Pheochromocytoma crisis caused by contemporary ergotamine, caffeine, and nimesulide administration.
Pheochromocytoma is a rare tumor that secretes excess catecholamines. Pheochromocytoma crises may be precipitated by the use of several drugs. This article describes the case of a patient affected by pheochromocytoma in whom multiple organ failure developed after contemporary administration of ergotamine, caffeine, and nimesulide. The patient recovered completely long after surgical intervention.
Del Rosso
A
A
Cardiology Unit, Ospedale S. Pietro Igneo, Fucecchio, Florence, Italy.
Fradella
G
G
Russo
L
L
Bartoli
P
P
Bonechi
F
F
Brandinelli
A
A
Maioli
M
M
Mazza
F
F
Sansoni
M
M
Zipoli
A
A
Mannelli
M
M
Ieri
A
A
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000009:adverse effects; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002110:Caffeine / Q000009:adverse effects*; D004338:Drug Combinations; D004878:Ergotamine / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use; D009102:Multiple Organ Failure / Q000139:chemically induced*; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013449:Sulfonamides / Q000009:adverse effects*; D014700:Verapamil / Q000627:therapeutic use
D018712:Analgesics, Non-Narcotic; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000959:Antihypertensive Agents; D004338:Drug Combinations; D013449:Sulfonamides; C037330:caffeine, ergotamine drug combination; D002110:Caffeine; D014700:Verapamil; D008790:Metoprolol; D004878:Ergotamine; C012655:nimesulide