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猫细菌性心包炎伴肝脓肿

Bacterial pericarditis associated with a hepatic abscess in a cat.

作者信息

White Melissa, Miller Rachel, Locquet Laurent

机构信息

Dick White Referrals, part of Linnaeus Veterinary Limited, Six Mile Bottom, Cambridgeshire, UK.

Vet Oracle Medicine, CVS Referrals, Diss, Norfolk, UK.

出版信息

JFMS Open Rep. 2023 Nov 29;9(2):20551169231208896. doi: 10.1177/20551169231208896. eCollection 2023 Jul-Dec.

Abstract

CASE SUMMARY

An 8-year-old male neutered domestic shorthair cat presented collapsed and was subsequently diagnosed with a pericardial effusion based on ultrasound imaging. A laboratory analysis of pericardial fluid revealed a septic pericardial effusion and further diagnostics, including abdominal ultrasound and fluid analysis, revealed a concurrent hepatic abscess. Bacterial isolation and identification from both septic foci revealed . Therapeutic measures included a combination of medical and surgical intervention, the latter including a pericardiectomy, cholecystectomy, liver lobectomy and splenectomy.

RELEVANCE AND NOVEL INFORMATION

Septic pericarditis is one of the least reported causes of feline pericardial effusion. This case report describes bacterial pericarditis in a cat, suspected to be derived from a hepatic abscess via haematological spread. In this case, a favourable response was achieved with both surgical and medical management.

摘要

病例摘要

一只8岁已绝育的雄性家养短毛猫出现虚脱症状,随后经超声成像诊断为心包积液。心包液的实验室分析显示为感染性心包积液,进一步的诊断,包括腹部超声和液体分析,发现同时存在肝脓肿。从两个感染灶进行细菌分离和鉴定显示……治疗措施包括药物和手术干预相结合,后者包括心包切除术、胆囊切除术、肝叶切除术和脾切除术。

相关性和新信息

感染性心包炎是猫心包积液报道最少的原因之一。本病例报告描述了一只猫的细菌性心包炎,怀疑是通过血液传播源自肝脓肿。在本病例中,手术和药物治疗均取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85df/10685782/ed8a8393135c/10.1177_20551169231208896-fig1.jpg

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