Polyserositis: An Extremely Rare Life-Threatening Manifestation of Pheochromocytoma

Heidarpour, Maryam; Haghighatpanah, Mohammad; Rezvanian, Hassan; Yadegarfar, Motahare; Mozafari, Amir Mohammad; Vakhshoori, Mehrbod; Shafie, Davood

doi:10.1155/2020/8814699

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…Given the young age of the patient and the absence of renal and thyroid abnormalities, connective tissue disease, an underlying haematological malignancy such as acute myelogenous leukaemia and chronic myeloid leukaemia, phaeochromocytoma and sarcoidosis had to be excluded. 9–12 The low ESR and the normal autoimmune screen made connective tissue diseases unlikely. The probability of an underlying lymphoproliferative disorder was also low with a normal blood film and LDH and no significant lymphadenopathy on CT scan.…”

Section: Discussionmentioning

confidence: 99%

Post-Streptococcus mitisinfection polyserositis

2021

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We report a case of a 42-year-old man who presented with acute epigastric and retrosternal chest pain and exertional dyspnoea, and was subsequently diagnosed with polyserositis secondary to post-Streptococcal mitis infection. A CT scan showed a large pericardial effusion requiring pericardiocentesis, small bilateral pleural effusions and small amount of ascites. Several serological tests were done, which were all found to be normal. Pericardial and pleural fluid aspirates revealed an exudate. Culture of the pleural fluid yielded growth of S.  mitis and this was deemed the cause of the polyserositis, which is rare. The patient made a spontaneous recovery. He was started on colchicine by the cardiologists to help prevent pericardial fluid recurrence and this was continued for 3 months. A dental review confirmed the presence of dental caries, the possible source of infection. On follow-up, the patient remained well with no further relapses.

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Section: Discussionmentioning

confidence: 99%

Post-Streptococcus mitisinfection polyserositis

2021

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“…Although this is not impossible, it rarely happens. e average annual incidence of GBS was 1 per 100 000 patient-years, while the incidence of pheochromocytoma are approximately 0.8 per 100 000 patient-years [5,17]. Abdel-Salam et al reported the case of GBS with subsequent pheochromocytoma [17].…”

Section: Discussionmentioning

confidence: 99%

“…Less often, the tumor will cause severe cardiovascular complications such as myocardial infarction, arrhythmias, pericardial effusion, and congestive heart failure. Pheochromocytoma-induced cardiomyopathy is similar to Takotsubo cardiomyopathy and myocarditis [4,5]. Diagnosis of pheochromocytoma-related cardiomyopathies is often delayed because of the atypical presentation.…”

Section: Introductionmentioning

confidence: 99%

Cardiogenic Shock and Guillain–Barré Syndrome as the First Manifestations of Pheochromocytoma

Heidarpour

Sereshti

Shafie

et al. 2021

Case Reports in Endocrinology

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Febrile congestive heart failure is a rare first manifestation of pheochromocytoma. Herein, the case of a 31-year-old female with febrile congestive heart failure and subsequent cardiogenic shock is presented. After intensive care unit (ICU) admission and further evaluating the right adrenal mass observed in abdominal ultrasonography, the diagnosis of pheochromocytoma was confirmed. Then, she was scheduled for the right adrenalectomy. Before surgery, she complained of acute-onset progressive muscle weakness in the lower limbs, followed by the upper limbs. After further investigation, she was diagnosed with Guillain–Barré syndrome and treated with intravenous immunoglobulin (IVIG). She recovered well after the right adrenalectomy, and during the subsequent 18 months, the follow-up did not reveal any complications, and left ventricular function recovered to normal.

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Polyserositis: An Extremely Rare Life-Threatening Manifestation of Pheochromocytoma

Cited by 2 publications

References 11 publications

Post-Streptococcus mitisinfection polyserositis

Post-Streptococcus mitisinfection polyserositis

Cardiogenic Shock and Guillain–Barré Syndrome as the First Manifestations of Pheochromocytoma

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