Sim Juin Jia, Lau Seng Fong, Omar Sharina, Watanabe Malaika, Aslam Muhammad Waseem
Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, University Putra Malaysia, Serdang 43400, Malaysia.
Laboratory of Cancer Research UPM-MAKNA (CANRES), Institute of Bioscience, University Putra Malaysia, Serdang 43400, Malaysia.
Animals (Basel). 2021 Aug 3;11(8):2286. doi: 10.3390/ani11082286.
This retrospective study aimed to determine the etiological, clinicopathological, and radiographic features and outcome of feline pyothorax cases. Medical records from twenty-eight cats with pyothorax aged from 4 months to 10 years (median 10 months) diagnosed between 2013 and 2020 were reviewed. Dyspnoea (75.0%), abnormal lung sounds (75.0%) and open-mouth breathing (64.3%) were the predominant respiratory signs. Leucocytosis (61.5%), particularly monocytosis (68.0%), and hyperglobulinaemia (65.4%) were among the most prominent findings in blood analysis. Bilateral pleural effusion was found in 67.9% of the thoracic radiographs. A total of 47.4% of the cytological samples revealed the presence of bacteria, while all had positive bacterial growth. , , spp., and spp. were the predominant aerobic bacteria isolated from pleural effusion samples. A chest tube was placed in 64.3% of the cats and 66.7% of cats with chest tubes survived. In total, 46.4% of cats with pyothorax recovered. Amoxicillin-clavulanate was the antimicrobial of choice against aerobic bacteria found in this study and should be given in combination with antimicrobials that cover anaerobic bacteria. Chest tube placement is crucial for treatment success. Cytological results and bacterial culture may not be consistent; thus, bacterial culture should be performed for every case.
这项回顾性研究旨在确定猫脓胸病例的病因、临床病理、影像学特征及预后。回顾了2013年至2020年间诊断的28只年龄在4个月至10岁（中位年龄10个月）的脓胸猫的病历。呼吸困难（75.0%）、异常肺部声音（75.0%）和张口呼吸（64.3%）是主要的呼吸体征。白细胞增多（61.5%），尤其是单核细胞增多（68.0%）和球蛋白血症（65.4%）是血液分析中最突出的发现。67.9%的胸部X光片显示双侧胸腔积液。47.4%的细胞学样本显示有细菌存在，而所有样本的细菌培养均呈阳性。 、 、 属和 属是从胸腔积液样本中分离出的主要需氧菌。64.3%的猫放置了胸管，放置胸管的猫中有66.7%存活。总体而言，46.4%的脓胸猫康复。阿莫西林-克拉维酸是本研究中针对需氧菌的首选抗菌药物，应与覆盖厌氧菌的抗菌药物联合使用。放置胸管对治疗成功至关重要。细胞学结果和细菌培养可能不一致；因此，每例病例都应进行细菌培养。
