Successful Treatment of Pituitary Abscess with Oral Administration of Sparfloxacin

Yujiro Uchida; Noriko Tsuchimochi; Miwako Oku; Naoko Fujihara; Nobuyuki Shimono; Kaoru Okada; Mine Harada

doi:10.2169/internalmedicine.47.0385

CASE REPORTS

Successful Treatment of Pituitary Abscess with Oral Administration of Sparfloxacin

Yujiro Uchida, Noriko Tsuchimochi, Miwako Oku, Naoko Fujihara, Nobuyuki Shimono, Kaoru Okada, Mine Harada

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Keywords: intrasellar cystic mass, meningo-encephalitis, magnetic resonance imaging, sparfloxacin

JOURNAL OPEN ACCESS

2008 Volume 47 Issue 12 Pages 1147-1151

DOI https://doi.org/10.2169/internalmedicine.47.0385

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Abstract

Pituitary abscess is a rare infection and it is difficult to make the correct diagnosis. It is usually treated by a combination of surgical drainage and intravenous administration of antibiotics. We describe a 74-year-old woman with recurrent meningo-encephalitis due to pituitary abscess. The abscess increased in size in spite of the intravenous administration of panipenem/betamipron (PAPM/BP), clindamycin (CLDM) and chloramphenicol (CP). Finally she was successfully treated with oral administration of sparfloxacin (SPFX) without operation.

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