Ischemic muscle necrosis leading to life-threatening hyperkalemia. Case report and review of the literature.

摘要

A description of a cat in Germany with ischaemic muscle necrosis that suffered from cardiopulmonary arrest due to hyperkalaemia is presented. Pathogenesis, clinical signs and therapy of ischaemic muscle necrosis are discussed and possible causes, symptoms and treatment of hyperkalaemia are shown. The case involved a 4-year-old male castrated Domestic Shorthair cat. The cat was successfully resuscitated and hyperkalaemia was treated with different treatment modalities. Ischaemic muscle necrosis can lead to severe live-threatening hyperkalaemia which has to be anticipated, monitored and treated adequately. Aggressive fluid therapy might be responsible for a higher risk of hyperkalaemia in predisposed cases. Potassium concentrations and acid-base disturbances must be closely monitored in patients with ischaemic muscle necrosis..