Cha J, Shin C W, Son W-G
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Seoul National University, Seoul, 08826, Republic of Korea.
J Small Anim Pract. 2021 Nov;62(11):1022-1025. doi: 10.1111/jsap.13314. Epub 2021 Feb 15.
The present report describes two surgical cases involving the development of sudden glycosuria after isoflurane anaesthesia, despite the dogs having normal blood glucose levels and renal glucose reabsorption. The glycosuria manifested 1 day after surgery and resolved spontaneously within 2 days in both cases. Considering that the surgeries (subcutaneous mandibular mass removal and fracture repair) were unrelated to the kidneys, and there were no remarkable events during anaesthesia, the glycosuria may have been associated with the isoflurane anaesthesia. There have been several previous reports of glycosuria in human patients following transient proximal tubule dysfunction due to volatile anaesthetics. This case report suggests the possibility of transient renal dysfunction following isoflurane anaesthesia in these two clinically healthy dogs. However, considering the observational nature of this report, it can not be excluded that any other procedure performed in these animals was responsible of the observed glycosuria.
本报告描述了两例手术病例,尽管犬的血糖水平和肾葡萄糖重吸收正常,但在异氟烷麻醉后出现了突然的糖尿。糖尿在手术后1天出现,两例均在2天内自发缓解。考虑到手术(下颌皮下肿块切除和骨折修复)与肾脏无关,且麻醉期间无显著事件,糖尿可能与异氟烷麻醉有关。此前已有多例人类患者因挥发性麻醉剂导致短暂近端肾小管功能障碍后出现糖尿的报道。本病例报告提示这两只临床健康的犬在异氟烷麻醉后可能出现短暂肾功能障碍。然而,考虑到本报告的观察性质,不能排除这些动物所进行的任何其他操作导致观察到的糖尿的可能性。