Chuenngam Thapanee, Chermprapai Suttiwee
Dermatology Center, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Bangkok 10900, Thailand.
Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Bangkok 10900, Thailand.
Animals (Basel). 2025 Mar 23;15(7):925. doi: 10.3390/ani15070925.
A female domestic shorthair cat aged 2 years was referred with a 1-month history of subcutaneous nodules and multiple sites of draining tracts at the ventral abdomen. Initially, the cat was diagnosed with a fungal infection and treated with oral itraconazole, without improvement. Comprehensive diagnostics, including cytology, which indicated pyogranulomatous inflammation, fungal culture that was negative, and bacterial culture, confirmed the presence of . This infection was treated with a combination of oral azithromycin and topical amikacin based on susceptibility testing; later, doxycycline and an immunostimulant supplemented were combined at day 36 of treatment due to mild improvement of the lesions. The cat showed gradual improvement, achieving complete resolution of the lesions after 14 weeks, with no relapse noted 24 weeks post-treatment. This case report demonstrates the diagnostic challenges and the necessity for tailored, multi-drug therapeutic approaches in managing mycobacterial infections in cats. The findings may guide future treatments and raise awareness of mycobacterial diseases in cats.
一只2岁的雌性家养短毛猫因腹部腹侧有1个月的皮下结节病史和多处引流道而被转诊。最初，这只猫被诊断为真菌感染，并用口服伊曲康唑治疗，但没有改善。综合诊断，包括细胞学检查（提示脓性肉芽肿性炎症）、真菌培养（阴性）和细菌培养，证实了 的存在。根据药敏试验，该感染采用口服阿奇霉素和局部用阿米卡星联合治疗；后来，由于病变有轻度改善，在治疗第36天加用了强力霉素和免疫刺激剂。这只猫逐渐好转，14周后病变完全消退，治疗后24周未发现复发。本病例报告展示了诊断挑战以及在管理猫分枝杆菌感染时采用量身定制的多药治疗方法的必要性。这些发现可能会指导未来的治疗，并提高对猫分枝杆菌病的认识。
