Rathke’s cleft cyst abscess from Klebsiella

Author:

Ashraf Mohammad1,Iqbal Javed2,Husnain Ali2,Hussain Syed Shahzad3,Ashraf Naveed3

Affiliation:

1. Wolfson School of Medicine, University of Glasgow, Scotland, United Kingdom,

2. School of Medicine, King Edward Medical University, Lahore, Pakistan

3. Department of Neurosurgery, National Hospital and Medical Centre, Lahore, Pakistan,

Abstract

Pituitary abscesses are uncommon lesions accounting for <1% of all pituitary diseases. We report a case of a female microbiology technician with a rare congenital heart disease who developed an Rathke’s Cleft Cyst abscess from Klebsiella. A 26-year-old female biotechnician with a history of congenital heart disease and subclinical immunosuppression presented with a 10-month history of weight loss, amenorrhea, and visual deterioration. There was a history of previous unsuccessful transsphenoidal surgery. Radiology revealed a cystic lesion in the sellar region. The patient underwent an endoscopic endonasal intervention and the cystic cavity was washed with gentamicin, and the patient received meropenem postoperatively. The patient was followed up and had gradual improvement in her overall health, complete normality of her menstrual cycle, her visual field recovering to near normal and improving, no recurrence, and a stable cyst on magnetic resonance imaging.

Publisher

Scientific Scholar

Subject

Neurology (clinical),General Neuroscience

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