Dengue hemorrhagic fever: A rare cause of pituitary tumor hemorrhage and reversible vision loss

Abstract

Dengue hemorrhagic fever leading to hemorrhage in pituitary adenoma is not reported till date: We herein report the first case of bilateral visual loss secondary to pituitary adenoma hemorrhage associated with dengue hemorrhagic fever. Urgent transnasal trans sphenoidal decompression of the macroadenoma prevented permanent visual loss in this patient. Pituitary apoplexy should be considered as differential diagnosis of visual deterioration apart from retinal hemorrhage, maculopathy, and optic neuropathy in cases of dengue hemorrhagic fever. Early decompression of optic nerves helped in the restoration of vision.

Keywords

• Lymphoma
• mucosa-associated lymphoid tissue
• radiotherapy
• Boston ocular surface prosthesis
• India
• keratoconus
• scleral contact lens
• Stevens-Johnson syndrome
• Laser in-situ keratomileusis
• post-radial keratotomy laser in-situ keratomileusis
• radial keratotomy
• Cataract
• erythrocytes
• galactose
• glutathione
• lens
• Keratitis
• keratomycosis
• nonpigmented fungi
• outcomes
• pigmented fungi
• Angiotensin-converting enzyme
• antinuclear antibody
• laboratory investigation
• retinal vasculitis
• Anterior segment optical coherence tomogram
• corneal edema
• Descemet′s membrane detachment
• intraocular surgery
• Intravitreal ranibizumab
• Paget′s disease
• subfoveal choroidal neovascular membrane
• Fibrin glue
• lamellar keratoplasty
• Dengue hemorrhagic fever
• pituitary apoplexy
• pituitary tumor hemorrhage
• reversible bilateral vision loss