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 journalArticle

9 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 languageEnglish
Pages (from-to)405-407
Number of pages3
JournalMedical Principles and Practice
Volume22
Issue number4
DOIs
Publication statusPublished - Jun 2013

Fingerprint

Pheochromocytoma
Acute Coronary Syndrome
Sepsis
Glandular and Epithelial Neoplasms
Adrenalectomy
Leukocytosis
Coronary Angiography
Chest Pain
Catecholamines
Coronary Vessels
Electrocardiography
Differential Diagnosis
Fever
Biomarkers
Myocardial Infarction
Tomography
Urine
Blood Pressure

Keywords

  • Catecholamine
  • Coronary artery disease
  • Pheochromocytoma
  • Sepsis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pheochromocytoma mimicking both acute coronary syndrome and sepsis : A case report. / Lee, Ting Wei; Lin, Ke Hsun; Chang, Chun Jen; Lew, Wei Han; Lee, Ting I.

In: Medical Principles and Practice, Vol. 22, No. 4, 06.2013, p. 405-407.

Research output: Contribution to journalArticle

Lee, Ting Wei ; Lin, Ke Hsun ; Chang, Chun Jen ; Lew, Wei Han ; Lee, Ting I. / Pheochromocytoma mimicking both acute coronary syndrome and sepsis : A case report. In: Medical Principles and Practice. 2013 ; Vol. 22, No. 4. pp. 405-407.
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