Fever of Unknown Origin: Could It Be a Pheochromocytoma? A Case Report and Review of the Literature
| Autor: | Mireya Wessolossky, Stephany Matta, Uzma Mohammad Siddiqui, Richard A. Haas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
endocrine system endocrine system diseases Endocrinology Diabetes and Metabolism Case Report lcsh:Diseases of the endocrine glands. Clinical endocrinology Resection Pheochromocytoma 03 medical and health sciences 0302 clinical medicine medicine Palpitations In patient 030212 general & internal medicine Fever of unknown origin lcsh:RC648-665 business.industry medicine.disease Dermatology medicine.anatomical_structure Catecholamine medicine.symptom Headaches Adrenal medulla business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Case Reports in Endocrinology Case Reports in Endocrinology, Vol 2018 (2018) |
| ISSN: | 2090-651X 2090-6501 |
| Popis: | Pheochromocytomas are rare tumors that arise from the adrenal medulla, with an incidence of less than 1 per 100,000 person-years. These tumors are characterized by excess catecholamine secretion and classically present with the triad of headaches, palpitations, and sweating episodes. However, the clinical presentation can be quite variable. Herein, we present a patient who presented with persistent fevers. An adrenal mass was incidentally discovered during the extensive investigation for the fever of unknown origin. Consequently, blood and urine tests were done and found to be consistent with a pheochromocytoma. The resection of this pheochromocytoma resulted in resolution of fevers. It is hypothesized that fevers in patients with pheochromocytomas occur due to the excess catecholamine or possibly due to interleukins. This clinical presentation serves as a learning point that adrenal incidentalomas in the setting of fever of unknown origin should not be ignored. It also reminds clinicians that pheochromocytomas which present with fevers may have tumor necrosis and many such patients are at risk for multisystem crises. |
| Databáze: | OpenAIRE |
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