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Paraganglioma Presenting as Postpartum Fever of Unknown Origin

机译:副神经节瘤是未知来源的产后发热

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A young healthy postpartum mother presented with intermittent high fevers and tachycardia. Appropriate testing was done to rule out infectious causes including pan cultures but no identifiable infectious source was found. A CT of the abdomen showed a retroperitoneal mass with two small pulmonary nodules and a bony metastatic lesion. She was found to have stage 4 extra-adrenal paraganglioma with metastases to the lungs and spine. She underwent resection of the mass and is currently undergoing palliative radiation to the spine for pain control. Subsequent genetic testing identified a likely pathogenic variant inSDHB, confirming a diagnosis of Hereditary Paraganglioma-Pheochromocytoma syndrome.
机译:一位年轻健康的产后母亲出现间歇性高烧和心动过速。进行了适当的测试以排除包括泛文化在内的传染原因,但未找到可识别的传染源。腹部CT显示腹膜后有两个小肺结节和骨转移性病变。她被发现患有肾上腺旁神经节瘤的第四阶段,并转移至肺部和脊柱。她接受了肿块切除术,目前正接受脊柱姑息性放射治疗以控制疼痛。随后的基因检测确定了SDHB中可能的致病变异,证实了遗传性副神经节瘤-嗜铬细胞瘤综合征的诊断。

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