Intestinal ganglioneuroma in a kitten–a case report and review of literature

An intestinal ganglioneuroma of a 6–week–old male kitten is described. The neoplasm was well circumscribed and involved a 6–5–cm segment of the jejunum, which was dilated and had a 6–10 mm thick wall. It was characterized histologically by irregularly–arranged bundles of nerve fibres, with Schwann cells and single or groups of round or angular ganglion cells. Some of the ganglion cells had satellite cells. Vessels with prominent endothelial cells, and islands of epithelial cells forming acini, were also seen. The age of the kitten and slow nature of growth of this tumour led the authors to believe that this is a case of congenital neoplasia. This is the first report of an intestinal ganglioneuroma in a cat.     

Atresia coli in a nine-week-old kitten

A case of blind-end atresia coli in a kitten surviving for 66 days is presented. Human cases of intestinal atresia are often attributed to injuries sustained in utero to a previously normal fetus. Neither clinical nor autopsy findings gave conclusive evidence regarding the aetiology of the condition in the kitten; the only sibling affected from a litter of five. The case is interesting because the kitten survived nine weeks without any clinical signs other than abdominal distension.     

Bordetella bronchiseptica in a paediatric cystic fibrosis patient: possible transmission from a household cat

Bordetella bronchiseptica is a zoonotic respiratory pathogen commonly found in domesticated farm and companion animals, including dogs and cats. Here, we report isolation of B. bronchiseptica from a sputum sample of a cystic fibrosis patient recently exposed to a kitten with an acute respiratory illness. Genetic characterization of the isolate and comparison with other isolates of human or feline origin strongly suggest that the kitten was the source of infection.     

Pectus excavatum and left to right intracardiac shunt in a kitten

A six-week-old female kitten presented for severe pectus excavatum. Surgical correction was performed. One week later the kitten developed dyspnoea and a systolic murmur was detected on thoracic auscultation. Pulmonary oedema and cardiomegaly were identified radiographically, and a left to right intracardiac shunt was visualized using non-selective angiocardiography. Clinical signs resolved spontaneously one month later. The kitten has been asymptomatic for 24 months.     

Chronic carriage of multidrug resistant Salmonella typhimurium in a cat

Gastroenteritis caused by a multidrug-resistant Salmonella typhimurium was diagnosed in a 12-week-old kitten. Although the kitten recovered from the acute episode after seven days, it continued to shed salmonella in its faeces for a further 12 weeks. Carriage was finally cleared by administering a 14-day course of treatment with parenteral enrofloxacin. The public health implications of an infection and subsequent carriage in a cat of a salmonella strain known to cause illness in humans is discussed.     

Diabetes mellitus and bilateral cataracts in a kitten

An 18-week-old male domestic long-hair kitten was presented with a history of polyuria and polydipsia for several weeks. The general condition was unremarkable, but the kitten was considerably smaller than expected for the age and showed cataracts in both eyes. Serum glucose concentrations were persistently elevated and based on clinical findings and an elevated serum fructosamine concentration, a diagnosis of diabetes mellitus was established. Diabetes mellitus is not commonly diagnosed in young kittens, nor are cataracts recognised as a frequent feature of this disease in cats. The cataracts progressed in spite of the insulin therapy and the kitten was euthanised 10 weeks after referral. Histopathological examination of the pancreas revealed few and small islets of Langerhans compared to the examination of pancreas from a healthy kitten of the same age. Histopathological changes in the eyes included cataracts affecting both cortex and nucleus.     

Neurotoxicosis associated with the use of hexachlorophene in a cat

Two weeks after daily topical application of hexachlorophene, a 4-week-old female kitten developed cardiovascular collapse, corneal ulcers, trembling, lethargy, and weakness. The kitten was euthanatized. At necropsy, the tissues appeared macroscopically normal; however, microscopic examination of tissue specimens indicated status spongiosis, astrocytosis, and microgliosis of the cerebral and cerebellar white matter and corticospinal tracts. Neuronal cell bodies forming the affected white matter were intact, indicating that demyelination may have been the cause of the lesions. The neurologic lesions were considered compatible with those of hexachlorophene-induced toxicosis.     

Bone fragility in a kitten: an osteogenesis imperfecta-like syndrome

A 12-year-old kitten was found to have bone fragility. Previously described causes of bone fragility in domestic cats were excluded on the basis of serum biochemical profile and radiographic histologic examinations. The findings in this kitten correlated most closely with osteogenesis imperfecta, a syndrome documented in human beings and cattle.     

Atypical pneumonia associated with a Mycoplasma isolate in a kitten

An atypical case of Mycoplasma pneumonia with an unusual radiographic and computed tomographic pattern was diagnosed in a Siamese kitten. The cat showed no response to broad-spectrum antibiotic therapy including enrofloxacin. The administration of doxycycline led to a dramatic clinical and radiographic improvement.     

Repair of pectus excavatum by percutaneous suturing and temporary external coaptation in a kitten

Severe pectus excavatum sternal deformity in a 3-month-old kitten was repaired by use of percutaneous circumcostal and circumsternal sutures to coapt the sternal deformity to an external splint made from thermoplastic material. One year after treatment, the kitten remained free of clinical signs of the disease or complications from the repair. The technique represents a conservative method of repair of pectus excavatum deformities in immature animals.     

Medical management of urethral and colonic perforation associated with urinary catheterization in a kitten

A 6-week-old male kitten was evaluated because of stranguria and possible urethral blockage; a urinary catheter placed during general anesthesia penetrated the urethral and colonic walls and entered the colon. Treatment was conservative, with fluids administered i.v., administration of piperacillin, and supportive care. The kitten never became febrile or clinically ill and continued to thrive. There was no development of clinical signs consistent with stricture, diverticulum, or fistula formation. Complications from urethral perforation include infection and urethral stricture. Reconstructive surgery is considered the treatment of choice for traumatic urethral-colonic perforation. However, surgery may not be feasible or may be cost-prohibitive in certain situations. In such instances, medical management may provide a reasonable alternative to euthanasia.     

Pyothorax associated with a Mycoplasma species in a kitten

A 12-week-old kitten with congenital mitral valve dysplasia was shown by ante mortem and post mortem examination to have pneumonia and purulent pleurisy. A Mycoplasma species was isolated from a sample of pleural fluid collected at necropsy. Mycoplasmosis should be considered in the differential diagnosis of pyothorax in cats.     

Swimmer syndrome in a Devon rex kitten and an English bulldog puppy

A three-week-old Devon rex kitten and a four-week-old English bulldog puppy were presented with "swimmer syndrome". The owners consulted several veterinarians who suggested euthanasia as the only possible solution for this condition. Physiotherapy in the puppy, and physiotherapy and bandaging in the kitten led to the resolution of the clinical signs and resulted in normal ambulation after several weeks. The authors concluded that intensive physiotherapy and dedication of the owner can lead to success.     

Fatal Chlamydia psittaci infection in a domestic kitten

Chlamydia psittaci has not been reported to cause disease in domestic cats, to our knowledge. In contrast, C. felis infection is common in domestic cats and typically results in conjunctivitis, upper respiratory tract infection, and less frequently pneumonia. Herein, we report the pathologic findings and diagnostic features of a fatal case of psittacosis in a 7-wk-old domestic kitten. The animal was 1 of a litter of 5 that, together with the queen, were yielded to a pet rescue center in Wyoming. Over a period of ~3 wk, the kittens and queen became sick, thin, and icteric prior to death, despite antimicrobial treatments. Postmortem evaluation of a kitten revealed necrosuppurative hepatitis with Gimenez stain–positive intracellular bacteria, nonsuppurative pneumonia, and mild leptomeningitis. The diagnosis of psittacosis was made by 16S rRNA PCR using multiple primer sets and sequencing from liver. Psittacosis should be considered a differential diagnosis in domestic cats with intracellular bacterial hepatitis and interstitial pneumonia.     

Gastro-oesophageal reflux during anaesthesia in the kitten: comparison between use of a laryngeal mask airway or an endotracheal tube

Objective  To compare the incidence of gastro-oesophageal reflux (GOR) during anaesthesia in the kitten when using a laryngeal mask airway (LMA) or an endotracheal tube (ET).
Study design  Prospective randomized cross-over experimental study.
Animals  Forty Domestic Short Hair laboratory cats, 19 females and 21 males, aged 12–15 weeks and weighing 0.57–1.73 kg (mean 1.13 ± SD 0.26).
Methods  Kittens were anaesthetized twice, once using the LMA and once the ET. Following induction of anaesthesia with isoflurane in an anaesthetic chamber and intubation of the trachea with the ET or placement of the LMA, a pH-electrode was introduced into the lower oesophagus. Monitoring of the oesophageal pH was performed for 45 minutes while anaesthesia was maintained with isoflurane. At the end of the experiment, gastric pH was measured. Kittens that had GOR during the experiment were treated with sucralfate, cisapride and ranitidine for 15 days.
Results  Oesophageal pH was 6.51 ± 0.76 and gastric pH was 1.54 ± 0.59. GOR was observed in nine kittens when the ET was used, and in 20 kittens when the LMA was used, the difference being significant ( p  =   0.013). The refluxate nearly always was acidic, being alkaline in only one kitten. Most of the GOR episodes occurred shortly after induction of anaesthesia and the oesophageal pH remained below 4.0 until the end of the experiment. No regurgitation was observed.
Conclusions and clinical relevance  The use of the LMA is associated with an increased incidence of GOR during anaesthesia in the kitten, which is not detected by observation. That this may have occurred should be considered if the kitten demonstrates signs of oesophagitis in the postoperative period.     

Canine parvovirus type 2c infection in a kitten associated with intracranial abscess and convulsions

A case of canine parvovirus type 2c (CPV-2c) infection in a 3-month-old feral kitten with a cerebral abscess and neurological disease is reported. The cat displayed ataxia and convulsions together with signs of gastroenteritis and profound alteration of the total and differential white blood cell counts. A parvovirus strain was detected by a TaqMan assay in the blood and faeces of the affected kitten, which was characterised as CPV by means of molecular assays but did not react with any of the CPV type-specific probes. By sequence and phylogenetic analyses of the VP2-protein gene, the CPV-2c strain displayed a non-coding mutation in the probe-binding region. Although the role of CPV-2c in this particular case is unclear, it is possible that it predisposed the kitten to the clinical signs seen. Continuous surveillance is needed to monitor future spreading of this CPV-2c mutant, and any associated clinical signs, in the dog and cat population.     

Vitamin D-dependent non-type 1, non-type 2 rickets in a 3-month-old Cornish Rex kitten

CASE PRESENTATION AND ASSESSMENT: A 3-month-old female Cornish Rex kitten was found to have non-painful swelling of the carpal and tarsal regions when presented for routine neutering. The kitten was smaller in stature and less active than its siblings and, according to the owner, had a bunny-hopping gait, was reluctant to climb stairs and strained during defecation. Radiography of the affected limbs and a subsequent radiographic survey of the entire skeleton demonstrated features consistent with rickets. The three littermates were clinically and radiographically normal. As a nutritionally complete diet was being fed, it seemed most likely that the kitten had an inborn error related to vitamin D metabolism. Serum biochemistry demonstrated reduced total alkaline phosphatase activity and increased concentrations of parathyroid hormone. Concentrations of 1,25- and 25-hydroxycholecalciferol were markedly reduced, confirming the diagnosis of rickets. TREATMENT: The kitten was treated with calcitriol, administered orally once daily, and improved rapidly both clinically and radiologically. Serial laboratory studies suggested that the error in vitamin D metabolism was transient, and, at the time of writing, as an adult, the cat appears to require no ongoing replacement calcitriol therapy. CLINICAL RELEVANCE: This case emphasises the value of examining a full 'calcium profile' via a human or veterinary reference laboratory, and a favourable prognosis in some kittens with rickets makes such investigations worthwhile. Even when finances preclude detailed investigation, trial therapy using a nutritionally complete diet and physiological doses of calcitriol or cholecalciferol is inexpensive and can produce a good response.     

Isolated abdominal fat tissue inflammation and necrosis in a cat

This report describes a rare clinical case of a 4.5-month-old, female domestic shorthair, cat with isolated abdominal fat tissue inflammation and necrosis, resembling human omental panniculitis. Its possible relationship with pancreatitis or bile induced chemical peritonitis is also discussed. The overall clinical course was considered benign. Initial clinical signs were vomiting and anorexia, presumably due to inflammation, followed by mass development. It was speculated that, eventually, the kitten was vomiting because of mechanical pressure from the mass, and that this pressure subsided as the kitten grew. The mass was surgically resected and no relapse was evident during the next 4 years.     

Hereditary cerebellar degeneration in three full sibling kittens

Two domestic shorthair littermate kittens had signs of cerebellar dysfunction, first observed between seven and eight weeks of age; a third littermate was unaffected. The signs were progressive and the more severely affected kitten was euthanased after six days. A postmortem examination revealed no gross lesions but the kitten had cerebellar cortical degeneration with extensive loss of Purkinje cells. The second kitten was euthanased at 10 months of age with similar, though more pronounced, changes. One of the two kittens in the next litter of the same parents had similar clinical signs and histopathological findings. The lesions in the cerebellum are interpreted as probably due to genetically determined abiotrophy. In addition, the two older kittens had medullary neuronal changes interpreted as probable neuraxonal dystrophy, and focal vacuolation of the neuropil in the medulla and cervical spinal cord.