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Year : 2023  |  Volume : 12  |  Issue : 1  |  Page : 39-42

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

1 Department of Medicine and SP Medical College, Bikaner, Rajasthan, India
2 Department of Endocrinology, SP Medical College, Bikaner, Rajasthan, India

Correspondence Address:
Hardeva Ram Nehara
Department of Endocrinology, SP Medical College, Bikaner, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2221-6189.369078

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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.

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