Fatal disseminated toxoplasmosis in an immunocompetent cat

Journal of the South African Veterinary Association

 
 
Field Value
 
Title Fatal disseminated toxoplasmosis in an immunocompetent cat
 
Creator Nagel, Susanna S. Williams, June H. Schoeman, Johannes P.
 
Subject Education; Veterinary Medicine cat; disseminated; hepatitis; immunocompetent; immunohistochemistry; PCR; Toxoplasma gondii
Description A 10-year-old domestic short hair cat was referred for investigation of anorexia and polydipsia of 3 days’ duration. Clinically the cat was obese, pyrexic (39.8 °C), had acute abdominal pain and severe bilirubinuria. Haematology and serum biochemistry revealed severe panleukopenia, thrombocytopenia, markedly elevated alanine aminotransferase (ALT) and five-fold increased pre-prandial bile acids. Ultrasonographic evaluation of the abdomen did not identify any abnormalities. Serum tests for feline immunodeficiency virus (FIV) and feline leukaemia virus (FeLV) were negative. Broad-spectrum antibiotic treatment for infectious hepatitis was to no avail; the cat deteriorated and died 72 h after admission. Necropsy revealed mild icterus and anaemia, severe multifocal hepatic necrosis, serofibrinous hydrothorax, pulmonary oedema and interstitial pneumonia. Histopathology confirmed the macroscopic findings and revealed multifocal microgranulomata in the brain and myocardium, as well as areas of necrosis in lymph nodes and multifocally in splenic red pulp. Long bone shaft marrow was hyperplastic with a predominance of leukocyte precursors and megakaryocytes and splenic red pulp showed mild extramedullary haemopoiesis. Immunohistochemical staining for Toxoplasma gondii was strongly positive, with scattered cysts and tachyzoites in the liver, lymph nodes, spleen, lungs, brain, salivary glands and intracellularly in round cells in occasional blood vessels. Immunohistochemical staining for corona virus on the same tissues was negative, ruling out feline infectious peritonitis (FIP). Polymerase chain reaction (PCR) on formalin-fixed paraffin-wax embedded tissues was positive for Toxoplasma sp., but attempts at sequencing were unsuccessful. This was the first case report of fulminant disseminated toxoplasmosis in South Africa, in which detailed histopathology in an apparently immunocompetent cat was described.
 
Publisher AOSIS
 
Contributor
Date 2013-02-14
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/jsava.v84i1.299
 
Source Journal of the South African Veterinary Association; Vol 84, No 1 (2013); 6 pages 2224-9435 1019-9128
 
Language eng
 
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https://jsava.co.za/index.php/jsava/article/view/299/1030 https://jsava.co.za/index.php/jsava/article/view/299/1031 https://jsava.co.za/index.php/jsava/article/view/299/1036 https://jsava.co.za/index.php/jsava/article/view/299/1029
 
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Rights Copyright (c) 2013 Susanna S. Nagel, June H. Williams, Johannes P. Schoeman https://creativecommons.org/licenses/by/4.0
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