Cardiogenic Shock and Guillain–Barré Syndrome as the First Manifestations of Pheochromocytoma

Maryam Heidarpour,Davood Shafie,Bijan Iraj,Nafiseh Sereshti,Hassan Rezvanian,Osamu Isozaki

doi:10.1155/2021/6691095

Abstract

Febrile congestive heart failure is a rare first manifestation of pheochromocytoma. Herein, the case of a 31-year-old female with febrile congestive heart failure and subsequent cardiogenic shock is presented. After intensive care unit (ICU) admission and further evaluating the right adrenal mass observed in abdominal ultrasonography, the diagnosis of pheochromocytoma was confirmed. Then, she was scheduled for the right adrenalectomy. Before surgery, she complained of acute-onset progressive muscle weakness in the lower limbs, followed by the upper limbs. After further investigation, she was diagnosed with Guillain–Barré syndrome and treated with intravenous immunoglobulin (IVIG). She recovered well after the right adrenalectomy, and during the subsequent 18 months, the follow-up did not reveal any complications, and left ventricular function recovered to normal.

Highlights

Pheochromocytoma is a rare neuroendocrine tumor with the ability to synthesize and overproduce catecholamines, developed in the adrenal medulla [1, 2]
Pheochromocytoma-induced cardiomyopathy is similar to Takotsubo cardiomyopathy and myocarditis [4, 5]
Given the potential reversibility of the cardiomyopathy, early diagnosis and resection of the pheochromocytoma are critical, while delayed diagnosis may lead to irreversible cardiac remodeling and death [6]

Summary

Case Report

Cardiogenic Shock and Guillain–Barre Syndrome as the First Manifestations of Pheochromocytoma. Febrile congestive heart failure is a rare first manifestation of pheochromocytoma. The case of a 31-year-old female with febrile congestive heart failure and subsequent cardiogenic shock is presented. En, she was scheduled for the right adrenalectomy Before surgery, she complained of acute-onset progressive muscle weakness in the lower limbs, followed by the upper limbs. She complained of acute-onset progressive muscle weakness in the lower limbs, followed by the upper limbs After further investigation, she was diagnosed with Guillain–Barresyndrome and treated with intravenous immunoglobulin (IVIG). She was diagnosed with Guillain–Barresyndrome and treated with intravenous immunoglobulin (IVIG) She recovered well after the right adrenalectomy, and during the subsequent 18 months, the follow-up did not reveal any complications, and left ventricular function recovered to normal

Introduction

Findings

TSH WBC