Author/Authors :
Lee, Ting-Wei Taipei Medical University - Wan Fang Hospital - Department of Internal Medicine, Division of Endocrinology and Metabolism, Taiwan , Lin, Ke-Hsun Taipei Medical University - Wan Fang Hospital - Department of Internal Medicine, Division of Endocrinology and Metabolism, Taiwan , Chang, Chun-Jen Taipei Medical University - Wan Fang Hospital - Department of Internal Medicine, Division of Endocrinology and Metabolism, Taiwan , Lew, Wei-Han Taipei Medical University - Wan Fang Hospital - Department of Internal Medicine, Division of Endocrinology and Metabolism, Taiwan , Lee, Ting-I Taipei Medical University - School of Medicine, College of Medicine, Wan Fang Hospital - Department of Internal Medicine, Division of Endocrinology and Metabolism, Taiwan
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 :
Pheochromocytoma , Coronary artery disease , Sepsis , Catecholamine
