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氢化可的松治疗一只患有血管加压药难治性感染性休克且疑似存在危重病相关皮质类固醇功能不全的猫。

Hydrocortisone therapy in a cat with vasopressor-refractory septic shock and suspected critical illness-related corticosteroid insufficiency.

作者信息

Pisano Simone R R, Howard Judith, Posthaus Horst, Kovacevic Alan, Yozova Ivayla D

机构信息

Department of Clinical Veterinary Medicine Vetsuisse Faculty University of Bern Bern Switzerland.

Department of Infectious Diseases and Pathobiology Vetsuisse Faculty University of Bern Bern Switzerland.

出版信息

Clin Case Rep. 2017 May 31;5(7):1123-1129. doi: 10.1002/ccr3.1018. eCollection 2017 Jul.

Abstract

A 27-month-old female cat was presented with septic peritonitis secondary to a ruptured pyometra and subsequent pyothorax. Vasopressor-refractory septic shock led to a suspicion of critical illness-related corticosteroid insufficiency, successfully treated with intravenous hydrocortisone. Previous megestrol acetate administration may have played a role in the development of adrenocortical dysfunction.

摘要

一只27个月大的雌性猫因子宫蓄脓破裂继发化脓性腹膜炎和随后的脓胸就诊。血管升压药难治性感染性休克导致怀疑患有危重病相关的皮质类固醇功能不全,经静脉注射氢化可的松成功治疗。先前给予醋酸甲地孕酮可能在肾上腺皮质功能障碍的发生中起了作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/5494402/6c64fc65aafe/CCR3-5-1123-g001.jpg

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