Abstract
Objective To describe a case of hydrocortisone-responsive hypotension and critical illness-related corticosteroid insufficiency (CIRCI) in a dog with septic shock. Case Summary A dog with aspiration pneumonia developed septic shock with pressor-refractory hypotension. A standard ACTH stimulation test was performed that showed a blunted cortisol response consistent with CIRCI. Reversal of shock was achieved within 2 hours of hydrocortisone administration, and complete weaning from pressors was accomplished over the subsequent 8 hours. The patient recovered and was discharged from the hospital. An ACTH stimulation test performed 1 month after hospital discharge showed normal adrenal responsiveness consistent with resolution of CIRCI. New or Unique Information Provided This case is the first published report of hydrocortisone-responsive hypotension and transient CIRCI associated with naturally occurring septic shock in a dog.
Original language | English (US) |
---|---|
Pages (from-to) | 262-268 |
Number of pages | 7 |
Journal | Journal of Veterinary Emergency and Critical Care |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - Jun 1 2009 |
Keywords
- Aspiration pneumonia
- Critical care
- Endocrinology
- Hypotension
- Systemic inflammatory response syndrome
ASJC Scopus subject areas
- veterinary(all)