Pituitary apoplexy associated with bacterial meningitis: Diagnostic dilemma

Abstract

Key Clinical Message Pituitary apoplexy is a rare entity, which is characterized by severe neurological, ophthalmological, and endocrinological complications, with acute adrenal crisis being a major concern. The diagnosis of pituitary apoplexy is challenging, particularly in cases where it coexists with bacterial meningitis, leading to a diagnostic dilemma and delay in treatment. We report a case of a 23‐year‐old female diagnosed with pituitary apoplexy with concurrent bacterial meningitis.

Keywords

• bacterial meningitis
• clinical presentation
• diagnosis
• management
• MRI findings
• pituitary apoplexy