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一例神经内分泌肿瘤患者类癌危象的疑难病例

A Challenging Case of Carcinoid Crisis in a Patient With Neuroendocrine Tumor.

作者信息

Mahdi Mohammed, Ozer Muhammet, Tahseen Muhammad

机构信息

Internal Medicine, Capital Health System, Trenton, USA.

Critical Care Medicine, Capital Health System, Trenton, USA.

出版信息

Cureus. 2021 Jun 13;13(6):e15626. doi: 10.7759/cureus.15626. eCollection 2021 Jun.

Abstract

The critical state of circulatory collapse and hypoperfusion that results in end-organ damage has been called shock. Carcinoid crisis is a rare cause of shock, which is difficult to identify in the presence of infection. It occurs due to the release of vasoactive amines into the systemic circulation following an inciting event. In the presence of a neuroendocrine tumor, carcinoid crisis should be suspected in case of resistant shock. Herein, we report a rare case of carcinoid crisis, in which a quick response to the somatostatin analog therapy, octreotide, was helpful to confirm the diagnosis.

摘要

导致终末器官损伤的循环衰竭和灌注不足的危急状态被称为休克。类癌危象是休克的一种罕见病因,在存在感染的情况下难以识别。它是由于在诱发事件后血管活性胺释放进入体循环所致。在存在神经内分泌肿瘤的情况下,对于难治性休克应怀疑类癌危象。在此,我们报告一例罕见的类癌危象病例,其中对生长抑素类似物疗法奥曲肽的快速反应有助于确诊。

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