Suppurative meningitis: A life-threatening complication in male macroprolactinomas
A man aged 22, consulted for vomiting and fever. SM diagnosis was confirmed by lumbar puncture and blood cultures. SM was successfully treated by antibiotics. Cerebral MRI showed a PT invading cavernous sinuses, the sphenoid sinus and the brain []. Hormonal assessment [] demonstrated high PRL with gonadotroph deficit. After antibiotics, SM was sterilized. Then, the PT was treated with dopamine agonists that were successful on PRL (25 ng/ml) and on tumor size []. After a follow-up of 7 years, SM never relapsed, although the sellar floor was not surgically repaired.