American Journal of Medical Case Reports. 2021, 9(1), 57-61
DOI: 10.12691/ajmcr-9-1-14
Open AccessCase Report
Yotam Kolben1, , Yuval Ishay1, Henny Azmanov1, Matan Fischer2, Nir Pillar3 and Simona Grozinsky-Glasberg4
1Department of Medicine, Hadassah - Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel
2Department of Endocrinology, Hadassah - Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel
3Department of Pathology, Hadassah - Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel
4Neuroendocrine Tumor Unit, ENETS Center of Excellence, Department of Endocrinology, Hadassah - Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel
Pub. Date: November 05, 2020
Cite this paper:
Yotam Kolben, Yuval Ishay, Henny Azmanov, Matan Fischer, Nir Pillar and Simona Grozinsky-Glasberg. Acute Parvovirus Infection Unmasking a Craniopharyngioma Causing Hypopituitarism. American Journal of Medical Case Reports. 2021; 9(1):57-61. doi: 10.12691/ajmcr-9-1-14
Abstract
We present the case of a young male patient who arrived at the emergency room due to headache, constitutional and gastrointestinal symptoms. Upon presentation and during hospitalization, a complex clinical and chemical picture unfolded, and several diagnoses were considered. Eventually, it was concluded that panhypopituitarism secondary to craniopharyngioma was the cause of his symptoms. This long-standing condition was unmasked by an acute infection with Parvovirus. Treatment with hormone replacement therapy brought prompt improvement in both laboratory values and clinical condition.Keywords:
parvovirus craniopharyngioma hypopituitarism
This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit
http://creativecommons.org/licenses/by/4.0/
References:
| [1] | Müller HL. Craniopharyngioma. Endocr Rev. Jun 2014; 35(3): 513-43. |
| |
| [2] | Müller HL. Childhood craniopharyngioma--current concepts in diagnosis, therapy and follow-up. Nat Rev Endocrinol. Nov 2010; 6(11): 609-18. |
| |
| [3] | Warmuth-Metz M, Gnekow AK, Müller H, Solymosi L. Differential diagnosis of suprasellar tumors in children. Klin Padiatr. 2004 Nov-Dec 2004; 216(6): 323-30. |
| |
| [4] | Eldevik OP, Blaivas M, Gabrielsen TO, Hald JK, Chandler WF. Craniopharyngioma: radiologic and histologic findings and recurrence. AJNR Am J Neuroradiol. Sep 1996; 17(8): 1427-39. |
| |
| [5] | Flitsch J, Müller HL, Burkhardt T. Surgical strategies in childhood craniopharyngioma. Front Endocrinol (Lausanne). 2011; 2: 96. |
| |
| [6] | Pereira AM, Schmid EM, Schutte PJ, et al. High prevalence of long-term cardiovascular, neurological and psychosocial morbidity after treatment for craniopharyngioma. Clin Endocrinol (Oxf). Feb 2005; 62(2): 197-204. |
| |
| [7] | Erfurth EM, Holmer H, Fjalldal SB. Mortality and morbidity in adult craniopharyngioma. Pituitary. Mar 2013; 16(1): 46-55. |
| |
| [8] | Potter CG, Potter AC, Hatton CS, et al. Variation of erythroid and myeloid precursors in the marrow and peripheral blood of volunteer subjects infected with human parvovirus (B19). J Clin Invest. May 1987; 79(5): 1486-92. |
| |
| [9] | Anderson MJ, Higgins PG, Davis LR, et al. Experimental parvoviral infection in humans. J Infect Dis. Aug 1985; 152(2): 257-65. |
| |
| [10] | Kerr JR. A review of blood diseases and cytopenias associated with human parvovirus B19 infection. Rev Med Virol. Jul 2015; 25(4): 224-40. |
| |
| [11] | Nocton JJ, Miller LC, Tucker LB, Schaller JG. Human parvovirus B19-associated arthritis in children. J Pediatr. Feb 1993; 122(2): 186-90. |
| |
| [12] | Kalish RA, Knopf AN, Gary GW, Canoso JJ. Lupus-like presentation of human parvovirus B19 infection. J Rheumatol. Jan 1992; 19(1): 169-71. |
| |
| [13] | Lilleberg HS, Eide IA, Geitung JT, Svensson MHS. Acute glomerulonephritis triggered by parvovirus B19. Tidsskr Nor Laegeforen. 10 2018; 138(17). |
| |
| [14] | Lang D, Mead JS, Sykes DB. Hormones and the bone marrow: panhypopituitarism and pancytopenia in a man with a pituitary adenoma. J Gen Intern Med. May 2015; 30(5): 692-6. |
| |
| [15] | Laway BA, Bhat JR, Mir SA, Khan RS, Lone MI, Zargar AH. Sheehan's syndrome with pancytopenia--complete recovery after hormone replacement (case series with review). Ann Hematol. Mar 2010; 89(3): 305-8. |
| |
| [16] | Li H, Huang L, Wu G, et al. Be aware of the effects of glucocorticoids on SIADH: A case report. Medicine (Baltimore). Feb 2019; 98(7): e14295. |
| |
| [17] | Adrogué HJ, Madias NE. Hyponatremia. N Engl J Med. May 2000; 342(21): 1581-9. |
| |