ABSTRACT
Hypopituitarism is an illness of the hypophysis with deficit of one or more pituitary hormones. It can be congenital or acquired. Etiologic factors of acquired hypophyseal insufficiency are numerous. Pituitary gland infarction is a frequent cause of hypopituitarism. Extracorporeal circulation, applied in cardiac surgery procedures, may also, by mechanism of ischemic necrosis, cause hypophyseal lesions and development of hypopituitarism. This paper presents a case of a female patient suffering from panhypopituitarism which developed after extracorporeal circulation during aortocoronary bypass surgery. The authors point to the extracorporeal circulation as a rare etiologic factor in development of hypopituitarism, as well as unusual clinical picture with dominant psychic disorders and diagnostic and treatment procedures.
Subject(s)
Extracorporeal Circulation/adverse effects , Hypopituitarism/etiology , Female , Humans , Ischemia/etiology , Middle Aged , Pituitary Gland/blood supplyABSTRACT
Occurrence of various forms of thyroiditis is getting higher in the last ten years. Subacute or granulomatous or thyroiditis de Quervain has, most certainly, the greatest practical and clinical importance. We present a case of subacute thyroiditis in a female patient 50 years of age in whom Q-fever was positively diagnosed. The disease had had a benign course nevertheless the cause and it passed without any consequences.