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Objective: To describe a case of fatal anaphylaxis in a dog associated with a ‘routine’ dexamethasone suppression test. Case summary: An 8‐year‐old, spayed female dog, was treated with parenteral dexamethasone for a diagnosis of immune‐mediated thrombocytopenia. The dog had responded to treatment, but 9 months later was evaluated for endogenous hyperadrenocorticism, prior to surgery for a ruptured anterior cruciate ligament. A normal ACTH stimulation test was followed by a high‐dose dexamethasone suppression test. Immediately following the intravenous injection of dexamethasone, the dog developed severe anaphylactic shock and died. The postmortem examination findings supported the diagnosis of anaphylaxis. New information provided: The anaphylaxis in this dog was fulminating and by‐passed the usual early signs of drug hypersensitivity. This is the first case in the veterinary literature reporting on dexamethasone as the cause of this dog's catastrophic event.  相似文献   
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Objective: To describe a clinical syndrome of upper airway obstruction in 5 cats due to inflammatory laryngeal disease.
Series Summary: Medical records of 5 cats with upper airway obstruction and a histopathologic diagnosis of inflammatory laryngeal disease were reviewed. Historical findings included: dyspnea, anorexia, voice change, and gagging/non-productive retching. Thoracic radiographs revealed a bronchial pattern in 2 cats, with consolidation of the right middle lung lobe in one cats. Laryngeal examinations typically revealed severe swelling and erythema which could not be grossly distinguished from neoplasia. Histopathologic examination of laryngeal biopsies revealed neutrophilic (n=5) and lymphoplasmacytic (n=4) inflammation. All of the cats were treated with corticosteroids and 4 cats received antibiotics. Two cats died while hospitalized, one was discharged and lost to follow-up, and 2 are doing well 7 months and 4 years later, respectively.
New information provided: Inflammatory laryngeal disease in cats may present as an acute upper airway obstruction. These cases may respond to corticosteroids and antibiotics, and some cases may have an excellent long-term prognosis.( J Vet Emerg Crit Care 2001; 11(3): 205–211 )  相似文献   
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Objective – To describe the pathologic consequences of parenteral nutrition (PN) extravasation into the mediastinum of a cat. Case Summary – An 8‐year‐old domestic short hair cat with persistent vomiting and anorexia was initiated on PN for nutritional support. PN was being administered at a rate of 12.9 mL/h when inadvertent jugular catheter migration resulted in thrombophlebitis and cellulitis and 40–80 mL of PN extravasated into the SC and mediastinal tissues. The cat was euthanized 36 hours after the extravasation of PN due to poor prognosis related to the gastric complications associated with a presumed primary gastrinoma. Grossly there was excessive mediastinal lymphatic drainage and pronounced edema in the cervical SC and mediastinal tissue. Histopathologic examination of the PN‐extravasated area revealed a severe mixed inflammatory reaction, represented by a severe neutrophilic and mild histiocytic infiltrate with lymphoplasmacytic perivascular cuffing. No bacterial agents were observed or cultured from this area. Unique Information Provided – This is the first case report of a foreign body‐type reaction due to extravasation of PN (extravasation injury) in a cat. Extravasation of PN is not without pathologic consequence, and can result in a severe inflammatory reaction in affected tissues.  相似文献   
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