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
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
相关论文
共 50 条
[41]   Methemoglobin in critically ill septic patients [J].
Phongphithakchai, Atthaphong ;
Maeda, Akinori ;
Hikasa, Yukiko ;
Spano, Sofia ;
Pattamin, Nuttapol ;
Chaba, Anis ;
Eastwood, Glenn ;
Young, Helen ;
Peck, Leah ;
Bellomo, Rinaldo .
BIOMARKERS IN MEDICINE, 2024, 18 (19) :823-830
[42]   Emergency care of the critically ill reptile [J].
Divers, SJ .
PROCEEDINGS OF THE FOURTH ANNUAL CONFERENCE OF THE ASSOCIATION OF REPTILIAN AND AMPHIBIAN VETERINARIANS, 1997, :153-161
[43]   Procalcitonin Algorithm in Critically Ill Adults with Undifferentiated Infection or Suspected Sepsis A Randomized Controlled Trial [J].
Shehabi, Yahya ;
Sterba, Martin ;
Garrett, Peter Maxwell ;
Rachakonda, Kanaka Sundaram ;
Stephens, Dianne ;
Harrigan, Peter ;
Walker, Alison ;
Bailey, Michael J. ;
Johnson, Bronwyn ;
Millis, David ;
Ding, Geoff ;
Peake, Sandra ;
Wong, Helen ;
Thomas, Jane ;
Srnith, Kate ;
Forbes, Loretta ;
Hardie, Miranda ;
Micallef, Sharon ;
Fraser, John F. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 190 (10) :1102-1110
[44]   Relative adrenal insufficiency in post-cardiac arrest shock is under-recognized [J].
Miller, Joseph B. ;
Donnino, Michael W. ;
Rogan, Michael ;
Goyal, Nikhil .
RESUSCITATION, 2008, 76 (02) :221-225
[45]   Prognostic value of relative adrenal insufficiency after out-of-hospital cardiac arrest [J].
Pene, F ;
Hyvernat, H ;
Mallet, V ;
Cariou, A ;
Carli, P ;
Spaulding, C ;
Dugue, MA ;
Mira, JP .
INTENSIVE CARE MEDICINE, 2005, 31 (05) :627-633
[46]   Prognostic value of relative adrenal insufficiency after out-of-hospital cardiac arrest [J].
Frédéric Pene ;
Hervé Hyvernat ;
Vincent Mallet ;
Alain Cariou ;
Pierre Carli ;
Christian Spaulding ;
Marie-Annick Dugue ;
Jean-Paul Mira .
Intensive Care Medicine, 2005, 31 :627-633
[47]   Sepsis and Adrenal Insufficiency [J].
Fowler, Cosmo ;
Raoof, Nina ;
Pastores, Stephen M. .
JOURNAL OF INTENSIVE CARE MEDICINE, 2023, 38 (11) :987-996
[48]   Hypotension and adrenal insufficiency [J].
Bennett, N ;
Gabrielli, A .
JOURNAL OF CLINICAL ANESTHESIA, 1999, 11 (05) :425-430
[49]   Statins in the critically ill [J].
De Loecker, Isabelle ;
Preiser, Jean-Charles .
ANNALS OF INTENSIVE CARE, 2012, 2
[50]   The critically ill patient [J].
Pinsky, MR .
KIDNEY INTERNATIONAL, 1998, 53 :S3-S6