Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient

A 7-year-old female spayed domestic shorthair cat was presented to our hospital with a 2-day history of anorexia, dyspnoea and lethargy. Blood tests revealed mild anaemia (packed cell volume [PCV] 22.4%) and the biochemistry panel was unremarkable. Thoracic radiographs and echocardiography showed th...

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Autores: Torrano Guillamón, Ana, Juarez Sarrión, Casandra, Álvarez-Fernández, Alejandra|||0000-0002-1906-0180, Solano Gallego, Laia|||0000-0001-8479-4896, González Villajos, Carlos, Arenas Bermejo, Carolina, Castro López, Jorge
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:317368
Acceso en línea:https://ddd.uab.cat/record/317368
https://dx.doi.org/urn:doi:10.1177/20551169251313617
Access Level:acceso abierto
Palabra clave:Bartonella henselae
Pleural effusion
Pericardial effusion
Fever
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spelling Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patientTorrano Guillamón, AnaJuarez Sarrión, CasandraÁlvarez-Fernández, Alejandra|||0000-0002-1906-0180Solano Gallego, Laia|||0000-0001-8479-4896González Villajos, CarlosArenas Bermejo, CarolinaCastro López, JorgeBartonella henselaePleural effusionPericardial effusionFeverA 7-year-old female spayed domestic shorthair cat was presented to our hospital with a 2-day history of anorexia, dyspnoea and lethargy. Blood tests revealed mild anaemia (packed cell volume [PCV] 22.4%) and the biochemistry panel was unremarkable. Thoracic radiographs and echocardiography showed the presence of pericardial effusion with cardiac tamponade as well as pleural effusion. During the initial attempt at pericardiocentesis, a small sample was obtained, sufficient only for fluid analysis and cytology. Subsequently, the pericardial effusion immediately resolved, presumably owing to the drainage of pericardial fluid into the pleural space. Thoracocentesis was then performed, yielding 50 ml of fluid. The analysis of the fluid was consistent with a protein-rich transudate associated with macrophagic-neutrophilic inflammation in both sampled areas. PCR was positive for Bartonella henselae in the pleural/pericardial fluid pool and peripheral blood. Bacterial culture was negative and feline coronavirus real-time PCR was negative. The patient was treated with marbofloxacin 5 mg/kg PO q24h for 5 weeks. No clinical signs were reported at this time; however, blood B henselae PCR remained positive. Treatment was changed to doxycycline at 5 mg/kg PO q12h for 6 weeks. The cat remained subclinical throughout the treatment, and a blood PCR after 6 weeks yielded negative results. To the best of the authors' knowledge, the present clinical findings related to B henselae infection in a cat without concurrent heart failure have not been previously documented. This clinical case highlights the need to include Bartonella species as a differential diagnosis in cats with protein-rich transudate effusions associated with neutrophilic-macrophagic inflammation and fever. 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/317368https://dx.doi.org/urn:doi:10.1177/20551169251313617reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3173682026-06-06T12:50:31Z
dc.title.none.fl_str_mv Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
title Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
spellingShingle Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
Torrano Guillamón, Ana
Bartonella henselae
Pleural effusion
Pericardial effusion
Fever
title_short Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
title_full Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
title_fullStr Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
title_full_unstemmed Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
title_sort Pleural and pericardial effusion associated with Bartonella henselae infection in a feline patient
dc.creator.none.fl_str_mv Torrano Guillamón, Ana
Juarez Sarrión, Casandra
Álvarez-Fernández, Alejandra|||0000-0002-1906-0180
Solano Gallego, Laia|||0000-0001-8479-4896
González Villajos, Carlos
Arenas Bermejo, Carolina
Castro López, Jorge
author Torrano Guillamón, Ana
author_facet Torrano Guillamón, Ana
Juarez Sarrión, Casandra
Álvarez-Fernández, Alejandra|||0000-0002-1906-0180
Solano Gallego, Laia|||0000-0001-8479-4896
González Villajos, Carlos
Arenas Bermejo, Carolina
Castro López, Jorge
author_role author
author2 Juarez Sarrión, Casandra
Álvarez-Fernández, Alejandra|||0000-0002-1906-0180
Solano Gallego, Laia|||0000-0001-8479-4896
González Villajos, Carlos
Arenas Bermejo, Carolina
Castro López, Jorge
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Bartonella henselae
Pleural effusion
Pericardial effusion
Fever
topic Bartonella henselae
Pleural effusion
Pericardial effusion
Fever
description A 7-year-old female spayed domestic shorthair cat was presented to our hospital with a 2-day history of anorexia, dyspnoea and lethargy. Blood tests revealed mild anaemia (packed cell volume [PCV] 22.4%) and the biochemistry panel was unremarkable. Thoracic radiographs and echocardiography showed the presence of pericardial effusion with cardiac tamponade as well as pleural effusion. During the initial attempt at pericardiocentesis, a small sample was obtained, sufficient only for fluid analysis and cytology. Subsequently, the pericardial effusion immediately resolved, presumably owing to the drainage of pericardial fluid into the pleural space. Thoracocentesis was then performed, yielding 50 ml of fluid. The analysis of the fluid was consistent with a protein-rich transudate associated with macrophagic-neutrophilic inflammation in both sampled areas. PCR was positive for Bartonella henselae in the pleural/pericardial fluid pool and peripheral blood. Bacterial culture was negative and feline coronavirus real-time PCR was negative. The patient was treated with marbofloxacin 5 mg/kg PO q24h for 5 weeks. No clinical signs were reported at this time; however, blood B henselae PCR remained positive. Treatment was changed to doxycycline at 5 mg/kg PO q12h for 6 weeks. The cat remained subclinical throughout the treatment, and a blood PCR after 6 weeks yielded negative results. To the best of the authors' knowledge, the present clinical findings related to B henselae infection in a cat without concurrent heart failure have not been previously documented. This clinical case highlights the need to include Bartonella species as a differential diagnosis in cats with protein-rich transudate effusions associated with neutrophilic-macrophagic inflammation and fever.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/317368
https://dx.doi.org/urn:doi:10.1177/20551169251313617
url https://ddd.uab.cat/record/317368
https://dx.doi.org/urn:doi:10.1177/20551169251313617
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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repository.mail.fl_str_mv
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