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Canadian Journal of Anesthesia, Vol 37, 593-595, Copyright © 1990 by Canadian Anesthesiologists' Society

ARTICLES

Phaeochromocytoma presenting as acute malignant hyperthermia--a diagnostic challenge

GC Allen and H Rosenberg
Department of Anesthesiology, Hahnemann University, Philadelphia, PA 19102-1192.

We report a case of acute hypermetabolism following the induction of general anaesthesia in an 11-yr-old boy. This episode was diagnosed and managed as an acute malignant hyperthermia crisis. However, severe hypertension during the episode led to the discovery of an unsuspected phaeochromocytoma. A hypermetabolic state during anaesthesia has several aetiologies, but correct diagnosis during the acute episode may be difficult.




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Copyright © 1990 by the Canadian Anesthesiologists' Society.