title: Paraganglioma manifesting as shock: a case report.
abstract: Paraganglioma is a rare neuroendocrine tumor in children that rarely manifests as shock. We describe the case of a 12-year-old girl with paraganglioma who developed impaired cardiac function, pulmonary edema, and shock at the time of admission. Her blood pressure stabilized after intravenous normal saline rescue and dopamine treatment. However, hypertension was noted thereafter. After a series of examinations, paraganglioma was diagnosed and excision of the tumor was performed. After surgery, blood pressure stabilized and her cardiac function had fully recovered at 4 months' follow-up.
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan.
authors.forename: P
authors.initials: P
authors.lastname: Chang
authors.forename: W Y
authors.initials: WY
authors.lastname: Tsai
authors.forename: M K
authors.initials: MK
authors.lastname: Lai
authors.forename: M H
authors.initials: MH
authors.lastname: Wu
authors.forename: Y K
authors.initials: YK
authors.lastname: Tsau
authors.forename: S F
authors.initials: SF
authors.lastname: Peng
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D010236:Paraganglioma, Extra-Adrenal / Q000150:complications*; D010673:Pheochromocytoma / Q000150:complications; D011654:Pulmonary Edema / Q000209:etiology; D012186:Retroperitoneal Neoplasms / Q000150:complications*; D012769:Shock / Q000209:etiology*