两只猫的假性醛固酮增多症和获得性肾醛固酮抵抗，伴有高钾血症型 IV 肾小管酸中毒

IF 2.1 2区农林科学 Q1 VETERINARY SCIENCES

Journal of Veterinary Internal Medicine Pub Date : 2024-05-02 DOI:10.1111/jvim.17098

Christina L. Marino, Jonathan D. Foster

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引用次数: 0

摘要

本报告描述了 2 只猫的醛固酮抵抗（AR）和获得性高血钾型 IV 肾小管酸中毒（RTA）的诊断和治疗方法，这与人的获得性假性低醛固酮症相似。其中一只猫在急性肾损伤后，因慢性肾病而出现 AR，接受呋塞米治疗后，高血钾性 RTA 症状得到缓解。第二只猫因尿道导管插入术引起细菌性尿路感染而继发一过性 AR，经抗生素治疗后，高血钾性 RTA 消失。

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Pseudohypoaldosteronism and acquired renal aldosterone resistance with hyperkalemic type IV renal tubular acidosis in 2 cats

This report describes the diagnosis and treatment of aldosterone resistance (AR) and acquired hyperkalemic type IV renal tubular acidosis (RTA) in 2 cats comparable to acquired pseudohypoaldosteronism in people. One cat developed AR from chronic kidney disease after an acute kidney injury and was treated with furosemide per os, which resolved the hyperkalemic RTA. The second cat developed transient AR secondary to a bacterial urinary tract infection associated with urethral catheterization, and treatment with antibiotics resolved the hyperkalemic RTA.

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来源期刊

Journal of Veterinary Internal Medicine 农林科学-兽医学

CiteScore

4.50

自引率

11.50%

发文量

243

审稿时长

22 weeks

期刊介绍： The mission of the Journal of Veterinary Internal Medicine is to advance veterinary medical knowledge and improve the lives of animals by publication of authoritative scientific articles of animal diseases.