Suspected relative adrenal insufficiency in a critically ill cat

被引：12

作者：

Durkan, Samuel ^{[1
]}

de Laforcade, Armelle ^{[1
]}

Rozanski, Elizabeth ^{[1
]}

Rush, John E. ^{[1
]}

机构：

[1] Tufts Univ, Cummings Sch Vet Med, Foster Hosp Small Anim, Sect Emergency & Crit Care, North Grafton, MA 01536 USA

来源：

JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE | 2007年 / 17卷 / 02期

关键词：

shock; adrenal gland; endocrinology; abdominal wall hernia; sepsis; trauma;

D O I：

10.1111/j.1476-4431.2006.00211.x

中图分类号：

S85 [动物医学（兽医学）];

学科分类号：

0906 ;

摘要：

Objective: To describe a case of likely relative adrenal insufficiency (RAI) in a cat with critical illness. Case summary: A cat recovering from polytrauma developed hypotension unresponsive to intravenous fluid support and vasopressor therapy. An adrenocorticotropin hormone stimulation test documented insufficient adrenal function. Treatment with exogenous low-dose glucocorticoids in addition to standard therapies resulted in rapid hemodynamic and clinical improvement. The cat ultimately recovered and was weaned from supplemental glucocorticoids. New or unique information provided: This is the first report of changes consistent with acquired RAI in a cat with critical illness.

引用

收藏

页码：197 / 201

页数：5

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