Pheochromocytoma mimicking both acute coronary syndrome and sepsis: A case report

Ting Wei Lee; Ke Hsun Lin; Chun Jen Chang; Wei Han Lew; Ting I. Lee

doi:10.1159/000343578

Pheochromocytoma mimicking both acute coronary syndrome and sepsis: A case report

Ting Wei Lee, Ke Hsun Lin, Chun Jen Chang, Wei Han Lew, Ting I. Lee

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

Objective: To present an atypical manifestation in a patient with pheochromocytoma. Clinical Presentation and Intervention: A 48-year-old man presented with chest pain, fever and leukocytosis. Elevated cardiac biomarkers and diffuse ST-T abnormalities on electrocardiography suggested myocardial infarction. However, coronary angiography showed normal coronary arteries. Abdominal computed tomography revealed a left adrenal tumor of 6.7 × 6.8 cm. Paroxysmal fluctuation of blood pressure raised the suspicion of pheochromocytoma, which was further supported by elevated urine catecholamine levels. He underwent left adrenalectomy and pathological findings confirmed the diagnosis. Conclusion: Pheochromocytoma should be considered as part of the differential diagnosis in a patient with symptoms suggestive of both acute coronary syndrome and sepsis.

Original language	English
Pages (from-to)	405-407
Number of pages	3
Journal	Medical Principles and Practice
Volume	22
Issue number	4
DOIs	https://doi.org/10.1159/000343578
Publication status	Published - Jun 2013

Keywords

Catecholamine
Coronary artery disease
Pheochromocytoma
Sepsis

ASJC Scopus subject areas

General Medicine

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10.1159/000343578

Cite this

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title = "Pheochromocytoma mimicking both acute coronary syndrome and sepsis: A case report",

abstract = "Objective: To present an atypical manifestation in a patient with pheochromocytoma. Clinical Presentation and Intervention: A 48-year-old man presented with chest pain, fever and leukocytosis. Elevated cardiac biomarkers and diffuse ST-T abnormalities on electrocardiography suggested myocardial infarction. However, coronary angiography showed normal coronary arteries. Abdominal computed tomography revealed a left adrenal tumor of 6.7 × 6.8 cm. Paroxysmal fluctuation of blood pressure raised the suspicion of pheochromocytoma, which was further supported by elevated urine catecholamine levels. He underwent left adrenalectomy and pathological findings confirmed the diagnosis. Conclusion: Pheochromocytoma should be considered as part of the differential diagnosis in a patient with symptoms suggestive of both acute coronary syndrome and sepsis.",

keywords = "Catecholamine, Coronary artery disease, Pheochromocytoma, Sepsis",

author = "Lee, {Ting Wei} and Lin, {Ke Hsun} and Chang, {Chun Jen} and Lew, {Wei Han} and Lee, {Ting I.}",

year = "2013",

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doi = "10.1159/000343578",

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T1 - Pheochromocytoma mimicking both acute coronary syndrome and sepsis

T2 - A case report

AU - Lee, Ting Wei

AU - Lin, Ke Hsun

AU - Chang, Chun Jen

AU - Lew, Wei Han

AU - Lee, Ting I.

PY - 2013/6

Y1 - 2013/6

N2 - Objective: To present an atypical manifestation in a patient with pheochromocytoma. Clinical Presentation and Intervention: A 48-year-old man presented with chest pain, fever and leukocytosis. Elevated cardiac biomarkers and diffuse ST-T abnormalities on electrocardiography suggested myocardial infarction. However, coronary angiography showed normal coronary arteries. Abdominal computed tomography revealed a left adrenal tumor of 6.7 × 6.8 cm. Paroxysmal fluctuation of blood pressure raised the suspicion of pheochromocytoma, which was further supported by elevated urine catecholamine levels. He underwent left adrenalectomy and pathological findings confirmed the diagnosis. Conclusion: Pheochromocytoma should be considered as part of the differential diagnosis in a patient with symptoms suggestive of both acute coronary syndrome and sepsis.

AB - Objective: To present an atypical manifestation in a patient with pheochromocytoma. Clinical Presentation and Intervention: A 48-year-old man presented with chest pain, fever and leukocytosis. Elevated cardiac biomarkers and diffuse ST-T abnormalities on electrocardiography suggested myocardial infarction. However, coronary angiography showed normal coronary arteries. Abdominal computed tomography revealed a left adrenal tumor of 6.7 × 6.8 cm. Paroxysmal fluctuation of blood pressure raised the suspicion of pheochromocytoma, which was further supported by elevated urine catecholamine levels. He underwent left adrenalectomy and pathological findings confirmed the diagnosis. Conclusion: Pheochromocytoma should be considered as part of the differential diagnosis in a patient with symptoms suggestive of both acute coronary syndrome and sepsis.

KW - Catecholamine

KW - Coronary artery disease

KW - Pheochromocytoma

KW - Sepsis

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Pheochromocytoma mimicking both acute coronary syndrome and sepsis: A case report

Abstract

Keywords

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