title: Paraganglioma Presenting as Postpartum Fever of Unknown Origin.
abstract: 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 in SDHB, confirming a diagnosis of Hereditary Paraganglioma-Pheochromocytoma syndrome.
authors.affiliation: Internal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: Shraddha
authors.initials: S
authors.lastname: Narechania
authors.affiliation: Internal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: Amrita
authors.initials: A
authors.lastname: Bath
authors.affiliation: Internal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: Laleh
authors.initials: L
authors.lastname: Ghassemi
authors.affiliation: Anesthesia Department, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: Chetan
authors.initials: C
authors.lastname: Lokhande
authors.affiliation: Cleveland Clinic Taussig Cancer Institute, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: Abdo
authors.initials: A
authors.lastname: Haddad
authors.affiliation: Strongsville Family Health and Surgery Center, 16761 Southpark Center, Strongsville, OH 44136, USA.
authors.forename: Ali Mir
authors.initials: AM
authors.lastname: Yousuf
authors.affiliation: Genomic Medicine Institute, 9500 Euclid Avenue NE5, Cleveland, OH 44195, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Marquard
authors.affiliation: Internal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USA.
authors.forename: K V
authors.initials: KV
authors.lastname: Gopalakrishna