Long‐Term Totally Implantable Venous Access Ports in Dogs and Cats Receiving Chemotherapy

Introduction:  We evaluated the totally implantable subcutaneous vascular access port (VAP) in 16 cancer patients undergoing intermittent chemotherapy for more than 30 months.
Methods:  Ports were surgically placed (The CompanionPort, Norfolk Vet Products, Skokie, Illinois 60076) in the jugular vein of 12 dogs and 4 cats between 1/2002 and 7/2004. Body weight determined polyurethane catheter size (4, 5, 7 fr.). The polysulfone port, surrounded by titanium, was anchored to subcutaneous tissue in the dorsolateral neck and confirmed with C‐arm fluoroscopy. All blood samples were obtained via VAP. Nine anticancer agents, other medications, crystalloids/colloids, and whole blood were administered. Ports were flushed every 4–5 weeks with heparinized saline solution (100 IU/ml). Removed catheters were submitted for bacteriology.
Results:  Seven of 16 animals are still alive. VAP were used for 1.5 to more than 30 months with 4–60 injections/port. Catheter tips were visualized from the left atrium distally into the caudal vena cava. Adverse events included post‐operative subcutaneous bruising and/or hematoma (4/16), difficult aspiration (4/16), catheter malposition (1/16), positional flushing (1/16), and occlusion requiring replacement (1/16). No thrombus formation or extravasation was evident. Bacterial colonization without signs of septicemia was observed in 3/4 catheters.
Conclusions:  VAP are an effective way of achieving long‐term venous access in the dog and cat. Complications are typically minor and infrequent.     

Traumatic urethral avulsion at the preputial fornix in a cat

A cat with pelvic fractures from being hit by a car had voided no urine in 13 hours despite iv administration of fluids. Abdominal radiography had revealed the pelvic fractures and apparently intact urinary bladder. Urine did not flow from a urethral catheter, and contrast radiography revealed the catheter to be extra-urethral within the penis. Intravenous pyelography revealed intact ureters and urinary bladder; celiotomy confirmed intact urinary bladder. Cystotomy and normograde urethral catheterization allowed localization of the ruptured urethra within the deep subcutaneous tissues of the caudal portion of the abdomen. After closure of the cystotomy and celiotomy incisions, perineal urethrostomy was performed.     

Ultrasound-guided percutaneous drainage for treatment of pyonephrosis in two dogs

Pyonephrosis refers to suppurative destruction of the parenchyma of the kidney with complete or nearly complete loss of renal function. In dogs, nephrectomy is still the most common treatment for pyonephrosis; however, in the present report, a method for percutaneous ultrasound-guided drainage of the renal pelvis in dogs with pyonephrosis that does not require local or general anesthesia was described, and results of the procedure in 2 dogs were reported. Briefly, dogs were positioned in lateral recumbency with the affected side up, and skin overlying the affected kidney was aseptically prepared. The dilated renal pelvis was punctured percutaneously, under ultrasound guidance, with a 22-gauge needle, and a sample of material was obtained for analysis. The needle was then replaced with an IV catheter, and as much pus as possible was removed from the renal collecting system. A povidone iodine solution was then used to lavage the renal pelvis. Ultrasound-guided drainage and lavage of the renal pelvis was repeated daily until the renal pelvis was so small that it could no longer be punctured. Both dogs recovered and were reported by the owners to be healthy after the procedure.     

1例猫特发性乳糜胸胸腔镜手术治疗与保守疗法的效果比较

旨在对比猫特发性乳糜胸胸腔镜下手术治疗和保守疗法的效果.将患有特发性乳糜胸的猫采取两种方式治疗.保守治疗采用安置胸导管每日抽吸胸腔积液,同时服用芦丁药物,并采取低脂饮食的方法.手术治疗采用胸腔镜下的胸导管结扎术和心包切除术.通过检查患猫体格状况、血液检查、细胞学检查、影像学检查来判断患猫的恢复程度.结果表明:保守治疗7...     

Myoclonus and hypersensitivity of the hind limbs and tail with urinary retention following neuraxial administration of morphine in a cat

An adult female domestic shorthair cat developed myoclonus, muscle rigidity, and hypersensitivity of the hind limbs and tail with urinary retention following neuraxial administration of morphine. Myoclonic contractions resolved following treatment with midazolam and a urinary catheter was placed until normal micturition returned. The cat was clinically normal 36 hours after neuraxial morphine injection. The cat underwent a second surgery without neuraxial morphine and control of postoperative pain required more intervention.Key clinical message:Neuraxial morphine may cause myoclonus and urinary retention. The response to pharmacological treatment of myoclonus is varied, but a benzodiazepine drug may be effective.     

Nodular presentation of Dirofilaria repens infection in a cat mimicking a fibrosarcoma

A cat with multiple subcutaneous nodules suggesting a soft tissue sarcoma by physical and computed tomographic examination was diagnosed as being affected by subcutaneous filariosis based on cytologic and ultrasonographic assessments. Nodules were surgically removed and extracted nematodes were identified by PCR as Dirofilaria repens. Furthermore, DNA of Dipetalonema dracunculoides (syn. Acantocheilonema dracunculoides) was detected by PCR, with no evidence of circulating microfilariae. To the best of the authors' knowledge, this represents the first report describing adults of D repens in multiple subcutaneous nodules in a cat. Cytopathologic examination allowed characterization of the parasitic nature of the nodules. Veterinary practitioners should be aware of the possible nodular presentation of D repens in cats and should include D repens in the differential diagnosis of subcutaneous neoformations in the cat.     

Subcutaneous abscesses and arthritis caused by a probable bacterial L-form in cats

Three cats in one household developed pyogenic subcutaneous abscesses and arthritis over a period of 9.5 months. Despite vigorous surgical and antibiotic treatment, the infections in each of these cats continued to spread locally and hematogenously to involve other joints and subcutaneous sites. Although the infections did not respond to modern broad-spectrum antibiotics, they were susceptible to tetracycline. In spite of a favorable response to tetracycline, all 3 cats were euthanatized. A causative agent could not be identified by microbiologic culture of tissues obtained prior to death and at necropsy, or with special tissue stains. The infection was transmitted experimentally by sc inoculation with cell-free material from one of the naturally infected cats to a specific-pathogen-free cat. A tissue extract from the experimentally infected cat was, in turn, infectious for another specific-pathogen-free cat. The experimentally induced lesion was a rapidly enlarging necrotizing and pyogenic cellulitis and panniculitis, with no demonstrable causative agent by special tissue stains or microbiologic culture. A probable bacterial L-form was visualized in affected tissues of the experimentally infected cats and propagated in special L-form broth. Like the natural disease, infection in experimentally inoculated cats was progressive in nature, but could be treated successfully with tetracycline.     

Comparison of three methods of temperature measurement in hypothermic, euthermic, and hyperthermic dogs

OBJECTIVE: To assess the reliability and accuracy of a predictive rectal thermometer, an infrared auricular thermometer designed for veterinary use, and a subcutaneous temperature-sensing microchip for measurement of core body temperature over various temperature conditions in dogs. DESIGN: Prospective study. ANIMALS: 8 purpose-bred dogs. PROCEDURES: A minimum of 7 days prior to study commencement, a subcutaneous temperature-sensing microchip was implanted in 1 of 3 locations (interscapular, lateral aspect of shoulder, or sacral region) in each dog. For comparison with temperatures measured via rectal thermometer, infrared auricular thermometer, and microchip, core body temperature was measured via a thermistor-tipped pulmonary artery (TTPA) catheter. Hypothermia was induced during anesthesia at the time of TTPA catheter placement; on 3 occasions after placement of the catheter, hyperthermia was induced via administration of a low dose of endotoxin. Near-simultaneous duplicate temperature measurements were recorded from the TTPA catheter, the rectal thermometer, auricular thermometer, and subcutaneous microchips during hypothermia, euthermia, and hyperthermia. Reliability (variability) of temperature measurement for each device and agreement between each device measurement and core body temperature were assessed. RESULTS: Variability between duplicate near-simultaneous temperature measurements was greatest for the auricular thermometer and least for the TTPA catheter. Measurements obtained by use of the rectal thermometer were in closest agreement with core body temperature; for all other devices, temperature readings typically underestimated core body temperature. CONCLUSIONS AND CLINICAL RELEVANCE: Among the 3 methods of temperature measurement, rectal thermometry provided the most accurate estimation of core body temperature in dogs.     

Relationship between anti-insulin antibody production and severe insulin resistance in a diabetic cat

A 5-year-old castrated male domestic shorthair cat was diagnosed with diabetic ketoacidosis and severe insulin resistance. Although the conventional treatment for diabetic ketoacidosis was provided, the cat required frequent hospitalization because of severe dehydration and repeated diabetic ketoacidosis. We detected anti-insulin antibodies for human in this cat. Serum insulin-binding IgG levels were markedly elevated compared with those in healthy cats and other diabetic cats. We initiated prednisolone to suppress the effects of anti-insulin antibodies. After initiation of prednisolone, the cat was gradually recovered with increasing activity and appetite. Furthermore, satisfactory glycemic control was achieved with combined subcutaneous injection of insulin detemir and insulin degludec.     

Cervical dermoid sinus in a cat: case presentation and review of the literature

A 6-month-old female spayed domestic shorthair cat was presented for evaluation of a focal subcutaneous swelling on the dorsal neck at the level of atlas. The magnetic resonance imaging and surgical treatment of a dermoid sinus associated with the cervical vertebrae is described. To the authors' knowledge, a dermoid sinus in this location has not been described previously in the cat. The prognosis following surgical resection appears favorable.     

Disseminated Mycobacterium genavense infection in a FIV-positive cat

An 8-year-old FIV-positive Australian cat was presented with coughing, periocular alopecia, pyrexia and inappetence. Skin scrapings demonstrated Demodex cati mites. Antibiotics were administered and it was treated successfully for periocular demodectic mange, but the cat continued to exhibit respiratory signs and lose weight. Further investigation revealed an ascarid infection and active chronic inflammation of undetected cause affecting the lower airways. Repetitive treatment with pyrantel failed to eradicate the ascarid infection. The cat became cachectic and developed moist ulcerative dermatitis of the neck, severe non-regenerative anaemia, leucopenia and thrombocytopenia. Necropsy and histopathology revealed mycobacteriosis affecting skin, lungs, spleen, lymph nodes, liver and kidney. Attempted culture of frozen tissues at a mycobacteria reference laboratory was unsuccessful. Paraffin-embedded, formalin-fixed tissue was retrieved and examined using PCR to amplify part of the 16S rRNA gene. A diagnosis of disseminated Mycobacterium genavense infection was made based on the presence of acid fast bacteria in many tissues and partial sequence of the 16S rRNA gene. Although M genavense has been identified previously as a cause of disseminated disease in AIDS patients, this is the first report of infection in a cat. It was suspected that the demodecosis, recurrent ascarid infections and disseminated M genavense infection resulted from an immune deficiency syndrome consequent to longstanding FIV infection.     

Experimental matrix plug production in male cat urine following a natural case of urolithiasis due to matrix plug

Urethral obstruction occurred in a 2-year-old entire long-haired red cat. A suspicion that this was a case caused by matrix plug formation could not be confirmed as reverse flushing using a topical corticosteroid and a trypsin digest appeared to have broken up the obstruction. Nine days later the cat passed a large mucoid mass which, when placed into a simulated urethra produced an obstruction. Histological examination of this plug confirmed that there were no crystalline components and on appearance it was similar to that of natually occurring matrix plugs.     

Aspergillus species cystitis in a cat.

A Persian male cat with a history of lower urinary tract disease was presented because of polydipsia, polyuria, constipation and nasal discharge. Ten weeks before admission, the cat had been treated for lower urinary tract disease by catheterisation and flushing of the bladder. The animal was thin, dehydrated, anaemic and azotaemic. Urine culture revealed Aspergillus species cystitis. Antibodies against Aspergillus nidulans were identified in serum. Fluconazole was administered orally (7.5 mg/kg, q 12 h) for 10 consecutive weeks. The azotaemia was resolved, the kidney concentrating ability was recovered and the cat has remained healthy without similar problems.     

Necrotising fasciitis due to Prevotella bivia in a cat

A 15-year-old domestic shorthair cat was evaluated for an acute onset of jaw swelling and anorexia. A small area of skin discoloration, left mandibular subcutaneous soft swelling and dehydration were noted on physical examination. Fine needle aspirate findings of the mass were compatible with an abscess. After 8 hours of supportive and antimicrobial treatment, a large area of necrotic skin was noted. The cat was taken to surgery and an aggressive debridement was performed. The histopathology findings were compatible with necrotising fasciitis and dermatitis.     

Multicentric fibrosarcoma in a cat and a review of the literature

A case of multicentric fibrosarcoma in a ten month old domestic short-haired cat is presented and discussed. Tumor tissue was found to involve the right distal forepaw, right shoulder area and a popliteal lymph node. This anaplastic neoplasm was concentrated primarily in subcutaneous tissues but also extended to muscle, bone and lung. The cat was found to be positive for feline leukemia virus by the ELISA test. Based on these findings, it is likely that the lesions in this case result from an interaction between the feline leukemia virus and feline sarcoma virus.     

Infection of the subcutis of the nose in a cat caused by Mucor species: successful treatment using posaconazole

A 14-year-old neutered female domestic shorthair cat was presented for investigation of a non-painful subcutaneous swelling of the nasal dorsum at the site of a scratch injury. Cytological evaluation demonstrated a granulomatous reaction and many variably shaped organisms consistent with yeasts/fungi. Subsequent biopsy and culture yielded a pure growth of a Mucor species. The cat was treated with the second-generation triazole antifungal agent posaconazole for 5 months. Complete resolution was seen with no recurrence 12 months after discontinuing treatment.     

Development and evaluation of empirical equations to interconvert between twelfth-rib fat and kidney, pelvic, and heart fat respective fat weights and to predict initial conditions of fat deposition models for beef cattle

The Davis growth model (DGM) simulates growth and body composition of beef cattle and predicts development of 4 fat depots. Model development and evaluation require quantitative data on fat weights, but sometimes it is necessary to use carcass data that are more commonly reported. Regression equations were developed based on published data to interconvert between carcass characteristics and kilograms of fat in various depots and to predict the initial conditions for the DGM. Equations include those evaluating the relationship between the following: subcutaneous fat (SUB, kg) and 12th-rib fat thickness (mm); visceral fat (VIS, kg) and KPH (kg); DNA (g) in intermuscular, intramuscular, subcutaneous, and visceral fat depots and empty body weight; and contributions of fat (kg) in intramuscular (INTRA), SUB, and VIS fat depots and total body fat (kg). The intermuscular fat (INTER, kg) contribution was found by difference. The linear regression equations were as follows: SUB vs. 12th-rib fat thickness (n = 75; P < 0.01) with R(2) = 0.88 and SE = 10.00; VIS vs. KPH (kg; n = 78; P < 0.01) with R(2) = 0.95 and SE = 2.82; the DNA (g) equations for INTER, INTRA, SUB, and VIS fat depots vs. empty body weight (n = 6, 5, 6, and 6; P = 0.08, P < 0.01, P < 0.01, and P = 0.05) with R(2) = 0.57, 0.93, 0.93, and 0.66, and SE = 0.03, 0.003, 0.02, and 0.03, respectively; and initial contribution of INTRA, SUB, and VIS fat depots vs. total body fat (n = 23; P < 0.01) for each depot, with R(2) = 0.97, 0.99, and 0.97, and SE = 0.61, 0.93, and 1.41, respectively. All empirical equations except for DNA were challenged with independent data sets (n = 12 and 10 for SUB and VIS equations and n = 9 for the initial INTER, INTRA, SUB, and VIS fat depots). The mean biases were -2.21 (P = 0.12) and 2.11 (P < 0.01) kg for the SUB and VIS equations, respectively, and 0.05 (P = 0.97), -0.37 (P = 0.27), 1.82 (P = 0.08), and -1.50 (P = 0.06) kg for the initial contributions of INTER, INTRA, SUB, and VIS fat depots, respectively. The random components of the mean square error of prediction were 73 and 26% for the SUB and VIS equations, respectively, and similarly were 99, 85, 62, and 61% for the initial contributions of INTER, INTRA, SUB, and VIS fat depots, respectively. Both the SUB and VIS equations predicted accurately within the bounds of experimental error. The equations to predict initial fat contribution (kg) were considered adequate for initializing the fat depot differential equations for the DGM and other beef cattle simulation models.     

Urethral leiomyoma in a cat

A 13-year-old spayed cat was examined because of a suspected lower urinary tract obstruction. After 2 days, a urethral catheter could not be passed, and the cat was euthanatized. At necropsy, a 1.2-cm intramural mass was detected, obstructing the proximal portion of the urethra. Histologic examination of the well-circumscribed mass revealed a urethral leiomyoma.     

Uterus masculinus: an unusual complication in a case of feline urethral obstruction

A 6‐year‐old, male castrated domestic short hair cat presented for urethral obstruction. Despite passage of a urinary catheter, urine could not be drained through the catheter, but urine flow was noted around the catheter. Special imaging studies, including ultrasound and fluoroscopy, revealed that the catheter had been passed into an abnormal small bicornuate structure that entered the urethra from dorsally within the pelvic canal. This structure was believed to be a uterus masculinus or remnants of the Mullerian ducts. The anomalous structure was not felt to be related to the cause of the urethral obstruction, but was simply an incidental finding which resulted in difficult catheterization.     

Cutaneous extraskeletal mesenchymal chondrosarcoma in a cat

A 4-year-old, male cat was presented with a fixed, subcutaneous mass in the lumbosacral region. A histopathological examination revealed a well-defined but nonencapsulated neoplasm characterized by a proliferation of predominantly spindle cells, with high mitotic activity. Interspersed between these cells were single cellular elements with chondroid differentiation. Large areas of cartilaginous tissue with foci of endochondral ossification, necrosis and myxoid tissue were also observed within the neoplastic parenchyma. A diagnosis of extraskeletal mesenchymal chondrosarcoma was made based on the histological pattern - characterized by the coexistence of cartilaginous islands and undifferentiated mesenchymal cells, results of Alcian blue staining at various pH, immunohistochemical reactivity against vimentin and S-100, and the absence of skeletal involvement or other primary tumour sites. Clinical history of the cat excluded traumas, vaccinations or other types of subcutaneous inoculation. Six months on from surgical treatment, neither recurrence nor metastases have been detected.