一只可能患有甲状腺危象的犬的长期存活情况。
Long-term survival in a dog with probable thyroid storm.
作者信息
Beverly Jeffrey, Pigott Armi, Puzio Claire E, Rivera Meghan
机构信息
Department of Clinical Sciences Cornell University College of Veterinary Medicine Ithaca New York USA.
Blue Pearl Veterinary Partners Glendale Wisconsin USA.
出版信息
Clin Case Rep. 2023 May 30;11(6):e7437. doi: 10.1002/ccr3.7437. eCollection 2023 Jun.
KEY CLINICAL MESSAGE
Thyroid storm is a rare, life-threatening endocrine emergency that may occur in dogs. With rapid identification and early aggressive therapy, long-term survival is possible.
ABSTRACT
The aim of this paper was to describe the successful emergency management and long-term survival of a dog with probable thyroid storm. We present proposed guidelines for the characterization of thyroid storm in dogs, and treatment considerations as utilized for this patient. A 6-year-old female spayed German Shepherd Dog was presented to a multispecialty center for radiation planning and treatment of a previously diagnosed nonresectable functional thyroid carcinoma. Recovering from anesthesia, the patient developed clinical features that would qualify as thyroid storm using human metrics. The patient improved with aggressive treatment of thyroid storm, extrapolating from human and feline recommendations. This is the first known report of long-term survival in a canine with suspected thyroid storm. The crisis was effectively identified and emergently treated.
关键临床信息
甲状腺危象是一种罕见的、危及生命的内分泌急症，可能发生于犬类。通过快速识别和早期积极治疗，长期存活是有可能的。
摘要
本文旨在描述一只可能患有甲状腺危象的犬的成功急救处理及长期存活情况。我们提出了犬甲状腺危象的特征描述指南，以及针对该病例的治疗考量。一只6岁已绝育的雌性德国牧羊犬因之前诊断出的不可切除功能性甲状腺癌前来多专科中心进行放射治疗规划。从麻醉中恢复时，该患者出现了符合人类标准的甲状腺危象临床特征。根据人类和猫科动物的建议，对该患者进行甲状腺危象的积极治疗后病情有所改善。这是已知首例疑似甲状腺危象的犬长期存活的报告。此次危象得到了有效识别并紧急处理。
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