, Volume 18, Issue 4, pp 579–580 | Cite as

A rare case of pituitary tuberculoma-diagnosed and managed conservatively

  • Ankur Jain
  • Dinesh K. Dhanwal
  • Jyoti Kumar
Letter to the Editor


The editor-in-chief,

Sir, we report a case of a 25-years-old girl who presented to our hospital with bilateral diminution of vision since 10 days. Patient had low grade continuous fever, with evening rise of temperature, dry cough, weight loss, anorexia and headache associated with recurrent vomiting since 1 month, followed after 20 days by retro-orbital pain and visual blurring. On examination, patient was febrile but conscious and oriented. Vitals were BP-110/62 mm hg, pulse rate-92/min. There was pallor, but no icterus, clubbing, lymphadenopathy, loss of secondary sexual characters or postural hypotension. CNS examination revealed presence of meningeal signs, bilateral lateral rectus palsy, sluggishly reacting bilateral pupils with presence of relative afferent papillary defect and fundus examination revealed papilloedema. Rest of the CNS, cardiovascular, respiratory and abdomen examination were unremarkable. Patient’s investigations revealed- Hemoglobin-105gm/L, total...


Ofloxacin Tuberculin Skin Test Optic Neuritis Visual Evoke Potential Polymerase Chain Reaction Result 
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Conflict of interest

Authors have no conflicts of the interests.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of MedicineMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Department of EndocrinologyMaulana Azad Medical CollegeNew DelhiIndia
  3. 3.Department of RadiodiagnosisMaulana Azad Medical CollegeNew DelhiIndia

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