Pyothorax in a cat due to Acinetobacter spp. infection : a case report

A. Jameel, K. Davis, A. George, K. V. Kumar, V. J. Udayasree
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Abstract

A 3-month-old kitten weighing 1.05 kg was presented to the University veterinary hospital at Kokkalai in Thrissur district of Kerala, India, with the complaint of open-mouth breathing, lethargy and complete anorexia for the past three days, and weight loss. Detailed clinical examination revealed inspiratory dyspnoea without stridor, tachypnoea, muffled lung and heart sounds on auscultation, pale mucous membrane, and weak pulse. Haematology revealed leukocytosis with granulocytosis and monocytosis. Thoracic radiography, ultrasonography and thoracocentesis confirmed pyothorax. Microbial culture of thoracic aspirate revealed heavy growth of Acinetobacte spp. The cat responded to parenteral therapy with ceftiofur followed by cefixime orally for 21 days. Doxycycline was prescribed for concurrent mycoplasmosis. Thoracic radiograph 10 days later revealed a significant reduction in pleural fluid. A review of the case two months later found that the kitten recovered uneventfully. A rare case of Acinetobacter spp. associated pyothorax and its medical management in a cat is reported. The clinical manifestations, radiographic changes and ultrasonographic findings were discussed.
猫因不动杆菌感染致脓胸1例
一只体重1.05公斤的3个月大的小猫被送到印度喀拉拉邦Thrissur地区Kokkalai大学兽医医院,在过去的3天里,它的主诉是张口呼吸,嗜睡和完全厌食,体重下降。详细临床检查显示吸气性呼吸困难,无喘鸣、呼吸急促,听诊肺音、心音不清,粘膜苍白,脉弱。血液学显示白细胞增多伴粒细胞增多和单核细胞增多。胸部x线片,超声检查和胸腔穿刺术证实为脓胸。胸部吸附剂的微生物培养显示不动杆菌大量生长。猫对头孢替福肠外治疗和口服头孢克肟21天有反应。多西环素用于并发支原体病。10天后胸片显示胸腔积液明显减少。两个月后,对该案件的审查发现,小猫恢复得很平静。报告一例罕见的不动杆菌引起的脓胸及其医疗管理。并对其临床表现、影像学改变及超声表现进行了讨论。
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