{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T23:10:03Z","timestamp":1752361803008,"version":"3.41.2"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg Rep"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pituitary abscess is a rare but potentially life-threatening condition with an incidence of 0.2 to 1.1% of operative pituitary lesions. Preoperative diagnosis is difficult because it shares many similarities with other pituitary lesions in terms of signs and symptoms and radiographic findings. The author would like to share a case of primary pituitary abscess due to Cutibacterium acnes infection, which is probably the first case reported in an adult patient.<\/jats:p><jats:p>A 60-year-old woman with having medical history of diabetes mellitus who suffered from severe headache, fever, chillness, and vomiting in January 2024. She had been admitted to the Infectious Diseases Department; however, no definite infection source was found, but hypopituitarism was detected. Her brain magnetic resonance imaging (MRI) showed a rim-like enhanced sellar lesion with suprasellar extension. She underwent an endoscopic endonasal transsphenoidal approach with the removal of the lesion and skull base reconstruction. During the surgery, pus-like material and some solid tissue, which was yellowish white in color, were found. The culture of the pus revealed the growth of Cutibacterium acnes, and the histological report of the solid tissue proved nonneoplastic pituitary gland tissue, admixed with fibrous tissue and marked chronic inflammation. She recovered well after surgery and completed antibiotic treatment.<\/jats:p><jats:p>Preoperative diagnosis of pituitary abscess is difficult. The majority of pituitary abscesses are diagnosed during the operation or postoperatively. Prompt diagnosis and treatment of pituitary abscess yield a favorable prognosis. The mainstay of treatment is transsphenoidal surgical resection in combination with antibiotic therapy.<\/jats:p>","DOI":"10.1055\/a-2641-6415","type":"journal-article","created":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T22:32:37Z","timestamp":1752359557000},"page":"e136-e139","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Primary Pituitary Abscess Caused by Cutibacterium Acnes"],"prefix":"10.1055","volume":"86","author":[{"given":"Chi-Man","family":"Yip","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,12]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.3390\/medicina59030565","article-title":"Pituitary abscess: a challenging preoperative diagnosis-a multicenter study","volume":"59","author":"C H Mallereau","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.wneu.2017.01.077","article-title":"Case report of a primary pituitary abscess and systematic literature review of pituitary abscess with a focus on patient outcomes","volume":"101","author":"J O Agyei","year":"2017","journal-title":"World Neurosurg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jocn.2004.03.037","article-title":"Pituitary abscess in a patient with painless thyroiditis","volume":"12","author":"A Matsuno","year":"2005","journal-title":"J Clin Neurosci"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/s13023-023-02788-1","article-title":"Pituitary abscess: a case report and systematic review of 488 cases","volume":"18","author":"F Stringer","year":"2023","journal-title":"Orphanet J Rare Dis"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/j.1365-2265.2010.03890.x","article-title":"Diagnosis and management of pituitary abscess: experiences from 33 cases","volume":"74","author":"F Liu","year":"2011","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1055\/a-2297-3909","article-title":"Primary pituitary abscess: two case reports","volume":"85","author":"S R Ghosh","year":"2024","journal-title":"J Neurol Surg Rep"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"233","DOI":"10.3171\/jns.2001.95.2.0233","article-title":"Diagnosis and management of pituitary abscess: a review of twenty-four cases","volume":"95","author":"G E Vates","year":"2001","journal-title":"J Neurosurg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s00247-009-1435-y","article-title":"Pituitary abscess: an unexpected diagnosis","volume":"40","author":"A Shuster","year":"2010","journal-title":"Pediatr Radiol"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1007\/s00381-021-05052-8","article-title":"Primary pituitary abscess in an adolescent female patient: case report, literature review, and operative video","volume":"37","author":"B A Sherrod","year":"2021","journal-title":"Childs Nerv Syst"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"e00753","DOI":"10.1128\/IAI.00753-20","article-title":"Cutibacterium acnes: the urgent need to identify diagnosis markers","volume":"89","author":"C Mongaret","year":"2021","journal-title":"Infect Immun"},{"issue":"09","key":"ref11","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.spinee.2024.04.018","article-title":"Cutibacterium acnes in spine surgery: pathophysiology, diagnosis, and treatment","volume":"24","author":"M Baroudi","year":"2024","journal-title":"Spine J"}],"container-title":["Journal of Neurological Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2641-6415.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T22:32:39Z","timestamp":1752359559000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2641-6415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":11,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,7,11]]},"published-print":{"date-parts":[[2025,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2641-6415","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6358","2193-6366"],"issn-type":[{"value":"2193-6358","type":"print"},{"value":"2193-6366","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}