Hyperkalaemia secondary to suspected transient hyporeninaemic hypoaldosteronism in a dog (in a dog)

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Main Authors: Maria Jose Marin Lucas, Francesca Venier
Format: Artículo Open Access
Published: Wiley 2025
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author Maria Jose Marin Lucas
Francesca Venier
author_facet Maria Jose Marin Lucas
Francesca Venier
Maria Jose Marin Lucas
Francesca Venier
collection Wiley Open Access
contents Hyperkalaemia secondary to suspected transient hyporeninaemic hypoaldosteronism in a dog (in a dog) Maria Jose Marin Lucas Francesca Venier Veterinary Record Case Reports AbstractA 12‐year‐7‐month‐old, female, entire beagle dog was presented to a referral hospital in England for a 10‐day history of tachypnoea and lethargy. Angiostrongylus vasorum ELISA test was positive, and the patient was started on fenbendazole. One week later, it became lethargic, anorexic, polyuric and polydipsic, and it was diagnosed with an open pyometra. During hospitalisation and while on treatment for pyometra and angiostrongyliasis, its potassium increased progressively to 7.4 mmol/L [reference interval, RI: 3.4–4.9]. Basal cortisol excluded hypocortisolism. Aldosterone blood concentration was less than 20 pmol/L [RI: 0–393], and plasma renin was 0.06 ng/mL [RI: 0.22–2.4]. The patient was started on mineralocorticoid supplementation (fludrocortisone), and hyperkalaemia normalised within 24–48 hours. The owners stopped the treatment with fludrocortisone after 3 months on their own accord. This patient remains clinically normal with normal electrolytes despite no mineralocorticoid supplementation 4 months after. 10.1002/vrc2.70121 http://creativecommons.org/licenses/by-nc/4.0/
doi_str_mv 10.1002/vrc2.70121
format Artículo Open Access
id wiley_oa_10_1002_vrc2_70121
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle Hyperkalaemia secondary to suspected transient hyporeninaemic hypoaldosteronism in a dog (in a dog)
Maria Jose Marin Lucas
Francesca Venier
Veterinary Record Case Reports
Hyperkalaemia secondary to suspected transient hyporeninaemic hypoaldosteronism in a dog (in a dog) Maria Jose Marin Lucas Francesca Venier Veterinary Record Case Reports AbstractA 12‐year‐7‐month‐old, female, entire beagle dog was presented to a referral hospital in England for a 10‐day history of tachypnoea and lethargy. Angiostrongylus vasorum ELISA test was positive, and the patient was started on fenbendazole. One week later, it became lethargic, anorexic, polyuric and polydipsic, and it was diagnosed with an open pyometra. During hospitalisation and while on treatment for pyometra and angiostrongyliasis, its potassium increased progressively to 7.4 mmol/L [reference interval, RI: 3.4–4.9]. Basal cortisol excluded hypocortisolism. Aldosterone blood concentration was less than 20 pmol/L [RI: 0–393], and plasma renin was 0.06 ng/mL [RI: 0.22–2.4]. The patient was started on mineralocorticoid supplementation (fludrocortisone), and hyperkalaemia normalised within 24–48 hours. The owners stopped the treatment with fludrocortisone after 3 months on their own accord. This patient remains clinically normal with normal electrolytes despite no mineralocorticoid supplementation 4 months after. 10.1002/vrc2.70121 http://creativecommons.org/licenses/by-nc/4.0/
title Hyperkalaemia secondary to suspected transient hyporeninaemic hypoaldosteronism in a dog (in a dog)
topic Veterinary Record Case Reports
url https://bvajournals.onlinelibrary.wiley.com/doi/10.1002/vrc2.70121