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Pheochromocytoma with abscess.

Ryuta Inoue¹, Shin-ichi Hisasue, Yasuharu Kunishima

¹Department of Urology, School of Medicine, Sapporo Medical University, S1-W16 Chuou-ku, Sapporo, Hokkaido 060-8543, Japan.

International Journal of Urology : Official Journal of the Japanese Urological Association

|July 25, 2007

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This case study details a pheochromocytoma patient with an adrenal abscess. Successful treatment involved antibiotics and adrenalectomy, highlighting a rare combined condition.

Area of Science:

Endocrinology
Infectious Diseases
Surgical Oncology

Background:

Pheochromocytoma is a rare neuroendocrine tumor.
Adrenal abscesses are uncommon, often presenting with sepsis.
Co-occurrence of pheochromocytoma and adrenal abscess is exceptionally rare.

Observation:

A 34-year-old male presented with fever, back pain, headache, and palpitations.
Elevated serum and urine catecholamines indicated pheochromocytoma.
Computed tomography and Iodine-123-meta-iodobenzylguanidine scans confirmed pheochromocytoma with an abscess.

Findings:

Blood cultures identified Streptococcus agalactiae, likely from dental caries.
The patient received antibiotic treatment for the abscess.

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Surgical right adrenalectomy successfully removed the pheochromocytoma.

Implications:

This case highlights the importance of considering infection in pheochromocytoma patients.
Early diagnosis and combined treatment (antibiotics and surgery) are crucial for favorable outcomes.
Further research into the pathogenesis of concurrent adrenal abscess and pheochromocytoma is warranted.