10.1097/PAF.0b013e3182557dcf
PubMed ID: 22835970
Appears in Collections:Journal Articles

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