title: [Wasp-sting-induced pheochromozytoma crisis with stress-related cardiomyopathy (Takotsubo)].
abstract: This article presents the case of a patient with sudden onset of heart failure caused by transient severe left ventricular dysfunction with the typical pattern of stress-induced cardiomyopathy (takotsubo cardiomyopathy) who had wasp sting a few hours before admission in the presence of a previously asymptomatic pheochromocytoma. There seems to be correlation between the wasp-venom-induced pheochomocytoma crisis and acute onset of heart failure. Once pheocromocytoma is diagnosed, medical therapy is preferable before surgical treatment. This case demonstrates that a previously asymptomatic pheochromocytoma can become clinically relevant by catecholamine-releasing wasp venom causing stress-related cardiomyopathy and that patient history is mandatory for evaluating the cause of sudden clinical outcome.
authors.affiliation: Medizinische Klinik - Kardiologie/Angiologie, HELIOS Kliniken GmbH, Standort Siegburg, Ringstr. 49, 53721, Siegburg, Deutschland, sven.hausen@helios-kliniken.de.
authors.forename: S
authors.initials: S
authors.lastname: Hausen
authors.forename: A
authors.initials: A
authors.lastname: Treusch
authors.forename: C
authors.initials: C
authors.lastname: Hermes
authors.forename: P
authors.initials: P
authors.lastname: Boekstegers
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy; D000368:Aged; D000818:Animals; D002395:Catecholamines / Q000502:physiology; D003422:Critical Care; D003937:Diagnosis, Differential; D004452:Echocardiography; D006333:Heart Failure / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006974:Hypertension, Malignant / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D033162:Incidental Findings; D007299:Insect Bites and Stings / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D010673:Pheochromocytoma / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy; D013564:Sympathetic Nervous System / Q000503:physiopathology*; D054549:Takotsubo Cardiomyopathy / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D014863:Wasps
chemical_list: D002395:Catecholamines