| CASE REPORT |
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| Year : 2023 | Volume
: 12
| Issue : 1 | Page : 39-42 |
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Pituitary apoplexy secondary to dengue fever-induced-thrombocytopenia: A case report and review of literature
Rishi Agarwal1, Hardeva Ram Nehara2, Babulal Meena1, RP Agrawal1
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
India
 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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