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Peer-reviewed veterinary case report

Cat with nocardial peritonitis treated with surgery and antibiotics

By Tilgner, S L & Anstey, S I·Published in Australian veterinary journal·1996·Hume Animal Hospital, United Kingdom·View original on PubMed

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Original publication title: Nocardial peritonitis in a cat.

Species:
cat

Plain-English summary

An 8-year-old neutered male Burmese cat was brought in showing signs of depression, loss of appetite, and weight loss, along with a swollen abdomen. Despite initial treatment with antibiotics, his condition worsened, leading to further tests that revealed a serious infection caused by Nocardia bacteria. The vet performed surgery to drain the infected fluid from his abdomen and switched his medication to a more effective antibiotic. After three months of treatment, the cat made a full recovery without any side effects.

People also search for: cat abdominal swelling · cat loss of appetite treatment · Nocardia infection in cats · cat surgery recovery · antibiotics for cat infections

Abstract

OBJECTIVE: To illustrate a successfully managed case of nocardial peritonitis in a cat. DESIGN: Case report. ANIMAL: An 8 year old neutered male Burmese cat presented for nonspecific signs of depression, anorexia, pallor and mild dehydration. Pyrexia, loss of weight and abdominal distension developed despite treatment with amoxycillin-clavulanate and supportive therapy. PROCEDURE: Various medical and surgical procedures were used. RESULTS: Haematology revealed severe inflammatory left shift. Biochemistry showed mild prerenal azotemia. A "ground glass" appearance to the abdomen was seen on radiographs. Fluid collected by abdominocentesis contained "sulphur granules" and had characteristics of a septic exudate. Laparotomy allowed drainage of peritoneal fluid and extensive lavage of the peritoneal cavity. Culture of the fluid revealed Nocardia sp. Sensitivity testing resulted in a change of antimicrobial therapy to trimethoprim-sulphadiazine. CONCLUSION: Response to surgical drainage and change in antibacterial therapy was excellent. No toxic side effects were encountered during the 3 months course of trimethoprim-sulphonamide. The cat made a complete recovery.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9006856/