title: Continuous renal replacement therapy for haemodynamic collapse and rhabdomyolysis induced by pheochromocytoma crisis.
abstract: Pheochromocytoma associated with pregnancy is not common. Caesarean section may induce pheochromocytoma crisis, resulting in a lethal condition. The clinical picture of pheochromocytoma crisis is extremely variable. In this report, we describe a case of severe pheochromocytoma crisis induced by caesarean section presenting with hyperpyrexia, haemodynamic collapse, muscle weakness, heart failure, and acute kidney injury. Furthermore, we report that the muscle weakness was a manifestation of rhabdomyolysis, resulting from the pheochromocytoma crisis. Standard medical therapy failed to halt the patient's rapidly deteriorating condition. Continuous renal replacement therapy removed catecholamines from the circulation, resulting in improvement of haemodynamics and abrogation of rhabdomyolysis.
authors.affiliation: Department of Cardiac Care UnitThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina; Department of Cardiology, The Key Lab of Cardiovascular Disease of WenzhouThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina.
authors.forename: Xi
authors.initials: X
authors.lastname: Zhou
authors.affiliation: Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Chuhuan
authors.initials: C
authors.lastname: Zhao
authors.affiliation: Department of Cardiac Care UnitThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina; Department of Cardiology, The Key Lab of Cardiovascular Disease of WenzhouThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina.
authors.forename: Xiafei
authors.initials: X
authors.lastname: Feng
authors.affiliation: Institute of Cardiovascular Research University of Kansas Medical Center Kansas City KS USA.
authors.forename: Anweshan
authors.initials: A
authors.lastname: Samanta
authors.affiliation: Department of Cardiology, The Key Lab of Cardiovascular Disease of Wenzhou The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Yi Nuo
authors.initials: YN
authors.lastname: Lin
authors.affiliation: Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Jun
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Xiaochun
authors.initials: X
authors.lastname: Dai
authors.affiliation: Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Xia
authors.initials: X
authors.lastname: Hong
authors.affiliation: Department of Cardiac Care Unit The First Affiliated Hospital of Wenzhou Medical University Wenzhou China.
authors.forename: Qiangli
authors.initials: Q
authors.lastname: Xie
authors.affiliation: Department of Cardiac Care UnitThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina; Department of Cardiology, The Key Lab of Cardiovascular Disease of WenzhouThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina.
authors.forename: Weijian
authors.initials: W
authors.lastname: Huang
keywords: Continuous renal replacement therapy; Haemodynamic collapse; Pheochromocytoma crisis; Rhabdomyolysis