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

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 w...

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Bibliographic Details
Published in:Journal of acute disease 2023-01, Vol.12 (1), p.39-42
Main Authors: Agarwal, Rishi, Nehara, Hardeva, Meena, Babulal, Agrawal, R
Format: Article
Language:English
Subjects:
Cabergoline
Care and treatment
Corticosteroids
Dengue hemorrhagic fever
dengue hemorrhagic fever
pituitary adenoma
apoplexy
thrombocytopenia
endocrine emergency
Thrombocytopenia
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Summary: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.
ISSN:2221-6189
2221-6189
DOI:10.4103/2221-6189.369078