ISSN: 2471-9315
Department of Oncology, Peking Union Medical College, Beijing, China
Case Report
A Pancreatic Neuroendocrine Carcinoma with Super High Procalcitonin Mimicking Sepsis Shock: Case Report and Literature Review
Author(s): Xuzhen Qin*, Ling Qin, Ningning Li, Xiang Wang, Chunmei Bai and Congwei Jia
Besides medullary thyroid cancer, a latent and relatively mild increase of serum Procalcitonin (PCT) has been found in Neuroendocrine Neoplasms (NENs). Here we are aiming to supply more information about NENs related PCT elevation, in order to broaden the clinical experiences about diagnosis and treatment of shock in tumor patients. We reported an advanced Pancreatic Neuroendocrine Carcinoma (pNEC) with liver and lung metastasis, in which a rare pseudo-sepsis shock with extremely high serum PCT level (exceeding 100 ng/ml) had been demonstrated. A series of screening tests to exclude bacterial infections, including blood culture, urine culture and even Metagenomic NGS (mNGS), had been performed. Given negative evidence of bacterial infection and useless broad-spectrum antibiotics treatment, steroid was used to relieve the serious inflammation and its related shock. The patie.. View More»
DOI:
10.35284/2471-9315.23.9.252