Suppurative meningitis: A life-threatening complication in male macroprolactinomas
A man aged 25, with a history of chronic otitis and arrested puberty, was diagnosed as a multidirectional prolactinoma destroying the sella floor and measuring 30 mm × 30 mm × 30 mm []. The PT was responsible for optic atrophy, anterior pituitary insufficiency and diabetes insipidus. Pituitary lesion was diagnosed after SM due to pneumococcal infection. SM was sensitive to antibiotics. Under dopamine agonists PRL was normalized and the tumor volume decreased. After 2 years, there was not any SM relapsing.