Pituitary apoplexy initially mistaken for bacterial meningitis

We presented a case of a 62-year-old man whose initial clinical picture was suggestive of bacterial meningitis, but instead had pituitary apoplexy. We highlighted how pituitary apoplexy can mimic bacterial meningitis, learning points on how clinical assessment can aid earlier diagnosis and the impor...

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Bibliographic Details
Published in:BMJ case reports 2013-09, Vol.2013, p.bcr2013009223
Main Authors: Wong, Sui Hsien, Das, Kumar, Javadpour, Mohsen
Format: Article
Language:English
Subjects:
Adenoma - complications
Adenoma - diagnosis
Chemical reactions
Diagnosis, Differential
Headaches
Hemorrhage
Humans
Learning from Errors
Localization
Male
Meningitis
Meningitis, Bacterial - diagnosis
Middle Aged
Mortality
Patients
Pituitary Apoplexy - complications
Pituitary Apoplexy - diagnosis
Pituitary Apoplexy - etiology
Pituitary Neoplasms - complications
Pituitary Neoplasms - diagnosis
Sinuses
Tumors
United Kingdom
White
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Summary:We presented a case of a 62-year-old man whose initial clinical picture was suggestive of bacterial meningitis, but instead had pituitary apoplexy. We highlighted how pituitary apoplexy can mimic bacterial meningitis, learning points on how clinical assessment can aid earlier diagnosis and the importance of considering this differential diagnosis, particularly with the associated morbidity and mortality if missed.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-009223