Fever with multiple organ failure: not always sepsis |
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Authors: | Davlouros P A Velissaris D Tsiola A Filos K S Alexopoulos D |
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Affiliation: | Department of Cardiology, Cardiology and Intensive Care Unit, Patras University Hospital, Patras, Achaia, Greece. pdav@otenet.gr |
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Abstract: | We present the case of a 52-year-old female admitted with fever and multiple organ failure, initially treated for presumed sepsis. However the combination of multiple organ failure, hyperthermia and vascular instability raised the suspicion of a phaeochromocytoma multisystem crisis. An emergency abdominal ultrasound in the intensive care unit disclosed a large tumour of the right adrenal. Despite specific medical treatment for the presumed adrenal emergency and multiple organ failure, the patient succumbed. Postmortem examination verified the diagnosis of phaeochromocytoma. |
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