Pituitary apoplexy secondary to dengue fever-induced-thrombocytopenia:A case report and review of literature  

作　　者：Rishi Agarwal Hardeva Ram Nehara Babulal Meena RP Agrawal 

机构地区：[1]Departments of Medicine,SP Medical College,Bikaner,Rajasthan,India [2]Endocrinology,SP Medical College,Bikaner,Rajasthan,India

出　　处：《Journal of Acute Disease》2023年第1期39-42,共4页急性病杂志（英文版）

摘　　要：Rationale:Pituitary apoplexy(PA)is a rare endocrine emergency that requires prompt diagnosis and management.Dengue fever-induced-thrombocytopenia may rarely predispose to PA.Patient’s Concern:A 58-year-old male patient having known pituitary macroadenoma presented to the emergency department with fever,a sudden onset severe headache,and altered sensorium.Diagnosis:Pituitary apoplexy caused by dengue fever-induced-thrombocytopenia.Interventions:Conservative management with fluids,mannitol,dexamethasone and symptomatic treatment.Outcomes:The patient responded well to the treatment and was discharged uneventfully.Lessons:Although dengue hemorrhagic fever is a rare cause of pituitary apoplexy,it should be considered if a patient presents with headache and altered sensorium,and prompt initiation of treatment is crucial to prevent fatality and neuro-ophthalmic deficits.

关 键 词：Dengue hemorrhagic fever Pituitary adenoma APOPLEXY THROMBOCYTOPENIA Endocrine emergency 

分 类 号：R512.8[医药卫生—内科学]