Citation

Bandyopadhyay SK, Bandyopadhyay R, Dutta A, Pal SK. J. Indian Med. Assoc. 2012; 110(2): 120, 122.

Affiliation

Department of Medicine, NRS Medical College, Kolkata 700014.

Copyright

(Copyright © 2012, Indian Medical Association)

DOI

unavailable

PMID

23029848

Abstract

A 28 years old male had the history of viperbite 3 years back. He has treated in a nearby rural hospital with snake venom antiserum along with other supportive therapy. He responded and discharged from hospital within a week. Three years later he had history of fever, drowsiness which progressed to unconsciousness. On examination he was found to have scanty body hairs, smooth, shiny skin with superficial oral ulcers. Serum hormone estimation confirmed the deficiency of gonadotrophins, thyrotrophin and corticotrophin while growth hormone failed to rise >3ng/ml after insulin intolerance test. MRI brain revealed loss of pituitary mass with positive infundibular sign and filling of sella with cerebrospinal fluid. He was managed with hormone replacement therapy and recovered gradually.

Language: en