Paraganglioma Presenting as Postpartum Fever of Unknown Origin

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 nod...

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Main Authors: Shraddha Narechania, Amrita Bath, Laleh Ghassemi, Chetan Lokhande, Abdo Haddad, Ali Mir Yousuf, Jessica Marquard, K. V. Gopalakrishna
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/864719
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author Shraddha Narechania
Amrita Bath
Laleh Ghassemi
Chetan Lokhande
Abdo Haddad
Ali Mir Yousuf
Jessica Marquard
K. V. Gopalakrishna
author_facet Shraddha Narechania
Amrita Bath
Laleh Ghassemi
Chetan Lokhande
Abdo Haddad
Ali Mir Yousuf
Jessica Marquard
K. V. Gopalakrishna
author_sort Shraddha Narechania
collection DOAJ
description 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.
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spelling doaj-art-ee33558e8ea34ba5bac557fd8ececbcd2025-08-20T02:21:42ZengWileyCase Reports in Endocrinology2090-65012090-651X2015-01-01201510.1155/2015/864719864719Paraganglioma Presenting as Postpartum Fever of Unknown OriginShraddha Narechania0Amrita Bath1Laleh Ghassemi2Chetan Lokhande3Abdo Haddad4Ali Mir Yousuf5Jessica Marquard6K. V. Gopalakrishna7Internal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USAInternal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USAInternal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USAAnesthesia Department, Fairview Hospital, Cleveland, OH 44111, USACleveland Clinic Taussig Cancer Institute, Fairview Hospital, Cleveland, OH 44111, USAStrongsville Family Health and Surgery Center, 16761 Southpark Center, Strongsville, OH 44136, USAGenomic Medicine Institute, 9500 Euclid Avenue NE5, Cleveland, OH 44195, USAInternal Medicine Residency, Fairview Hospital, Cleveland, OH 44111, USAA 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.http://dx.doi.org/10.1155/2015/864719
spellingShingle Shraddha Narechania
Amrita Bath
Laleh Ghassemi
Chetan Lokhande
Abdo Haddad
Ali Mir Yousuf
Jessica Marquard
K. V. Gopalakrishna
Paraganglioma Presenting as Postpartum Fever of Unknown Origin
Case Reports in Endocrinology
title Paraganglioma Presenting as Postpartum Fever of Unknown Origin
title_full Paraganglioma Presenting as Postpartum Fever of Unknown Origin
title_fullStr Paraganglioma Presenting as Postpartum Fever of Unknown Origin
title_full_unstemmed Paraganglioma Presenting as Postpartum Fever of Unknown Origin
title_short Paraganglioma Presenting as Postpartum Fever of Unknown Origin
title_sort paraganglioma presenting as postpartum fever of unknown origin
url http://dx.doi.org/10.1155/2015/864719
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