| Fatal form of phaeochromocytoma presenting as acute pyelonephritis. | |
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MedLine Citation:
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PMID: 11473562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a young man who presented with a clinical picture of acute pyelonephritis. Within 3 h of admission, the patient developed acute respiratory distress associated with tachycardia and shock, and he was transferred to the intensive care unit. Mechanical ventilation of the lungs and symptomatic treatment were started immediately. Abdominal ultrasound revealed the presence of an adrenal tumour with central necrosis indicating a probable phaeochromocytoma. There was no sign of pyelonephritis. Ventricular fibrillation followed by asystole occurred soon after admission. The suddenness of the patient's death did not allow time for further investigation and therapy. The severity of the clinical signs was probably related to a massive release of catecholamines because of necrosis of the tumour, which may have been worsened by the diagnostic procedures performed to investigate the clinical symptoms and signs of acute pyelonephritis. |
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Authors:
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C Winter; C Schmidt-Mutter; R Cuny; S Soulas; J P Dupeyron; A Steib |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: European journal of anaesthesiology Volume: 18 ISSN: 0265-0215 ISO Abbreviation: Eur J Anaesthesiol Publication Date: 2001 Aug |
Date Detail:
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Created Date: 2001-07-27 Completed Date: 2001-10-04 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8411711 Medline TA: Eur J Anaesthesiol Country: England |
Other Details:
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Languages: eng Pagination: 548-53 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology, Hôpital Civil, Hôpitaux Universitaires, 67091 Strasbourg Cédex, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adrenal Gland Neoplasms / complications*, pathology Adult C-Reactive Protein / analysis Catecholamines / blood Humans Hypertension / etiology Male Pheochromocytoma / complications*, pathology Pyelonephritis / etiology* |
| Chemical | |
Reg. No./Substance:
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0/Catecholamines; 9007-41-4/C-Reactive Protein |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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