Lung aspergilloma with pituitary invasive aspergillosis presenting as headache and hyponatraemia.
Aged
Antifungal Agents
/ therapeutic use
Diabetes Complications
Diabetes Mellitus
Endoscopy
Headache
/ etiology
Hemoptysis
/ etiology
Humans
Hypertension
Hyponatremia
/ etiology
Hypopituitarism
/ diagnosis
Inappropriate ADH Syndrome
/ diagnosis
Magnetic Resonance Imaging
Male
Neuroaspergillosis
/ complications
Pituitary Diseases
/ complications
Pulmonary Aspergillosis
/ complications
Renal Insufficiency, Chronic
Sphenoid Sinusitis
/ complications
Thoracic Surgery, Video-Assisted
Voriconazole
/ therapeutic use
infectious diseases
otolaryngology / ENT
pituitary disorders
respiratory medicine
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
27 Jan 2021
27 Jan 2021
Historique:
entrez:
28
1
2021
pubmed:
29
1
2021
medline:
24
2
2021
Statut:
epublish
Résumé
Fungal infections involving the pituitary gland are rare and can be life threatening. A 75-year-old man with hypertension and diabetes mellitus presented with headache and hyponatraemia. Imaging study showed right upper lung mass, and mass resection showed aspergilloma without tissue invasion on histology. The patient developed visual impairment a few weeks later, and MRI of the brain revealed bilateral sphenoid sinusitis and pituitary invasion. The trans-sphenoidal biopsy confirmed invasive
Identifiants
pubmed: 33504528
pii: 14/1/e238721
doi: 10.1136/bcr-2020-238721
pmc: PMC7843313
pii:
doi:
Substances chimiques
Antifungal Agents
0
Voriconazole
JFU09I87TR
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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