내과적 치료로 호전된 Klebsiella pneumoniae에 의한 뇌하수체 농양 1예
A case of Klebsiella pneumoniae pituitary abscess cured by medical treatment
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초록
뇌하수체 농양은 매우 드물지만 터키안 기저부의 골수막염에 의한 직접 전파에 의해 발생가능하다. 저자들은 편도주위와 후두인두염으로 치료 중 뇌기저부의 골수염이 동반되었으나 간과하고 항생제를 조기 중단 후 악화되는 두통으로 내원한 환자에서 뇌 MRI와 혈액배양으로 K. pneumoniae에 의한 뇌하수체 농양을 진단하고 수술적 치료없이 항생제 치료만으로 호전된 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.
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.
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