Academic Journal
Recurrent Urosepsis and Cardiogenic Shock in an Elderly Patient with Pheochromocytoma
العنوان: | Recurrent Urosepsis and Cardiogenic Shock in an Elderly Patient with Pheochromocytoma |
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المؤلفون: | Joan Joo-Ching Khoo, Vanessa Shu-Chuan Au, Richard Yuan-Tud Chen |
المصدر: | Case Reports in Endocrinology, Vol 2011 (2011) |
بيانات النشر: | Hindawi Limited, 2011. |
سنة النشر: | 2011 |
المجموعة: | LCC:Diseases of the endocrine glands. Clinical endocrinology |
مصطلحات موضوعية: | Diseases of the endocrine glands. Clinical endocrinology, RC648-665 |
الوصف: | Pheochromocytomas are thought to be uncommon in the elderly. However, the prevalence is likely to be higher than reported, as older patients are less likely to be diagnosed due to absence of classical symptoms of sympathetic overactivity and confounding effects of aging, comorbidities, and medications. We describe a hypertensive elderly patient with incidentally diagnosed pheochromocytoma complicated by recurrent urosepsis, cardiomyopathy, and fatal myocardial infarction. Our case demonstrates that, in older hypertensive patients without classical symptoms, orthostatic hypotension and urinary retention, which are common in the elderly, may indicate catecholamine excess and that the deleterious cardiovascular consequences of catecholamine excess in the elderly are not prevented by pharmacological α- and β-blockade. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2090-6501 2090-651X |
Relation: | https://doaj.org/toc/2090-6501; https://doaj.org/toc/2090-651X |
DOI: | 10.1155/2011/759523 |
URL الوصول: | https://doaj.org/article/854f0282342c4ed0aa5c05ab0e1c982f |
رقم الانضمام: | edsdoj.854f0282342c4ed0aa5c05ab0e1c982f |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20906501 2090651X |
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DOI: | 10.1155/2011/759523 |