Pheochromocytoma manifestation associated with acute infectious disease
Pheochromocytoma (PHEO) manifestation can be triggered by many different factors, including infectious diseases. In 2019, measles continued to spread in global outbreaks around the world. According to WHO data, more than 60 % of all measles cases in European Region were reported in Ukraine, a leader...
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Format: | Article |
Language: | English |
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Zaslavsky O.Yu.
2022-09-01
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Series: | Mìžnarodnij Endokrinologìčnij Žurnal |
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Online Access: | https://iej.zaslavsky.com.ua/index.php/journal/article/view/1191 |
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author | O. Safonova M. Borovets A. Safonov A. Urbanovych |
author_facet | O. Safonova M. Borovets A. Safonov A. Urbanovych |
author_sort | O. Safonova |
collection | DOAJ |
description | Pheochromocytoma (PHEO) manifestation can be triggered by many different factors, including infectious diseases. In 2019, measles continued to spread in global outbreaks around the world. According to WHO data, more than 60 % of all measles cases in European Region were reported in Ukraine, a leader in measles occurrence. Measles is a dangerous viral disease, which remains an overwhelmingly important problem for healthcare system. Measles cause various life-threatening complications, which not only affect patients’ health and decrease quality of their lives, but can also lead to onset of many other medical conditions. Authors provide an example from their own clinical experience, which they have observed during the measles outbreak. Patient D., 22 y.o., female, was admitted to Lviv Infectious Diseases Communal Clinical Hospital because of measles. Condition was followed by severe intoxication, fever, hacking cough, skin rash all over the body. On 4th day after the appearance of rash patient developed atypical hypertensive crisis: in supine position started severe tachycardia, thumping headache, tremor of proximities and whole body, arterial blood pressure increased to 180/110 mm Hg; after changing the sitting position, symptoms started slowly decrease, in this regard patient had to spend a few days crouched in bed, she also complained about exaltation, insomnia, psychic tension, asthenia. Patient has undergone surgical treatment — laparoscopic left adrenalectomy. Perform differential diagnostics of hypertension accurately, paying special attention to determining its’ reason. Take into consideration, that PHEO manifestation and hypertonic PHEO crises can be provoked by multiple reasons. If PHEO is suspected, hormonal, visualization and morphological examination methods should be performed. Keep in mind, that PHEO can be a constituent part of number of hereditary diseases: MEN 2A, MEN 2B, Von Recklinghausen’s Disease (Neurofibromatosis 1), Von Hippel-Lindau syndrome and can be possibly malignant. |
first_indexed | 2024-03-13T07:19:33Z |
format | Article |
id | doaj.art-cc4e3a1bee1c4708b052e045e2e4964c |
institution | Directory Open Access Journal |
issn | 2224-0721 2307-1427 |
language | English |
last_indexed | 2024-03-13T07:19:33Z |
publishDate | 2022-09-01 |
publisher | Zaslavsky O.Yu. |
record_format | Article |
series | Mìžnarodnij Endokrinologìčnij Žurnal |
spelling | doaj.art-cc4e3a1bee1c4708b052e045e2e4964c2023-06-04T19:42:08ZengZaslavsky O.Yu.Mìžnarodnij Endokrinologìčnij Žurnal2224-07212307-14272022-09-0118531531710.22141/2224-0721.18.5.2022.11911191Pheochromocytoma manifestation associated with acute infectious diseaseO. Safonova0https://orcid.org/0000-0002-2091-768XM. Borovets1https://orcid.org/0000-0003-4096-355XA. Safonov2https://orcid.org/0000-0002-7407-4980A. Urbanovych3https://orcid.org/0000-0003-3676-7345Danylo Halytsky Lviv National Medical University, Lviv, UkraineDanylo Halytsky Lviv National Medical University, Lviv, UkraineElblandklinikum Meissen, GermanyDanylo Halytsky Lviv National Medical University, Lviv, UkrainePheochromocytoma (PHEO) manifestation can be triggered by many different factors, including infectious diseases. In 2019, measles continued to spread in global outbreaks around the world. According to WHO data, more than 60 % of all measles cases in European Region were reported in Ukraine, a leader in measles occurrence. Measles is a dangerous viral disease, which remains an overwhelmingly important problem for healthcare system. Measles cause various life-threatening complications, which not only affect patients’ health and decrease quality of their lives, but can also lead to onset of many other medical conditions. Authors provide an example from their own clinical experience, which they have observed during the measles outbreak. Patient D., 22 y.o., female, was admitted to Lviv Infectious Diseases Communal Clinical Hospital because of measles. Condition was followed by severe intoxication, fever, hacking cough, skin rash all over the body. On 4th day after the appearance of rash patient developed atypical hypertensive crisis: in supine position started severe tachycardia, thumping headache, tremor of proximities and whole body, arterial blood pressure increased to 180/110 mm Hg; after changing the sitting position, symptoms started slowly decrease, in this regard patient had to spend a few days crouched in bed, she also complained about exaltation, insomnia, psychic tension, asthenia. Patient has undergone surgical treatment — laparoscopic left adrenalectomy. Perform differential diagnostics of hypertension accurately, paying special attention to determining its’ reason. Take into consideration, that PHEO manifestation and hypertonic PHEO crises can be provoked by multiple reasons. If PHEO is suspected, hormonal, visualization and morphological examination methods should be performed. Keep in mind, that PHEO can be a constituent part of number of hereditary diseases: MEN 2A, MEN 2B, Von Recklinghausen’s Disease (Neurofibromatosis 1), Von Hippel-Lindau syndrome and can be possibly malignant.https://iej.zaslavsky.com.ua/index.php/journal/article/view/1191pheochromocytomaacute infectious diseasemanifestationclinical case |
spellingShingle | O. Safonova M. Borovets A. Safonov A. Urbanovych Pheochromocytoma manifestation associated with acute infectious disease Mìžnarodnij Endokrinologìčnij Žurnal pheochromocytoma acute infectious disease manifestation clinical case |
title | Pheochromocytoma manifestation associated with acute infectious disease |
title_full | Pheochromocytoma manifestation associated with acute infectious disease |
title_fullStr | Pheochromocytoma manifestation associated with acute infectious disease |
title_full_unstemmed | Pheochromocytoma manifestation associated with acute infectious disease |
title_short | Pheochromocytoma manifestation associated with acute infectious disease |
title_sort | pheochromocytoma manifestation associated with acute infectious disease |
topic | pheochromocytoma acute infectious disease manifestation clinical case |
url | https://iej.zaslavsky.com.ua/index.php/journal/article/view/1191 |
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