{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:14:22Z","timestamp":1772234062255,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,23]]},"abstract":"<jats:p>Hyperglycaemia commonly occurs in children presenting at the emergency department. In the absence of diabetic symptoms, this stress-related hyperglycaemia is considered a benign condition. We present a malignant cause of hyperglycaemia in an 11-month-old girl with concomitant symptoms of a neuroendocrine malignancy. One month earlier, she had undergone an episode of stress-related hyperglycaemia concurrent with fever during an upper respiratory tract infection. Current glucose level was 234\u2005mg\/dL (13\u2005mmol\/L) and the glycosylated haemoglobin level was 44\u2005mmol\/mol (6.2%) without metabolic acidosis. We observed periods of hyperglycaemia, sweating, flushing, hypertension and tachypnoea. Urinalysis showed high amounts of catecholamine intermediates. Abdominal ultrasound revealed a mass originating in the right adrenal gland. Histology confirmed the diagnosis of neuroblastoma. Hyperglycaemia in this patient was the first presenting symptom of a metabolically active neuroblastoma.<\/jats:p>","DOI":"10.1136\/bcr-2014-209091","type":"journal-article","created":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T08:03:34Z","timestamp":1441353814000},"page":"bcr2014209091","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Stress hyperglycaemia as a result of a catecholamine producing tumour in an infant"],"prefix":"10.1136","volume":"2015","author":[{"given":"Anne Mari\u00ebtte","family":"de Grauw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dick","family":"Mul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max M","family":"van Noesel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie P","family":"Buddingh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,9,4]]},"reference":[{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-S014"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpem.2009.11.001"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.3","doi-asserted-by":"publisher","DOI":"10.1080\/080352501750258658"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.4","first-page":"99","article-title":"Stress hyperglycemia in febrile children: relationship to prediabetes","volume":"36","author":"Saz","year":"2011","journal-title":"Minerva Endocrinol"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.5","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-012-9707-y"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)83132-4"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60553-5"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.8","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.207126"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60983-0"},{"key":"2025042707044929000_2015.sep04_1.bcr2014209091.10","doi-asserted-by":"publisher","DOI":"10.1177\/193229681200600106"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-209091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:04:56Z","timestamp":1745762696000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-209091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,4]]},"references-count":10,"alternative-id":["10.1136\/bcr-2014-209091"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-209091","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,4]]}}}