Seventeen-year-old adolescent with XXXX .

@entity1375 @entity2011 @entity5 @entity1887 @entity4683 @entity4611 @entity281 @entity4614 @entity733 @entity10 @entity2010
@entity733 is a rare but potentially life-threatening infectious process. Diagnosis is challenging as symptoms are non-specific and signs of @entity281 may be absent. We report the case of a previously healthy 17-year-old male who presented with worsening @entity10 , @entity2011 , @entity4683 and no clinical signs of @entity281 . On evaluation, he was found to have @entity4614 with @entity2010 , @entity1375 and @entity1887 . An imaging study revealed a pituitary mass. He underwent transsphenoidal biopsy to rule out @entity5 . The abscess was drained transsphenoidally and he was treated with parental antibiotics. Magnetic resonance imaging one year later revealed a normal pituitary without any evidence of abscess or mass. He continues to require thyroid, adrenal and anti-diuretic hormone replacements. As with any @entity4611 , prompt complete hypothalamic pituitary evaluation is essential to avoid potentially life-threatening consequences.
