Anterior hypopituitarism due to primary empty sella syndrome in a critically unwell patient.
| Autor: | Rajesh M; Foundation School, Northampton General Hospital NHS Trust, Northampton, UK mariyarajesh932@gmail.com., Omer T; Northampton General Hospital NHS Trust, Northampton, Northamptonshire, UK., Chinniah S; Northampton General Hospital NHS Trust, Northampton, Northamptonshire, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2023 Dec 11; Vol. 16 (12). Date of Electronic Publication: 2023 Dec 11. |
| DOI: | 10.1136/bcr-2023-255879 |
| Abstrakt: | A previously fit and well male in his early 40s, presented to the emergency department, hypotensive, bradycardic and hypothermic with reduced levels of consciousness after being found diaphoretic and unwell at his home. Despite fluid resuscitation with warmed saline, he remained hypotensive and required vasopressor support leading to intensive care admission. Initially, the patient was managed for suspected meningoencephalitis but was later found to have hypopituitarism leading to secondary hypothyroidism and adrenal insufficiency. Subsequent investigations revealed it is due to empty sella syndrome. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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