DOCSLIB.ORG

The Diagnostic Approach to Fever of Unknown Origin in Cats*

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Diagnostic Approach to Fever of Unknown Origin in Cats* 3 CE CREDITS CE Article 2 The Diagnostic Approach to Fever of Unknown Origin in Cats* ❯❯ Julie Flood, DVM, DACVIM Abstract: Identifying the cause of fever of unknown origin (FUO) in cats is a diagnostic challenge, Antech Diagnostics just as it is in dogs. Infection is the most common cause of FUO in cats. As in dogs, the diagnostic Irvine, California workup can be frustrating, but most FUO causes can eventually be determined. This article address- es the potential diagnostic tests for, and the differential diagnosis and treatment of, FUO in cats. rue fever (pyrexia) is defined as an during the initial workup or responds to increase in body temperature due to antibiotic treatment; therefore, most cats T an elevation of the thermal set point do not have a true FUO.4 in the anterior hypothalamus secondary to the release of pyrogens.1 With hyperther- Differential Diagnosis mic conditions other than true fever, the Information regarding FUO in cats is hypothalamic set point is not adjusted.1 extremely limited, and there are no retro- At a Glance Nonfebrile hyperthermia occurs when heat spective studies. Fevers are common in cats, gain exceeds heat loss, such as with inade- and most diseases associated with FUO Differential Diagnosis quate heat dissipation, exercise, and patho- in cats are infectious.5 Neoplasia is a less Page 26 logic or pharmacologic causes.1 common cause of FUO in cats, and FUO Clinical Approach Cats with true fever typically have body due to immune-mediated disease is rare in Page 26 temperatures between 103°F and 106°F cats.6 FUO causes are often separated into Potential Causes of Fever (39.5°C to 41.1°C).2 Cats are less likely than groups based on the underlying disease of Unknown Origin in Cats dogs to succumb to the dangerous effects mechanism.2,3,7 Most FUOs are caused by a Page 27 of body temperatures greater than 106°F, common disease presenting in an obscure 8 Staged Diagnostic which are usually seen with nonfebrile fashion. BOX 1 lists some causes of FUO in 3 Approach to Fever of causes of hyperthermia. Temperatures cats. It is thought that about 10% to 15% of Unknown Origin in Cats less than 106°F are unlikely to be harm- FUOs in cats remain undiagnosed despite 4 Page 28 ful in cats and may be somewhat benefi- thorough diagnostic evaluation. cial because they constitute a protective T r e a t m e n t 1,4 a Page 30 response to inflammation. Clinical Approach The term fever of unknown origin (FUO) As in dogs, the diagnostic approach to FUO is used liberally in veterinary medicine. It in cats must be targeted to each patient. It should be used to identify a fever that does should be guided by history and physi- not resolve spontaneously, that does not cal examination findings, laboratory test respond to treatment with antibiotics, and results, and the potential causes common for which the diagnosis remains uncertain to the geographic location.9,10 A three- after an initial diagnostic workup.4 Along stage approach, such as the one presented with a thorough history and physical in BOX 2, is commonly used.2–4 The goal of examination, initial diagnostics include investigating an FUO is to promptly estab- WEB a complete blood count (CBC), an FeLV lish a definitive diagnosis while minimiz- EXCLUSIVE antigen test, an FIV antibody test, a serum ing patient discomfort, client expense, biochemistry profile, and urinalysis with antimicrobial culture. The cause of fever aFor more information on the clinical ap- Supplemental material to this in most cats is infection that either is found proach to cats with FUO, please refer to the article is available at clinical approach section in the article starting CompendiumVet.com. *A companion article about fever of unknown on page 14. Many of the same tests used in origin in dogs begins on page 14. dogs can also be used in cats. 26 Compendium: Continuing Education for Veterinarians® | January 2009 | CompendiumVet.com FREE The Diagnostic Approach to FUO in Cats CE and invasive diagnostic tests.2 Communication History and Physical Examination with the owner is of utmost importance to Obtaining a thorough history is the first step ensure understanding of the time and finan- to a successful diagnostic approach. The vac- cial commitment that may be required in order cination history should be ascertained because to obtain a definitive diagnosis. vaccines can cause immune-mediated fevers If possible, all medications should be dis- in cats during the immediate postvaccination continued early in the evaluation to help rule period, and modified live virus vaccines can out a drug-induced fever. If the fever persists induce local lymphoid replication of the atten- beyond 72 hours after cessation of the medi- uated agent.5,12 Determining indoor/outdoor cation, a drug reaction can be ruled out.11 status, travel history, flea and tick control and Drugs that are known to induce fever in cats potential exposure to diseases transmitted by include tetracycline, sulfonamides, penicillins, parasites (e.g., hemotrophic mycoplasmosis, and levamisole. ehrlichiosis, bartonellosis, cytauxzoonosis), and contact with other cats is also impor- BOX 1 tant as many FUO causes are transmissable.5 Potential Causes of Fever Knowledge of ingestion of prey species may 2,4 be helpful because songbirds can carry sal- of Unknown Origin in Cats monellosis, rabbits can carry tularemia, and rodents can carry plague or toxoplasmosis.5 Bacterial infection (focal or systemic): Bac- Cats are frequently affected by stress hyper- teremia, infective endocarditis, septic arthritis, thermia, which must be ruled out before an osteomyelitis, diskospondylitis, septic menin- extensive diagnostic evaluation is pursued. As gitis, pyothorax, pyelonephritis, prostatitis, in dogs, FUO diagnostic clues in cats are gen- stump pyometra, peritonitis, abscess Bacterial diseases: Bartonellosis, borrelio- erally not readily apparent on physical exami- sis(?), mycoplasmosis (hemotrophic and non- nation, so repeated detailed examinations are 9 hemotrophic), tuberculosis and other myco- essential. The whole body should be carefully bacterial diseases, diseases caused by L-form palpated to detect subtle swelling or discom- bacteria (e.g., cellulitis or synovitis secondary fort, which may help localize the fever source. to bite wounds or surgical incisions) The thorax should be gently compressed Viral: FeLV, FIV, feline infectious peritonitis, to evaluate for a cranial mediastinal mass. feline calicivirusa Repeated fundic examination should be per- Rickettsial: Feline ehrlichiosis, anaplasmosis, formed because numerous infectious diseases QuickNotes Rocky Mountain spotted fever (e.g., FIP, FIV, FeLV) cause ocular changes. Fungal: Histoplasmosis, blastomycosis, cryp- Absence of ocular changes does not rule out Infectious diseases tococcosis, coccidioidomycosis infection with these diseases. Repeated neu- are the most com- Protozoal infections: Toxoplasmosis, cytaux- rologic and orthopedic examinations should mon causes of zoonosis, neosporosis(?), babesiosis(?), try- be performed, although they can be difficult fever and fever of panosomiasis(?) to interpret in an uncooperative cat. unknown origin in Immune-mediated diseases: Polyarthritis, cats. systemic lupus erythematosus, rheumatoid Feline Leukemia and Feline arthritis, vasculitis, meningitis, steroid-re- Immunodeficiency Virus sponsive neutropenia and fever FeLV antigen and FIV antibody blood tests Neoplastic: Lymphoma, leukemia, multiple should be conducted on every febrile cat. myeloma, necrotic solid tumors Noninfectious inflammatory diseases: These tests are rapid and reliable, but it is Lympha denitis, panniculitis, pansteatitis, important to understand how to interpret posi- 13,14 pancreatitis, granulomatosis tive results. Miscellaneous: Portosystemic shunt, drug reaction, toxin, hyperthyroidism, idiopathic Fecal Examinations causes Fecal samples should be obtained from cats with FUO. If diarrhea is discovered, rectal aHurley KE, Pesavento PA, Pedersen NC, et al. An cytology should also be conducted. Other outbreak of virulent systemic feline calicivirus dis- diagnostic tests to consider include fecal flota- ease. JAVMA 2004;224(2):241-249. tion with centrifugation, direct fecal examina- CompendiumVet.com | January 2009 | Compendium: Continuing Education for Veterinarians® 27 FREE CE The Diagnostic Approach to FUO in Cats BOX 2 tion, and fecal cultures. Cats can be bacteremic Staged Diagnostic Approach to Fever from Salmonella (and possibly Campylobacter) 2,3 of Unknown Origin in Cats infection without diarrhea, so fecal cultures should be submitted, especially if neutrophils Stage 1 are evident on rectal cytology.15-17 If clostridial Take a thorough history. spores are seen on cytology, samples should Stop all medications to rule out drug-induced fever. be submitted for Clostridium perfringens Perform a meticulous physical examination, including enterotoxin testing.5 fundic and neurologic examinations. Conduct FeLV and FIV testing. CBC and Serum Biochemistry Profile Obtain samples for CBC, blood smear, and serum chemistry profile. Typically, the changes seen on the CBC and Save serum for serology or other testing. serum chemistry profile in cats with FUO are Conduct a complete urinalysis and urine culture. nonspecific but can help suggest the next diag- Submit a sample for urine protein:creatinine ratio if nostic steps. A blood smear should always be proteinuria and inactive sediment are present. evaluated along with the CBC to help identify Conduct fecal centrifugation and fecal
Load more

Recommended publications
  • Conservation of the Wildcat (Felis Silvestris) in Scotland: Review of the Conservation Status and Assessment of Conservation Activities
    Conservation of the wildcat (Felis silvestris) in Scotland: Review of the conservation status and assessment of conservation activities Urs Breitenmoser, Tabea Lanz and Christine Breitenmoser-Würsten February 2019 Wildcat in Scotland – Review of Conservation Status and Activities 2 Cover photo: Wildcat (Felis silvestris) male meets domestic cat female, © L. Geslin. In spring 2018, the Scottish Wildcat Conservation Action Plan Steering Group commissioned the IUCN SSC Cat Specialist Group to review the conservation status of the wildcat in Scotland and the implementation of conservation activities so far. The review was done based on the scientific literature and available reports. The designation of the geographical entities in this report, and the representation of the material, do not imply the expression of any opinion whatsoever on the part of the IUCN concerning the legal status of any country, territory, or area, or its authorities, or concerning the delimitation of its frontiers or boundaries. The SWCAP Steering Group contact point is Martin Gaywood ([email protected]). Wildcat in Scotland – Review of Conservation Status and Activities 3 List of Content Abbreviations and Acronyms 4 Summary 5 1. Introduction 7 2. History and present status of the wildcat in Scotland – an overview 2.1. History of the wildcat in Great Britain 8 2.2. Present status of the wildcat in Scotland 10 2.3. Threats 13 2.4. Legal status and listing 16 2.5. Characteristics of the Scottish Wildcat 17 2.6. Phylogenetic and taxonomic characteristics 20 3. Recent conservation initiatives and projects 3.1. Conservation planning and initial projects 24 3.2. Scottish Wildcat Action 28 3.3.
    [Show full text]
  • Publications for Julia Beatty 2021 2020 2019
    Publications for Julia Beatty 2021 <a href="http://dx.doi.org/10.1089/vbz.2019.2520">[More Mazeau, L., Wylie, C., Boland, L., Beatty, J. (2021). A shift Information]</a> towards early&#8209;age desexing of cats under veterinary care in Australia. Scientific Reports, 11(1), 1-9. <a 2019 href="http://dx.doi.org/10.1038/s41598-020-79513-6">[More Pesavento, P., Jackson, K., Scase, T., Tse, T., Hampson, B., Information]</a> Munday, J., Barrs, V., Beatty, J. (2019). A Novel Hepadnavirus Kay, A., Boland, L., Kidd, S., Beatty, J., Talbot, J., Barrs, V. is Associated with Chronic Hepatitis and Hepatocellular (2021). Complete clinical response to combined antifungal Carcinoma in Cats. Viruses, 11(10), 1-8. <a therapy in two cats with invasive fungal rhinosinusitis caused href="http://dx.doi.org/10.3390/v11100969">[More by cryptic Aspergillus species in section Fumigati. Medical Information]</a> Mycology Case Reports, 34, 13-17. <a Whitney, J., Haase, B., Beatty, J., Barrs, V. (2019). Breed- href="http://dx.doi.org/10.1016/j.mmcr.2021.08.005">[More specific variations in the coding region of toll-like receptor 4 in Information]</a> the domestic cat. Veterinary Immunology and Sacrist�n, I., Acu�a, F., Aguilar, E., Garc�a, S., Jos� Immunopathology, 209, 61-69. <a L�pez, M., Cabello, J., Hidalgo-Hermoso, E., Sanderson, J., href="http://dx.doi.org/10.1016/j.vetimm.2019.02.009">[More Terio, K., Barrs, V., Beatty, J., et al (2021). Cross-species Information]</a> transmission of retroviruses among domestic and wild felids in Van Brussel, K., Carrai, M., Lin, C., Kelman, M., Setyo, L., human-occupied landscapes in Chile.
    [Show full text]
  • Tesis Beatriz Unzeta.PDF
    DEPARTAMENTO DE MEDICINA, CIRUGÍA Y ANATOMÍA VETERINARIA FACULTAD DE VETERINARIA UNIVERSIDAD DE LEÓN PREVALENCIA Y CARACTERIZACIÓN CLÍNICO-LESIONAL DE LOS PRINCIPALES PROCESOS INFECCIOSOS DE ETIOLOGÍA VÍRICA QUE AFECTAN A LAS COLONIAS DE GATOS CALLEJEROS EN MADRID CAPITAL PREVALENCE AND CLINICO-PATHOLOGICAL CHARACTERIZATION OF THE MAIN VIRAL INFECTIONS AFFECTING STREET CAT COLONIES IN MADRID Beatriz Unzeta Conde León, 2015 MEMORIA PARA OPTAR AL GRADO DE DOCTOR EN VETERINARIA POR LA UNIVERSIDAD DE LEÓN TESIS DOCTORAL BEATRIZ UNZETA CONDE FACULTAD DE VETERINARIA DE LA UNIVERSIDAD DE LEON AGRADECIMIENTOS 1 TESIS DOCTORAL BEATRIZ UNZETA CONDE FACULTAD DE VETERINARIA DE LA UNIVERSIDAD DE LEON Hace casi 7 años comencé con este proyecto de Tesis Doctoral que supuso para mí un gran reto. En este tiempo ha habido momentos buenos y malos, unos más fáciles y otros más complicados en los personal y en lo laboral y en ocasiones era difícil atisbar el final del camino, pero es ahora cuando todo culmina, cuando echo la vista atrás y sólo puedo sentirme agradecida a la vida y a todos los que me han rodeado en este tiempo. Gracias por hacerme crecer, porque cada vez que me he caído me han ayudado a levantarme, porque cuando el paso era ligero también me han acompañado disfrutando de esos momentos. Ahora que finaliza y hago un resumen de estos siete últimos años me doy cuenta de lo que he crecido como veterinaria clínica junto con este proyecto. Mi amor y afición por los gatos surgió ya desde que me licencié en Veterinaria y me uní al GEMFE, grupo de especialidad en Medicina Felina de AVEPA, formándome con especial interés en la medicina felina.
    [Show full text]
  • Functions, Structure, and Read-Through Alternative Splicing Of
    Open Access Research2008MünketVolume al. 9, Issue 3, Article R48 Functions, structure, and read-through alternative splicing of feline APOBEC3 genes Carsten Münk*, Thomas Beck†, Jörg Zielonka*, Agnes Hotz-Wagenblatt‡, Sarah Chareza§, Marion Battenberg*, Jens Thielebein¶, Klaus Cichutek*, Ignacio G Bravo¥, Stephen J O'Brien#, Martin Löchelt§ and Naoya Yuhki# Addresses: *Division of Medical Biotechnology, Paul-Ehrlich-Institut, 63225 Langen, Germany. †SAIC-Frederick, Inc., NCI-Frederick, Laboratory of Genomic Diversity, Frederick, MD 21702-1201, USA. ‡Department of Molecular Biophysics, Research Program Structural and Functional Genomics, German Cancer Research Center, 69120 Heidelberg, Germany. §Department of Genome Modifications and Carcinogenesis, Research Program Infection and Cancer, German Cancer Research Center, Heidelberg, Germany. ¶Institute of Agricultural and Nutritional Sciences, Martin-Luther-University Halle-Wittenberg, 06108 Halle, Germany. ¥Institute for Evolution and Biodiversity, Westfälische Wilhems University Münster, 48143 Münster, Germany. #Laboratory of Genomic Diversity, NCI at Frederick, Frederick, MD 21702-1201, USA. Correspondence: Carsten Münk. Email: [email protected], Martin Löchelt. Email: [email protected], Naoya Yuhki. Email: [email protected] Published: 3 March 2008 Received: 24 January 2008 Revised: 29 February 2008 Genome Biology 2008, 9:R48 (doi:10.1186/gb-2008-9-3-r48) Accepted: 3 March 2008 The electronic version of this article is the complete one and can be found online at http://genomebiology.com/2008/9/3/R48 © 2008 Münk et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    [Show full text]
  • Romantic Comedy-A Critical and Creative Enactment 15Oct19
    Romantic comedy: a critical and creative enactment by Toni Leigh Jordan B.Sc., Dip. A. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy Deakin University June, 2019 Table of Contents Abstract ii Acknowledgements iii Dedication iv Exegesis 1 Introduction 2 The Denier 15 Trysts and Turbulence 41 You’ve Got Influences 73 Conclusion 109 Works cited 112 Creative Artefact 123 Addition 124 Fall Girl 177 Our Tiny, Useless Hearts 259 Abstract For this thesis, I have written an exegetic complement to my published novels using innovative methodologies involving parody and fictocriticism to creatively engage with three iconic writers in order to explore issues of genre participation. Despite their different forms and eras, my subjects—the French playwright Molière (1622-1673), the English novelist Jane Austen (1775-1817), and the American screenwriter Nora Ephron (1941-2012)—arguably participate in the romantic comedy genre, and my analysis of their work seeks to reveal both genre mechanics and the nature of sociocultural evaluation. I suggest that Molière did indeed participate in the romantic comedy genre, and it is both gender politics and the high cultural prestige of his work (and the low cultural prestige of romantic comedy) that prevents this classification. I also suggest that popular interpretations of Austen’s work are driven by romanticised analysis (inseparable from popular culture), rather than the values implicit in the work, and that Ephron’s clever and conscious use of postmodern techniques is frequently overlooked. Further, my exegesis shows how parody provides a productive methodology for critically exploring genre, and an appropriate one, given that genre involves repetition—or parody—of conventions and their relationship to form.
    [Show full text]
  • Feline Foamy Virus-Based Vectors: Advantages of an Authentic Animal Model
    Viruses 2013, 5, 1702-1718; doi:10.3390/v5071702 OPEN ACCESS viruses ISSN 1999-4915 www.mdpi.com/journal/viruses Review Feline Foamy Virus-Based Vectors: Advantages of an Authentic Animal Model †,‡ † Weibin Liu , Janet Lei , Yang Liu, Dragana Slavkovic Lukic, Ann-Mareen Räthe, # Qiuying Bao, Timo Kehl, Anne Bleiholder, Torsten Hechler and Martin Löchelt * Department of Genome Modifications, Research Program Infection and Cancer, German Cancer Research Center, Im Neuenheimer Feld 242, 69120 Heidelberg, Germany; E-Mails: [email protected] (W.L.); [email protected] (J.L.); [email protected] (Y.L.); [email protected] (D.S.L.); [email protected] (A.-M.R.); [email protected] (Q.B.); [email protected] (T.K.); [email protected] (T.H.) † These authors contributed equally to this work. ‡ Current address: Department of Biochemistry and Molecular Biology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA. # Current address: Department of Biochemistry, Heidelberg Pharma GmbH, Schriesheimer Str. 101, 68526 Ladenburg, Germany. * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +49-6221-424933; Fax: +49-6221-424932. Received: 1 March 2013; in revised form: 13 June 2013 / Accepted: 25 June 2013 / Published: 12 July 2013 Abstract: New-generation retroviral vectors have potential applications in vaccination and gene therapy. Foamy viruses are particularly interesting as vectors, because they are not associated to any disease. Vector research is mainly based on primate foamy viruses (PFV), but cats are an alternative animal model, due to their smaller size and the existence of a cognate feline foamy virus (FFV).
    [Show full text]
  • Overview of Fever of Unknown Origin in Adult and Paediatric Patients L
    Overview of fever of unknown origin in adult and paediatric patients L. Attard1, M. Tadolini1, D.U. De Rose2, M. Cattalini2 1Infectious Diseases Unit, Department ABSTRACT been proposed, including removing the of Medical and Surgical Sciences, Alma Fever of unknown origin (FUO) can requirement for in-hospital evaluation Mater Studiorum University of Bologna; be caused by a wide group of dis- due to an increased sophistication of 2Paediatric Clinic, University of Brescia eases, and can include both benign outpatient evaluation. Expansion of the and ASST Spedali Civili di Brescia, Italy. and serious conditions. Since the first definition has also been suggested to Luciano Attard, MD definition of FUO in the early 1960s, include sub-categories of FUO. In par- Marina Tadolini, MD Domenico Umberto De Rose, MD several updates to the definition, di- ticular, in 1991 Durak and Street re-de- Marco Cattalini, MD agnostic and therapeutic approaches fined FUO into four categories: classic Please address correspondence to: have been proposed. This review out- FUO; nosocomial FUO; neutropenic Marina Tadolini, MD, lines a case report of an elderly Ital- FUO; and human immunodeficiency Via Massarenti 11, ian male patient with high fever and virus (HIV)-associated FUO, and pro- 40138 Bologna, Italy. migrating arthralgia who underwent posed three outpatient visits and re- E-mail: [email protected] many procedures and treatments before lated investigations as an alternative to Received on November 27, 2017, accepted a final diagnosis of Adult-onset Still’s “1 week of hospitalisation” (5). on December, 7, 2017. disease was achieved. This case report In 1997, Arnow and Flaherty updated Clin Exp Rheumatol 2018; 36 (Suppl.
    [Show full text]
  • Alidia) Cornelissen Student Number: 3932842
    Student: A.B. (Alidia) Cornelissen Student number: 3932842 Supervisors: Dr. M.R. (Michael) Lappin¹ Dr. H.F. (Herman) Egberink² ¹Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States. ²Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.A. A.B. Cornelissen/ Prevalence of selected pathogens in client-owned cats from the Netherlands Table of contents Abstract ................................................................................................................................................... 3 Introduction ............................................................................................................................................ 3 Materials and methods .......................................................................................................................... 5 Samples ............................................................................................................................................... 5 Serological assays ................................................................................................................................ 5 Molecular assays ................................................................................................................................. 5 Statistical analysis ...............................................................................................................................
    [Show full text]
  • Fever of Unknown Origin in Childhood: Difficulties in Diagnosis
    Annals of the Rheumatic Diseases 1994; 53: 429-433 429 MASTERCLASS Ann Rheum Dis: first published as 10.1136/ard.53.7.429 on 1 July 1994. Downloaded from Fever of unknown origin in childhood: difficulties in diagnosis Katherine Martin, E Graham Davies, John S Axford Case report (CRP) 208 mg/I. Liver function tests were A twelve year old white boy presented to abnormal: alanine transaminase 91 IUAL another hospital with a two month history of (normal range 1-40), gamma glutamyl intermittent fever with night sweats, general transferase 134 IUAL (normal range 0-60), malaise, arthralgia and myalgia. He had bilirubin 18 micromolVL (0-17), alkaline marked cervical lymphadenopathy. Latex phosphatase 217 IU/L (30-100) and albumin agglutination for toxoplasma antibodies was 18 g/l (35-45). Renal impairment was apparent positive at a dilution of 1/128. A diagnosis of with a raised serum creatinine (224 micromol/ acquired toxoplasmosis was made and sulpha- L (60-110)). Chest radiograph showed right diazine 1 g four times a day, trimethoprim 300 middle lobe consolidation. Abdominal mg twice a day and folinic acid 15 mg ultrasound scan (USS) confirmed hepato- alternative days, were started. Over the next splenomegaly and ascites. Echocardiogram week he developed a generalised urticarial rash, showed a small pericardial effusion. peripheral oedema and profuse bloody A diagnosis of Stevens-Johnson syndrome diarrhoea and was referred to our unit. with acute renal failure and disseminated On examination he was delirious with a intravascular coagulation (DIC) was made. persistent fever of up to 42°C and he was Supportive therapy, broad spectrum anti- bleeding from his nose and mouth.
    [Show full text]
  • Feline Infectious Diseases and Pediatrics
    REGISTRATION BROCHURE AMERICAN ASSOCIATION OF FELINE PRACTITIONERS 2017 CONFERENCE Feline Infectious Diseases and Pediatrics October 19 – 22, 2017 Sheraton Denver Downtown Hotel • Denver, CO www.catvets.com/education Feline Infectious Diseases and Pediatrics 2017 October 19–22, 2017 I Sheraton Denver Downtown Hotel I Denver, CO CONFERENCE THURSDAY, OCTOBER 19, 2017 Pre-conference Day Sessions PRE-CONFERENCE DAY Separate registration required Partner Sponsor Sponsor 8:00 – 10:00 am Feline-Friendly Handling Lab, Dr. Ilona Rodan – Room 14 Separate registration required Healthy People, Healthy Practices: Wellness & Compassion Satisfaction, 10:00 –11:15 am Dr. Laurie Fonken – Plaza Ballroom D -F Included in pre-conference registration Sponsor 11:20 –12:45 pm Food for Thought Luncheon – Plaza Ballroom A - C Included in pre-conference registration 11:45 – 12:45 pm Feline Fitness, Fatness, & Feeding: Maximizing Comfort & Mobility Dr. Robin Downing 1:00 – 5:30 pm ABVP/AAFP Seminar & Social – Plaza Ballroom D - F Included in pre-conference registration 1:00 – 2:00 pm Pain Physiology & Feline Neuropathic Pain Conditions Dr. Mark Epstein 2:00 – 3:00 pm Update on NSAIDs & Opioids in Feline Pain Management Dr. Mark Epstein 3:00 – 3:30 pm Seminar & Social Refreshment Break – Plaza Ballroom A - C Included in pre-conference registration Updates on Adjunctive Pain Modifying Drugs in Cats 3:30 – 4:30 pm Dr. Mark Epstein 4:30 – 5:30 pm Local Anesthesia & Loco-regional Techniques in Cats Dr. Mark Epstein Sponsor 5:30 – 7:00 pm WELCOME RECEPTION – South Convention Lobby - 2nd Floor All attendees invited Track Descriptions Tracks A & B - This conference offers two concurrent veterinary tracks that allow attendees the opportunity to customize their learning experience.
    [Show full text]
  • A Case of Cat Scratch Disease Confirmed by Polymerase Chain Reaction for Bartonella Henselae DNA
    Korean Journal of Pediatrics Vol. 48, No. 7, 2005 □ Case Report □ 1) A Case of Cat Scratch Disease Confirmed by Polymerase Chain Reaction for Bartonella henselae DNA Ju-Young Chung, M.D., Ja Wook Koo, M.D., Sang Woo Kim, M.D. Young Sam Yoo, M.D.*, Tae Hee Han, M.D.† and Seong Jig Lim☨ Departments of Pediatrics, Otolaryngology*, Diagnostic Laboratory Medicine†, and Pathology‡ Sanggyepaik Hospital, Inje University College of Medicine, Seoul, Korea We report a case of cat scratch disease (CSD) caused by Bartonella henselae in a 14-year-old boy who developed lymphadenopathy in the right cervical area, after a raising canine pet for 10 months. The cervical lymphadenopathy persisted for 14 days. Immunofluorescent antibody testing for B. henselae with the patient's serum was 1:64 positive. Polymerase chain reaction (PCR) analysis using the patient's lymph node aspirates for B. henselae DNA was also positive. This is the first case of cat scratch disease confirmed by PCR for B. henselae DNA in children. (Korean J Pediatr 2005;48: 789-792) Key Words : Bartonella henselae,Catscratchdisease,PCR,Children due to the difficulty of isolating the organism from pa- Introduction tients. Recently, the detection of B. henselae DNA by using PCR with specimen of lymph nodes from patients 4-6) Cat scratch disease (CSD) is usually characterized as a and blood is available for genetic diagnosis of CSD .In self-limiting regional lymphadenopathy associated with a Korea, few cases of lymphadenitis showing positive results cat scratch or bite, caused by B. henselae or possibly B. by immunofluorescent assay for B.
    [Show full text]
  • Open for Service “We Need to Be Having These Conversations All Over Minnesota and the Country,” Said State DFL David M
    Inside: More trash talk...See /3 First Zup’s bid awarded...See /9 Lights in the Fall sports... See /1B night...See /4B the T VOL.IMBERJAY 30, ISSUE 41 October 18, 2019 $100 TOWERGATE Former Tower mayor pleads guilty to misconduct Yet Josh Carlson made false statement under oath in acknowledging his guilt by MARSHALL HELMBERGER Carlson made his plea in the The St. Louis County Attorney’s last Wednesday. Carlson’s attorney, Managing Editor Sixth District Court in Virginia on Office had charged Carlson along Jon Rice of Hibbing, led the former Wednesday as part of a plea deal with former Tower City Clerk- mayor through a brief recitation of VIRGINIA— Former Tower reached with county prosecutors. Treasurer Linda Keith over the what was supposed to be a factual Mayor Josh Carlson has pleaded The judge issued a stay of ajudica- removal of Helmberger, which came accounting of events, but instead guilty to engaging in official miscon- tion, which means Carlson’s convic- in apparent retaliation for unflatter- prompted his client to make a duct when he removed Timberjay tion won’t be immediately entered ing news coverage and editorials false statement to the court over publisher Marshall Helmberger into the record and could be cleared questioning decision-making by the reasons behind Helmberger’s from his position as president of away if he remains law-abiding for city officials. removal. the Tower Economic Development the next year. He was required to But Carlson cited a different Authority in January 2018. pay a $50 fine. rationale in the Virginia courtroom See...TOWER pg.
    [Show full text]