E-ISSN 2218-6050 | ISSN 2226-4485
 

Case Report


Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Jun Tamura, Shino Yoshida, Noriyuki Nagata, Genya Shimbo, Norihiko Oyama.


Abstract
Background:
Acute respiratory failure has been reported one of the manifestations of hypertensive crisis in pheochromocytoma in human medicine. In dogs, no reports have been described acute respiratory failure following hypertensive crisis. Here, we report the clinical presentation, course, and treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma.
Case Description:
A 12-year-old neutered male toy poodle was referred for the diagnostic evaluation of a right adrenal gland mass. The dog suddenly exhibited severe dyspnea with abnormal hypertension (systolic blood pressure > 200 mmHg) 15 minutes after recovery from the anesthesia for the computed tomography (CT) examination. Pulmonary CT and ultrasonography findings suggested acute onset of severe pulmonary edema. Pulmonary edema was treated with mechanical ventilation (pressure-support ventilation with continuous positive airway pressure) and negative fluid balance after the administration of furosemide. Weaning from mechanical ventilation was successful 24 hours after the onset of respiratory failure. Finally, the dog was discharged 3 days after weaning from ventilation without complications.
Conclusion:
This report outlines a case of acute respiratory failure following a hypertensive crisis requiring mechanical ventilatory management in a dog. The onset and progression of pulmonary edema were extremely rapid. However, improvement in pulmonary edema was also rapid. Hemodynamic stability, in addition to prompt diagnosis and aggressive therapeutic intervention, including mechanical ventilation, may have contributed to the good prognosis of pulmonary edema following hypertensive crisis in a dog, which we attribute to a catecholamine storm.

Key words: Acute respiratory failure, Catecholamine storm, Hypertensive crisis, Mechanical ventilation


 
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How to Cite this Article
Pubmed Style

Tamura J, Yoshida S, Nagata N, Shimbo G, Oyama N. Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Vet J. 2023; 13(11): 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10


Web Style

Tamura J, Yoshida S, Nagata N, Shimbo G, Oyama N. Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. https://www.openveterinaryjournal.com/?mno=162925 [Access: February 15, 2024]. doi:10.5455/OVJ.2023.v13.i11.10


AMA (American Medical Association) Style

Tamura J, Yoshida S, Nagata N, Shimbo G, Oyama N. Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Vet J. 2023; 13(11): 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10



Vancouver/ICMJE Style

Tamura J, Yoshida S, Nagata N, Shimbo G, Oyama N. Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Vet J. (2023), [cited February 15, 2024]; 13(11): 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10



Harvard Style

Tamura, J., Yoshida, . S., Nagata, . N., Shimbo, . G. & Oyama, . N. (2023) Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Vet J, 13 (11), 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10



Turabian Style

Tamura, Jun, Shino Yoshida, Noriyuki Nagata, Genya Shimbo, and Norihiko Oyama. 2023. Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Veterinary Journal, 13 (11), 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10



Chicago Style

Tamura, Jun, Shino Yoshida, Noriyuki Nagata, Genya Shimbo, and Norihiko Oyama. "Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma." Open Veterinary Journal 13 (2023), 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10



MLA (The Modern Language Association) Style

Tamura, Jun, Shino Yoshida, Noriyuki Nagata, Genya Shimbo, and Norihiko Oyama. "Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma." Open Veterinary Journal 13.11 (2023), 1465-1470. Print. doi:10.5455/OVJ.2023.v13.i11.10



APA (American Psychological Association) Style

Tamura, J., Yoshida, . S., Nagata, . N., Shimbo, . G. & Oyama, . N. (2023) Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Open Veterinary Journal, 13 (11), 1465-1470. doi:10.5455/OVJ.2023.v13.i11.10