Pet
Story of the Month
From
time to time we bring you
an interesting story about a pet that was treated at our hospital.
It may be an unusual case, a dramatic recovery or just a common
problem but a good case to use for illustration purposes etc.
The following took place at Emerson Animal Hospital recently.
"HOW MAKING A DIAGNOSIS CAN SOMETIMES
BE LIKE A GAME OF CAT AND MOUSE"
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"Bugs" and staff |
Bugs is a
7 year old neutered male domestic short haired cat. He presented
to our hospital in January 2004 with a complaint of growling ,
hissing , twitching and staring at the walls the prior evening.
He had never exhibited this behavior before.
Physical
exam was normal except for a temperature of 103.5F and mild discomfort
on palpation of the left laryngeal area. Bugs was admitted to
the hospital for observation, bloodwork and radiographs. Radiographs
revealed a small radiopaque density in the laryngeal area. The
cat ate normally in the hospital and did not exhibit any abnormal
behavior. Both chemistry profiles and CBC were within normal limits.
Felv, FIV and FIP titers were negative. However, there was a positive
Toxoplasma IgM titer of 1:64. Differential diagnoses included
Toxoplasmosis, Esophageal foreign body, esophageal neoplasia or
non-specific neurological disorder. Bugs appeared fine the next
day and was sent home on Clindamycin for 3 weeks. Toxoplasma titer
was to be rechecked in 2-3 weeks.
Bugs returned
for recheck Toxoplasma IgM titer 2 weeks later and it was still
1:64. The patient was doing very well but Dr. Lofaro said that
it was most likely not Toxoplasmosis. Clindamycin was continued
for 1 more week.Bugs presented again 2 weeks later with the same
complaint... growling. hissing and staring at the walls, especially
at night. Bugs was referred to an internal medicine specialist
who was unable to find any medical explanation for the patient’s
neurological behavior.
Bugs’
abnormal nocturnal neurological behavior continued on and off
without explanation until one night the owner thought she heard
something behind the wall. She hired an exterminator to investigate
and the house was found to be infested with mice. Since the rodent
problem has been resolved, Bugs has not exhibited any more neurological
signs.
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