IDEAS home Printed from https://ideas.repec.org/a/abf/journl/v49y2023i4p40934-40940.html
   My bibliography  Save this article

A Case of Pseudopheochromocytoma- Quetiapine Induction of Norepinephine

Author

Listed:
  • T Patrick Jensen

    (Medical Director of Consult and Liaison Psychiatry Service and Senior Behavioral Unit, Covenant Health, USA)

Abstract

An acutely altered elderly female presented following orthopedic repair. She was afebrile, normotensive, but tachycardic. Once declared medically stable, she was transferred to a geropsychiatric facility for stabilization of acute psychosis. Her psychosis remained refractory to treatment, and she was noted to have an elevated ionized calcium. Plasma metanephrines were evaluated, followed by confirmatory urinary metanephrines. Both were significantly elevated. Negative imaging following this laboratory workup prompted consideration of possible tertiary causes. It was determined that the patient was likely experiencing a phenomenon known as Pseudopheochromocytoma, induced by Seroquel, of which she was on the maximum recommended dose. Once Seroquel was discontinued, the patient’s autonomic instability stabilized. Although a pheochromocytoma was not completely excluded by a PET scan in this case, its existence was unlikely, especially given autonomic improvement following Seroquel taper and discontinuation.

Suggested Citation

  • T Patrick Jensen, 2023. "A Case of Pseudopheochromocytoma- Quetiapine Induction of Norepinephine," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 49(4), pages 40934-40940, April.
    • Handle: RePEc:abf:journl:v:49:y:2023:i:4:p:40934-40940
    DOI: 10.26717/BJSTR.2023.49.007843
    as

    Download full text from publisher

    File URL: https://biomedres.us/pdfs/BJSTR.MS.ID.007843.pdf
    Download Restriction: no
    File URL: https://biomedres.us/fulltexts/BJSTR.MS.ID.007843.php
    Download Restriction: no
    File URL: https://libkey.io/10.26717/BJSTR.2023.49.007843?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:abf:journl:v:49:y:2023:i:4:p:40934-40940. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Angela Roy (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.