Harvey J W, Dahl M, High M E
Department of Physiological Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32610.
J Am Vet Med Assoc. 1994 Nov 1;205(9):1290-1.
During ovariohysterectomy of a 6-month-old domestic shorthair cat, extravasated blood appeared brown. Methemoglobinemia was considered likely on the basis of discoloration of oxygenated blood. The absence of clinical signs of toxicosis, inability to identify a source of oxidant that could cause methemoglobinemia, and persistence of cyanotic-appearing tongue and mucous membranes in this cat made a drug-induced cause unlikely, and was suggestive of a congenital disorder. Subsequent analysis revealed 49.6% methemoglobin (normal, 0 to 1.1%), resulting from erythrocyte methemoglobin reductase deficiency (21% of normal activity).
在对一只6个月大的家养短毛猫进行卵巢子宫切除手术时,外渗的血液呈棕色。基于含氧血液变色,考虑可能存在高铁血红蛋白血症。这只猫没有中毒的临床症状,无法确定可能导致高铁血红蛋白血症的氧化剂来源,且其舌头和黏膜持续呈现紫绀色,因此药物诱发原因不太可能,提示可能是先天性疾病。后续分析显示高铁血红蛋白含量为49.6%(正常范围为0至1.1%),这是由红细胞高铁血红蛋白还原酶缺乏(正常活性的21%)所致。