嗜铬细胞瘤伴脓肿

Pheochromocytoma with abscess.

作者信息

Inoue Ryuta, Hisasue Shin-ichi, Kunishima Yasuharu, Masumori Naoya, Itoh Naoki, Tsukamoto Taiji

机构信息

Department of Urology, School of Medicine, Sapporo Medical University, S1-W16 Chuou-ku, Sapporo, Hokkaido 060-8543, Japan.

出版信息

Int J Urol. 2007 Jul;14(7):644-6. doi: 10.1111/j.1442-2042.2007.01790.x.

DOI:10.1111/j.1442-2042.2007.01790.x

PMID:17645610

Abstract

We report a case of a 34-year-old man who suffered from pheochromocytoma with an abscess in the right adrenal. He presented with a high fever and back pain. He also had some episodes of headache and palpitation. Serum and urine catecholamine levels were elevated. From computed tomography and (123)I-meta-iodobenzylguanidine scans, his condition was diagnosed as pheochromocytoma with an abscess. Two pairs of blood cultures yielded Streptococcus agalactiae, which was believed to be derived from dental caries. He was successfully treated with antibiotics for his abscess and right adrenalectomy for his pheochromocytoma.

摘要

我们报告一例34岁男性患者，患有嗜铬细胞瘤并伴有右侧肾上腺脓肿。他出现高热和背痛。还曾有过几次头痛和心悸发作。血清和尿儿茶酚胺水平升高。通过计算机断层扫描和（123）I-间碘苄胍扫描，他的病情被诊断为嗜铬细胞瘤伴脓肿。两组血培养均培养出无乳链球菌，据信其来源于龋齿。他的脓肿通过抗生素治疗成功治愈，嗜铬细胞瘤则接受了右侧肾上腺切除术。