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Peer-reviewed veterinary case report

Cat with severe anemia and breathing trouble

By Fischer, Catherine et al.·Published in Journal of the American Veterinary Medical Association·2012·Department of Pathobiology, Canada·View original on PubMed

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Original publication title: Erythroleukemia in a retrovirus-negative cat.

Species:
cat
LymphomaBreathing & coughCats

Plain-English summary

A 5-year-old spayed female cat was brought to the vet because she was very tired, had trouble breathing, and was found to be anemic. The vet discovered that her blood tests showed severe anemia and abnormal blood cell development, but tests for common viruses like feline leukemia (FeLV) and feline immunodeficiency virus (FIV) were negative. Despite receiving blood transfusions and supportive care, the cat was diagnosed with a serious type of leukemia called erythroleukemia, which has a poor outlook. Sadly, due to her ongoing health issues, the decision was made to euthanize her.

People also search for: cat lethargy and breathing problems · cat anemia treatment · erythroleukemia in cats · cat leukemia symptoms · why is my cat so tired

Abstract

CASE DESCRIPTION: A 5-year-old spayed female cat was evaluated because of lethargy of 3 days' duration, acute respiratory distress, and anemia. CLINICAL FINDINGS: Physical examination revealed the cat was in good body condition but had pale mucous membranes and elevated heart and respiratory rates. Results of hematologic analysis indicated the cat had severe anemia (Hct, 0.07 L/L; reference range, 0.28 to 0.49 L/L) and marked rubricytosis (19.0 × 10(9) cells/L; reference value, 0 cells/L). Results of serologic and PCR assays for detection of FeLV and FIV and PCR assays for detection of Mycoplasma spp were negative. Cytologic evaluation of a bone marrow aspirate and histologic evaluation of a biopsy specimen revealed a predominance of rubriblasts and rubricytes with granulocytopenia. Cytologic evaluation of fine-needle aspirates of the spleen and liver also revealed numerous rubriblasts. TREATMENT AND OUTCOME: The cat received transfusions of packed RBCs, and supportive treatment was administered. Analysis of test results yielded a diagnosis of acute myeloid leukemia (erythroid subtype). Because of continued hemolysis and anemia in combination with the diagnosis of erythroleukemia (which has a poor prognosis), the cat was euthanized. CLINICAL RELEVANCE: To the authors' knowledge, erythroleukemia has only been reported in cats infected with FeLV. However, results of all diagnostic assays for FeLV were negative in the cat reported here, which suggested that erythroleukemia can develop in cats in the absence of FeLV infection.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22256844/