The Medical journal of Australia
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Case Reports
Phaeochromocytoma with adult respiratory distress syndrome mimicking septicaemic shock.
Phaeochromocytomas are rare tumours that most commonly present with chronic sustained hypertension and hypertensive paroxysms or crises. We report a 49-year-old woman with unsuspected phaeochromocytoma who presented with sudden onset of profound hypotension and adult respiratory distress syndrome unresponsive to fluid and inotropic support. This case illustrates the diversity of presentations of phaeochromocytoma, depending on the type and amount of catecholamines secreted.
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Letter Case Reports
Spontaneous bilateral Achilles tendon rupture associated with ciprofloxacin.
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A variety of treatments can be effective palliative therapy of symptoms of airway obstruction caused by endobronchial tumour: Nd-YAG laser resection may be indicated for tumours that are relatively short in length, situated in trachea, mainstem or proximal lobe bronchi. Cryotherapy may be an alternative to laser resection. ⋯ Endobronchial stents. Randomised trials are required to determine the relative merits of these treatments and the optimal management of endobronchial complications of lung cancer.