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Clinical, Radiological, and Echocardiographic Findings in Cats Infected by Aelurostrongylus abstrusus. Pathogens 2023; 12:pathogens12020273. [PMID: 36839545 PMCID: PMC9965210 DOI: 10.3390/pathogens12020273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/17/2023] [Accepted: 02/03/2023] [Indexed: 02/11/2023] Open
Abstract
Cats infected by Aelurostrongylus abstrusus may show a plethora of clinical signs, and pulmonary hypertension (PH) seems to be one of the possible alterations induced by the infection; however, data on this association are scant and contradictory. Therefore, the aims of this study were to investigate the association between aelurostrongylosis and PH and to evaluate the correlation between the number of A. abstrusus larvae expelled in the faeces and the clinical, echocardiographic, and radiological alterations. Fifteen cats (i.e., eight males and seven females) older than 3 months and naturally infected by A. abstrusus with different parasitic loads, expressed as larvae per grams of faeces (l.p.g.), were enrolled in the study. Each animal underwent clinical, echocardiographic, and radiographic examinations. Most cats (i.e., 10/15) showed pathological patterns on thoracic radiograms; particularly, the alveolar pattern (four cats), interstitial-nodular pattern (five cats), and bronchial pattern (one cat). No significant echocardiographic findings of PH were detected. No correlation between the number of l.p.g. and the severity of clinical signs was observed, but a significant correlation with activated partial thromboplastin time (aPTT), radiographic alterations (interstitial nodular pattern), and ultrasonographic findings (RIVIDs) were noticed. These findings suggest that other factors such as animal age and health status, as well as comorbidity, may influence the presentation of the disease or the clinical manifestation and severity of the disease.
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Morelli S, Diakou A, Colombo M, Di Cesare A, Barlaam A, Dimzas D, Traversa D. Cat Respiratory Nematodes: Current Knowledge, Novel Data and Warranted Studies on Clinical Features, Treatment and Control. Pathogens 2021; 10:pathogens10040454. [PMID: 33920104 PMCID: PMC8069686 DOI: 10.3390/pathogens10040454] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 04/02/2021] [Accepted: 04/07/2021] [Indexed: 02/07/2023] Open
Abstract
The nematodes Aelurostrongylus abstrusus, Troglostrongylus brevior and Capillaria aerophila are the most important parasites inhabiting the airways of cats. They are receiving growing attention from academia, pharmaceutical companies and veterinarians, and are now considered a primary cause of respiratory diseases in feline clinical practice and parasitology. In the past few years, several studies have been conducted in both natural and experimental settings to increase knowledge, provide new insights and fill gaps on respiratory parasitoses of cats. Awareness and knowledge of clinical scenarios towards appropriate and timely diagnosis and prompt and efficacious treatment options have become a priority to investigate. At the same time, chemopreventative approaches have been evaluated to assess the geographical spreading of these parasites and the rise in the number of clinical cases in cat populations of different countries. Given the intense accumulation of novel data, this review presents and discusses the state of the art and the latest updates on the clinical features, treatment, and control of major respiratory parasitoses of cats. Moreover, food for thought is also provided with the aim of spurring on new studies in the near future.
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Affiliation(s)
- Simone Morelli
- Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy; (S.M.); (M.C.); (A.D.C.)
| | - Anastasia Diakou
- School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (A.D.); (D.D.)
| | - Mariasole Colombo
- Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy; (S.M.); (M.C.); (A.D.C.)
| | - Angela Di Cesare
- Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy; (S.M.); (M.C.); (A.D.C.)
| | - Alessandra Barlaam
- Department of Agriculture, Food, Natural Resources and Engineering (DAFNE), University of Foggia, Via Napoli 25, 71121 Foggia, Italy;
| | - Dimitris Dimzas
- School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (A.D.); (D.D.)
| | - Donato Traversa
- Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy; (S.M.); (M.C.); (A.D.C.)
- Correspondence:
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Vezzosi T, Perrucci S, Parisi F, Morelli S, Maestrini M, Mennuni G, Traversa D, Poli A. Fatal Pulmonary Hypertension and Right-Sided Congestive Heart Failure in a Kitten Infected with Aelurostrongylus abstrusus. Animals (Basel) 2020; 10:ani10122263. [PMID: 33271887 PMCID: PMC7759851 DOI: 10.3390/ani10122263] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 11/27/2020] [Accepted: 11/29/2020] [Indexed: 02/08/2023] Open
Abstract
Simple Summary Infections caused by lungworms are an emerging issue in feline medicine. Clinical features in cats may vary from subclinical infections to a severe disease, occasionally including fatal pneumonia, depending on different factors, e.g., lungworm species, parasitic burden, and age of the animal. A case of infection caused by Aelurostrongylus abstrusus in a domestic kitten presenting acute dyspnoea and ascites is presented here. Clinical, radiological, echocardiographic, parasitological, molecular, and pathological data are described. This is the first report of life-threatening pulmonary hypertension inducing congestive heart failure caused by A. abstrusus infection in a domestic kitten. Abstract Aelurostrongylus abstrusus is considered the most important respiratory nematode of domestic cats worldwide. This parasite inhabits the alveoli, alveolar ducts, and bronchioles and causes a subacute to chronic respiratory clinical disease. Clinical signs may occur in domestic cats of any age, though they are more often described in young animals. Physical examination, echocardiography, thoracic radiography, pulmonary and cardiac pathological findings, classical, and molecular parasitological analysis of a six-month-old kitten referred at the Veterinary Teaching Hospital of the University of Pisa (Italy) led to a diagnosis of parasitic bronchopneumonia caused by A. abstrusus, which was complicated by severe pulmonary hypertension (PH) and right-sided congestive heart failure (R-CHF) that caused the death of the animal. Cases of reversible PH associated with A. abstrusus infection have been seldom reported in cats. This is the first report of fatal PH and R-CHF in a kitten with clinical aelurostrongylosis.
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Affiliation(s)
- Tommaso Vezzosi
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy; (T.V.); (S.P.); (F.P.); (M.M.)
| | - Stefania Perrucci
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy; (T.V.); (S.P.); (F.P.); (M.M.)
| | - Francesca Parisi
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy; (T.V.); (S.P.); (F.P.); (M.M.)
| | - Simone Morelli
- Faculty of Veterinary Medicine, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (S.M.); (D.T.)
| | - Michela Maestrini
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy; (T.V.); (S.P.); (F.P.); (M.M.)
| | - Giulia Mennuni
- Studio Associato Veterinario Razzauti Daolio Anguillesi, 57100 Livorno, Italy;
| | - Donato Traversa
- Faculty of Veterinary Medicine, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (S.M.); (D.T.)
| | - Alessandro Poli
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy; (T.V.); (S.P.); (F.P.); (M.M.)
- Correspondence:
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Crisi PE, Di Cesare A, Traversa D, Vignoli M, Morelli S, Di Tommaso M, De Santis F, Pampurini F, Schaper R, Boari A. Controlled field study evaluating the clinical efficacy of a topical formulation containing emodepside and praziquantel in the treatment of natural cat aelurostrongylosis. Vet Rec 2019; 187:e34. [PMID: 31754046 PMCID: PMC7509393 DOI: 10.1136/vr.105528] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Revised: 08/01/2019] [Accepted: 10/05/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND Aelurostrongylus abstrusus is the most important nematode affecting the respiratory tract of cats in terms of prevalence and clinical relevance. The aim of this randomised controlled field study was to confirm the efficacy of the spot-on containing emodepside/praziquantel (Profender, Bayer Animal Health) in the treatment of aelurostrongylosis. METHODS Seventeen cats with aelurostrongylosis and presenting with clinical and/or radiographic signs were included in the study. Eight cats received two biweekly doses of emodepside/praziquantel, while nine cats were allocated to a control group and received a rescue treatment at the end of the study. Clinical response was the primary outcome, while the secondary end point was the reduction of larval shedding in faeces. RESULTS Two weeks after the first application, the cats showed a significant, though partial, recovery of clinical signs with complete clinical and parasitological resolution. The resolution of inflammatory leucogram and a significant reduction of radiographic lesions were observed two weeks after the second treatment. Red blood cells and albumin values significantly increased after eight weeks from the second application, together with the complete regression of radiographic patterns. CONCLUSION Two applications of this spot-on solution two weeks apart assured complete cessation of larval shedding and led to a complete clinical, clinicopathological and radiographic recovery.
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Affiliation(s)
| | - Angela Di Cesare
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Donato Traversa
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Massimo Vignoli
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Simone Morelli
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | | | | | | | | | - Andrea Boari
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
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Kiszely S, Gyurkovszky M, Solymosi N, Farkas R. Survey of lungworm infection of domestic cats in Hungary. Acta Vet Hung 2019; 67:407-417. [PMID: 31549542 DOI: 10.1556/004.2019.041] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
From 61 settlements of 12 Hungarian counties, 303 domestic cats were included in this survey. Between autumn 2016 and spring 2018, fresh faecal samples were randomly collected and examined by flotation and by the Baermann-Wetzel method for the presence of lungworm infection. No eggs of Eucoleus aerophilus were detected. Morphological identification of first instar larvae (L1) was also carried out. In the faeces of 60 cats (19.8%) from 17 settlements and Budapest, L1 of Aelurostrongylus abstrusus were found. More than half of the cats were from the western part of the country. The average number of larvae per gram of faeces was 190.2 ± 304.88. These results are in line with the former findings on the prevalence of aelurostrongylosis of domestic cats in Hungary. In addition, Oslerus rostratus was also found for the first time in the faecal samples of three cats from the eastern part of the country, infected also with Ae. abstrusus. The average age (2.51 ± 1.26 years) of infected cats indicates that lungworm infection is more common among younger cats. No relationship was found between the lung-worm infection and the sex of cats. Non-neutered cats had a significantly higher proportion of lungworm infections. Two-thirds of the infected cats were apparently healthy, and only 19 individuals showed clinical signs of respiratory disorders.
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Affiliation(s)
- Sára Kiszely
- 1Department of Parasitology and Zoology and Centre for Bioinformatics, University of Veterinary Medicine, István u. 2, H-1078 Budapest, Hungary
| | - Mónika Gyurkovszky
- 1Department of Parasitology and Zoology and Centre for Bioinformatics, University of Veterinary Medicine, István u. 2, H-1078 Budapest, Hungary
| | - Norbert Solymosi
- 2Centre for Bioinformatics, University of Veterinary Medicine, István u. 2, H-1078 Budapest, Hungary
| | - Róbert Farkas
- 1Department of Parasitology and Zoology and Centre for Bioinformatics, University of Veterinary Medicine, István u. 2, H-1078 Budapest, Hungary
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Dillon AR, Blagburn BL, Tillson M, Brawner W, Welles B, Johnson C, Cattley R, Rynders P, Barney S. The progression of heartworm associated respiratory disease (HARD) in SPF cats 18 months after Dirofilaria immitis infection. Parasit Vectors 2017; 10:533. [PMID: 29143683 PMCID: PMC5688506 DOI: 10.1186/s13071-017-2425-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Heartworm-associated respiratory disease (HARD) in cats is induced by the arrival and death of immature adult Dirofilaria immitis in the pulmonary system and is indistinguishable from mature adult heartworm infection. METHODS A controlled, blind research study investigated the long-term (18 months post infection, PI) consequences of the inflammatory response associated with the death of immature adult heartworms in cats. Three groups of cats, 10 per group, were infected with 100 third-stage (L3) larvae by subcutaneous injection. Group A cats were treated with selamectin (Revolution®; Zoetis) per label directions at 28 days PI and once monthly for 17 months. Group B cats were treated orally with ivermectin (Ivomec®; Merial) at 150 μg/kg) at 70 days PI, then every 2 weeks for 15 months. Group C cats were untreated PI. At baseline (Day 0) and on Days 70, 110, 168, 240, 309, 380, and 505 PI, peripheral blood, serum, bronchial lavage, and thoracic radiographic images were collected. RESULTS The selamectin-treated cats (Group A) and ivermectin-treated cats (Group B) were free of heartworms or heartworm fragments at necropsy. All cats became heartworm antibody positive at some time point in the study except for one cat in Group A. Only cats in Group C (all with adult heartworms) were heartworm antigen positive. The heartworm antibody titer for Group B was highest on Days 110 to 168 and then decreased over time and 50% were serologically antibody negative on Day 240. Eosinophilic bronchoalveolar lavage (BAL) cytology and peripheral eosinophilia were most pronounced on Day 110 in all cats. Randomly distributed myofibrocytes in the lungs of some Group A cats suggest that precardiac larval stages were affecting the lungs. Radiographs in Group B cats demonstrated partial resolution of the initial HARD reaction but chronic myofibrocyte proliferation was histologically evident 18 months after infection. CONCLUSION HARD was induced by immature adult worm infection with progressive improvement starting 6 to 8 months after infection but histologic lesions were evident in some cats 18 months after infection. The serologic antibody assay was negative in 50% of cats at 8 months and 100% of cats at 18 months post infection. Abnormal radiographic lung patterns continued in a subset of Group B cats for months after heartworm antibody serology and BAL cytology returned to normal.
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Affiliation(s)
- A. Ray Dillon
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, 1220 Wire Road, Auburn, Alabama 36849 USA
| | - Bryon L. Blagburn
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Michael Tillson
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - William Brawner
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Betsy Welles
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Calvin Johnson
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Russell Cattley
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Pat Rynders
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
| | - Sharron Barney
- College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849 USA
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Crisi PE, Aste G, Traversa D, Di Cesare A, Febo E, Vignoli M, Santori D, Luciani A, Boari A. Single and mixed feline lungworm infections: clinical, radiographic and therapeutic features of 26 cases (2013-2015). J Feline Med Surg 2016; 19:1017-1029. [PMID: 27694367 DOI: 10.1177/1098612x16670563] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objectives The aim of this study was to retrospectively describe clinical, radiographic and therapeutic features of feline lungworm infection. Methods Medical records of cats with lungworm diagnosis, thoracic radiography and without concurrent diseases between 2013 and 2015 were reviewed. Collection of data included physical examination, haematology, serum biochemistry, therapy with a variety of anthelmintics and outcomes. Results Thirty-seven records were recovered and 26 were included in the study. Single infections by Aelurostrongylus abstrusus (n = 15), Troglostrongylus brevior (n = 3) and Capillaria aerophila (n = 1) and coinfections by T brevior/ A abstrusus (n = 6) and T brevior/ C aerophila (n = 1) were diagnosed. The most common respiratory signs were coughing (n = 12), increased vesicular sounds (n = 10), dyspnoea (n = 9), such as laboured breathing, orthopnoea or open-mouth breathing, and tachypnoea (n = 6). Two cats were subclinically infected. The most common laboratory abnormality was anaemia (n = 7). Radiographic patterns recorded were interstitial (n = 24), bronchial (n = 21), alveolar (n = 10) and vascular (n = 2). Twenty-five cats had a complete recovery within 2-6 weeks of therapy. One kitten died 7 days after the diagnosis. Conclusions and relevance Lungworms should always be included in the differential diagnosis in cats living in endemic areas and presenting with respiratory signs and radiographic abnormalities. A copromicroscopic examination should be considered as the first diagnostic step for all cats at risk of lungworm infections. In most cases, timely therapy with a variety of anthelmintics guarantees recovery.
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Affiliation(s)
- Paolo E Crisi
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Giovanni Aste
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Donato Traversa
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Angela Di Cesare
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Elettra Febo
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Massimo Vignoli
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Domenico Santori
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Alessia Luciani
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Andrea Boari
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
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Traversa D, Di Cesare A. Diagnosis and management of lungworm infections in cats: Cornerstones, dilemmas and new avenues. J Feline Med Surg 2016; 18:7-20. [PMID: 26733545 DOI: 10.1177/1098612x15623113] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PRACTICAL RELEVANCE Respiratory parasites infecting domestic cats are attracting increased attention in feline clinical practice. In addition to the most commonly recognised 'cat lungworm' Aelurostrongylus abstrusus, Troglostrongylus brevior and Capillaria aerophila are now considered important pathogens of the respiratory tract of cats. GLOBAL IMPORTANCE These parasites are being increasingly diagnosed in several regions of the world and a continuous update on epidemiological changes and advances in diagnosis and control is of practical importance. AIMS This article reviews current knowledge of lungworms affecting cats, with a special focus on recent insights into diagnosis and management of the diseases they cause. The article also explores some potential new avenues for control of feline parasitic respiratory diseases, and highlights some key areas requiring further research.
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Affiliation(s)
- Donato Traversa
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
| | - Angela Di Cesare
- Faculty of Veterinary Medicine, Teaching Veterinary Hospital, University of Teramo, Teramo, Italy
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Lacava G, Zini E, Marchesotti F, Domenech O, Romano F, Manzocchi S, Venco L, Auriemma E. Computed tomography, radiology and echocardiography in cats naturally infected with Aelurostrongylus abstrusus. J Feline Med Surg 2016; 19:446-453. [PMID: 26961678 DOI: 10.1177/1098612x16636419] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives The aims of the study were to describe the radiographic and computed tomographic features in cats naturally infected with Aelurostrongylus abstrusus, and to identify signs of pulmonary hypertension with echocardiography. Methods Fourteen cats positive on Baermann test for A abstrusus were included in the study. All cats underwent thoracic radiography, CT and echocardiography. Results The most common clinical signs were coughing (10/14) and dyspnoea (5/14). Radiographic findings included a generalised unstructured interstitial pulmonary pattern (8/14), mixed bronchointerstitioalveolar pattern (3/14) and bronchointerstitial pattern with bronchial wall thickening (3/14). Sternal lymphadenopathy was detected on thoracic radiographs in six cats. On CT, features were mixed bronchointerstitioalveolar pattern with ground-glass appearance in six cats, interstitioalveolar with multiple pulmonary nodules in five, interstitial ground-glass infiltrates in three, regional lymph node enlargement in 11 (10 sternal, three cranial mediastinal and three tracheobronchial lymph nodes) and subpleural thickening in four. None of the thoracic radiographs revealed subpleural thickening. In all cases, pulmonary vessels were normal in terms of size, shape and attenuation on both radiography and CT. Pulmonary hypertension and cardiac abnormalities were not observed in any cat during echocardiography. Conclusions and relevance CT provided a more thorough characterisation of pulmonary and mediastinal lesions compared with thoracic radiographs in cats naturally infected with A abstrusus. Although feline aelurostrongylosis has been previously associated with histopathological lesions in lung arteries, in this cohort clinical evidence of pulmonary hypertension was not documented.
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Affiliation(s)
- Giuseppe Lacava
- 1 Department of Diagnostic Imaging, Istituto Veterinario di Novara, Novara, Italy
| | - Eric Zini
- 2 Department of Internal Medicine, Istituto Veterinario di Novara, Novara, Italy.,3 Clinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.,4 Department of Animal Medicine, Production and Health, University of Padova, Padova, Italy
| | | | - Oriol Domenech
- 5 Department of Cardiology, Istituto Veterinario di Novara, Novara, Italy
| | - Francesca Romano
- 6 Department of Anaesthesiology and Analgesia, Istituto Veterinario di Novara, Novara, Italy
| | | | | | - Edoardo Auriemma
- 1 Department of Diagnostic Imaging, Istituto Veterinario di Novara, Novara, Italy
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Elsheikha HM, Schnyder M, Traversa D, Di Cesare A, Wright I, Lacher DW. Updates on feline aelurostrongylosis and research priorities for the next decade. Parasit Vectors 2016; 9:389. [PMID: 27387914 PMCID: PMC4936016 DOI: 10.1186/s13071-016-1671-6] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Accepted: 06/28/2016] [Indexed: 11/10/2022] Open
Abstract
Feline aelurostrongylosis, caused by the metastrongyloid nematode Aelurostrongylus abstrusus, is an important gastropod-borne parasitic lung disease in cats. Infection with A. abstrusus is widespread globally, but the increasing awareness of this parasite and the advent of more sensitive diagnostics have contributed to the apparent increase in its prevalence and geographic expansion. Clinical features may range in severity from subclinical to life-threatening respiratory disease. Parasitological standard techniques, such as visualization of the nematode first larval stage in faecal and respiratory (bronchial mucus or pleural fluid) samples, remain the mainstays of diagnosis. However, diagnosis is evolving with recent advances in serological and molecular testing, which can improve the time to initiation of effective anthelmintic therapy. Despite numerous anthelmintics that are now available as treatment options, the role of host immunity and lifestyle factors in selecting cats that may benefit from more targeted anthelmintic prophylaxis or treatment practice remains unclear and is likely to guide therapeutic choices as newer data become available. This review summarizes the biology, epidemiology, pathophysiology, diagnosis and treatment options currently available for feline aelurostrongylosis.
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Affiliation(s)
- Hany M. Elsheikha
- />School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire, LE12 5RD UK
| | - Manuela Schnyder
- />Institute of Parasitology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zürich, 8057 Switzerland
| | - Donato Traversa
- />Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Angela Di Cesare
- />Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Ian Wright
- />Withy Grove Veterinary Surgery, 39 Station Rd, Bamber Bridge, Preston, PR5 6QR UK
| | - David W. Lacher
- />Division of Molecular Biology, Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, Laurel, MD USA
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Relation between Aelurostrongylus abstrusus larvae excretion, respiratory and radiographic signs in naturally infected cats. Vet Parasitol 2016; 206:182-7. [PMID: 25466621 DOI: 10.1016/j.vetpar.2014.10.030] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2014] [Revised: 10/23/2014] [Accepted: 10/27/2014] [Indexed: 11/22/2022]
Abstract
A study was carried out to assess the possible relation between the number of Aelurostrongylus abstrusus larvae per gram of feces (LPG) with respiratory signs and radiographic findings in naturally infected cats. Out of 196 owned cats, 52 (26.5%) were found infected with A. abstrusus. Positive cats were divided into 4 age groups (1, 2-6 months; 2, 7-11 months; 3, 1-5 years and, 4, >6 years). Thoracic radiographs in double orthogonal views were carried out and cats were ranked on the basis of the respiratory signs (0, no symptoms; 1, mild; 2, moderate and 3, severe symptoms) and radiographic changes. Data showed that increasing LPGs were associated with higher probability to develop more severe symptoms, although some asymptomatic cats had high number of LPGs. Radiographic score and LPGs decreased with increasing cat age. A. abstrusus should be included in the differential diagnosis of lung diseases also in cats with mild respiratory symptoms.
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Pennisi MG, Hartmann K, Addie DD, Boucraut-Baralon C, Egberink H, Frymus T, Gruffydd-Jones T, Horzinek MC, Hosie MJ, Lloret A, Lutz H, Marsilio F, Radford AD, Thiry E, Truyen U, Möstl K. Lungworm disease in cats: ABCD guidelines on prevention and management. J Feline Med Surg 2015; 17:626-36. [PMID: 26101316 DOI: 10.1177/1098612x15588455] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OVERVIEW Cardiopulmonary nematodes are emerging parasites of cats in Europe. A number of helminth parasites may be involved. The most prevalent lungworm in domestic cats is Aelurostrongylus abstrusus. Oslerus rostratus and Troglostrongylus species are found mainly in wild cats. The trichurid Capillaria aerophila has a low host specificity and is not uncommon in cats. Additionally the lung flukes Paragonimus species are reported in many species outside of Europe, including cats. CLINICAL SIGNS Lungworm infections may be asymptomatic, or cause mild to severe respiratory signs, dependent on the worm species and burden; mixed infections are observed. Kittens can be vertically infected and may develop a more severe disease. Affected cats show a productive cough, mucopurulent nasal discharge, tachypnoea, dyspnoea and, in severe cases, respiratory failure and death. MANAGEMENT Early diagnosis and treatment greatly improves the prognosis. First-stage larvae can be easily detected in fresh faecal samples; the Baermann migration method is the enrichment technique of choice, but takes 24 h. Lungworm larvae can be found in tracheal swabs and bronchoalveolar lavage fluid, but with less sensitivity than in faeces. Molecular methods have been developed that exhibit high specificity and sensitivity, and allow diagnosis in the prepatent phase. Treatment options include fenbendazole paste, milbemycin oxime/praziquantel and various spot-on formulations. Severe cases should receive prompt medical care in an intensive care unit. PREVENTION Avoiding predation is at present the only preventive measure for pulmonary worms with indirect life cycles. ZOONOTIC RISK C aerophila has zoonotic potential, causing severe pulmonary disease in humans. Some Paragonimus species are also of zoonotic concern.
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Crisi PE, Traversa D, Di Cesare A, Luciani A, Civitella C, Santori D, Boari A. Irreversible pulmonary hypertension associated with Troglostrongylus brevior infection in a kitten. Res Vet Sci 2015; 102:223-7. [PMID: 26412548 DOI: 10.1016/j.rvsc.2015.08.019] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2015] [Revised: 08/27/2015] [Accepted: 08/28/2015] [Indexed: 10/23/2022]
Abstract
A four month-old kitten was referred at the Veterinary Teaching Hospital of Teramo, Italy. Physical examination, echocardiography, thoracic radiography, copromicroscopy and biomolecular assays led to a diagnosis of severe parasitic bronchopneumonia by Troglostrongylus brevior complicated by pulmonary hypertension. A single administration of a spot on solution containing imidacloprid 10%/moxidectin 1% was effective in stopping larval shedding but clinical, radiographic and echocardiographic signs of bronchopneumonia and pulmonary hypertension still persisted after further follow-ups.While cases of pulmonary hypertension are known in infections by Aelurostrongylus abstrusus, this is the first report of irreversible pulmonary hypertension in a kitten with troglostrongylosis.
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Affiliation(s)
- Paolo E Crisi
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy.
| | - Donato Traversa
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
| | - Angela Di Cesare
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
| | - Alessia Luciani
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
| | - Carla Civitella
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
| | - Domenico Santori
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
| | - Andrea Boari
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, Teramo, Italy
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14
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Dennler M, Bass DA, Gutierrez-Crespo B, Schnyder M, Guscetti F, Di Cesare A, Deplazes P, Kircher PR, Glaus TM. THORACIC COMPUTED TOMOGRAPHY, ANGIOGRAPHIC COMPUTED TOMOGRAPHY, AND PATHOLOGY FINDINGS IN SIX CATS EXPERIMENTALLY INFECTED WITHAELUROSTRONGYLUS ABSTRUSUS. Vet Radiol Ultrasound 2013; 54:459-69. [DOI: 10.1111/vru.12044] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Accepted: 03/16/2013] [Indexed: 11/28/2022] Open
Affiliation(s)
- Matthias Dennler
- Section of Diagnostic Imaging; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Danielle A. Bass
- Section of Diagnostic Imaging; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Beatriz Gutierrez-Crespo
- Section of Diagnostic Imaging; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Manuela Schnyder
- Institute of Parasitology; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Franco Guscetti
- Institute of Veterinary Pathology; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Angela Di Cesare
- Department of Comparative Biomedical Sciences; Piazza Aldo Moro 45 64100; Teramo; Italy
| | - Peter Deplazes
- Institute of Parasitology; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Patrick R. Kircher
- Section of Diagnostic Imaging; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
| | - Tony M. Glaus
- Division of Cardiology; Vetsuisse Faculty, University of Zurich; Winterthurerstrasse 260 8057; Zurich; Switzerland
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15
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Dirven M, Szatmári V, van den Ingh T, Nijsse R. Reversible pulmonary hypertension associated with lungworm infection in a young cat. J Vet Cardiol 2012; 14:465-74. [DOI: 10.1016/j.jvc.2012.04.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2011] [Revised: 04/01/2012] [Accepted: 04/18/2012] [Indexed: 10/28/2022]
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16
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Gerdin JA, Slater MR, Makolinski KV, Looney AL, Appel LD, Martin NM, McDonough SP. Post-Mortem Findings in 54 Cases of Anesthetic Associated Death in Cats from Two Spay—Neuter Programs in New York State. J Feline Med Surg 2011; 13:959-66. [DOI: 10.1016/j.jfms.2011.07.021] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2011] [Indexed: 11/24/2022]
Abstract
Anesthetic-associated death (AAD) in cats is infrequent, but occurs far more frequently than in people. Post-mortem investigations of AAD in cats are uncommon, and results only sporadically published. Here we report the findings in 54 cases of AAD in cats. Significant gross and/or microscopic pre-existing disease, including pulmonary, cardiac, and systemic disease, was detected in 33% of cases. Pulmonary disease was most frequently diagnosed (24% of cases), and included cases of Aelurostrongylus abstrusus infection (9% of cases). Heart disease, including two cases of hypertrophic cardiomyopathy, was less frequent (11% of cases). Four percent died from surgical complications. No significant gross or microscopic disease was detected in 63% of cases. Additional studies are needed to determine if these findings are representative of AAD in cats in other geographic areas or with access to veterinary care. This study demonstrates that post-mortem investigation of AADs is an important and worthwhile endeavor.
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Affiliation(s)
- Jodie A Gerdin
- Department of Anatomic Pathology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States
| | - Margaret R Slater
- Animal Health Services, ASPCA, 1717 South Philo Road, Suite 36, Urbana, IL 61802, United States
| | | | - Andrea L Looney
- Upstate Veterinary Specialties, 222 Troy Schenectady Road, Albany, NY 12210, United States
| | - Leslie D Appel
- Shelter Outreach Services, 78 Dodge Road, Ithaca, NY 14850, United States
| | - Nicole M Martin
- Animal Health Services, ASPCA, PO Box 1144, Orchard Park, NY 14127, United States
| | - Sean P McDonough
- Department of Anatomic Pathology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States
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17
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Traversa D, Di Cesare A, Conboy G. Canine and feline cardiopulmonary parasitic nematodes in Europe: emerging and underestimated. Parasit Vectors 2010; 3:62. [PMID: 20653938 PMCID: PMC2923136 DOI: 10.1186/1756-3305-3-62] [Citation(s) in RCA: 209] [Impact Index Per Article: 14.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2010] [Accepted: 07/23/2010] [Indexed: 11/22/2022] Open
Abstract
Cardiopulmonary nematodes of dogs and cats cause parasitic diseases of central relevance in current veterinary practice. In the recent past the distribution of canine and feline heartworms and lungworms has increased in various geographical areas, including Europe. This is true especially for the metastrongyloids Aelurostrongylus abstrusus, Angiostrongylus vasorum and Crenosoma vulpis, the filarioid Dirofilaria immitis and the trichuroid Eucoleus aerophilus (syn. Capillaria aerophila). The reasons of this emergence are little known but many drivers such as global warming, changes in vector epidemiology and movements in animal populations, may be taken into account. The purpose of this article is to review the knowledge of the most important heartworm and lungworm infections of dogs and cats in Europe. In particular recent advances in epidemiology, clinical and control are described and discussed.
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Affiliation(s)
- Donato Traversa
- Department of Comparative Biomedical Sciences, University of Teramo, Teramo, Italy.
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18
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Traversa D, Di Cesare A, Milillo P, Lohr B, Iorio R, Pampurini F, Schaper R, Paoletti B, Heine J. Efficacy and safety of imidacloprid 10%/moxidectin 1% spot-on formulation in the treatment of feline aelurostrongylosis. Parasitol Res 2009; 105 Suppl 1:S55-62. [PMID: 19575226 DOI: 10.1007/s00436-009-1496-8] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The objective of the present study was to evaluate the efficacy and safety of the antiparasitic spot-on formulation containing imidacloprid 10%/moxidectin 1% (Advocate, Bayer) in the treatment of natural feline infection with the lungworm Aelurostrongylus abstrusus (Nematoda, Strongylida). The efficacy of Advocate administered once was tested in comparison to a control oral formulation containing fenbendazole 18.75% (Panacur Intervet) administered over three consecutive days based on larvae per gramme of faeces (LPG), measured on days 28 +/- 2 following treatment and compared to counts on days -6 to -2. In total 24 cats treated either with Advocate (n = 12) or with Panacur (n = 12) were included. Mean LPG postbaseline (days 28 +/- 2) were low in both treatment groups, i.e., 0 LPG for Advocate and 1.3 LPG for Panacur. Reduction of post-baseline larval counts showed Advocate (100% reduction) to be superior in efficacy compared to the control product (99.29% reduction). No treated animals showed adverse events. This trial demonstrated that both Advocate spot-on formulation and Panacur oral paste are safe and effective in the treatment of aelurostrongylosis in cats. Future practical perspectives in feline medicine and the major advantages of the spot-on product compared to the oral paste are discussed.
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Affiliation(s)
- Donato Traversa
- Department of Comparative Biomedical Sciences, Faculty of Veterinary Medicine, Teramo, Italy.
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19
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Lacorcia L, Gasser RB, Anderson GA, Beveridge I. Comparison of bronchoalveolar lavage fluid examination and other diagnostic techniques with the Baermann technique for detection of naturally occurringAelurostrongylus abstrususinfection in cats. J Am Vet Med Assoc 2009; 235:43-9. [DOI: 10.2460/javma.235.1.43] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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20
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Traversa D, Guglielmini C. Feline aelurostrongylosis and canine angiostrongylosis: a challenging diagnosis for two emerging verminous pneumonia infections. Vet Parasitol 2008; 157:163-74. [PMID: 18775603 DOI: 10.1016/j.vetpar.2008.07.020] [Citation(s) in RCA: 91] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2008] [Revised: 06/26/2008] [Accepted: 07/15/2008] [Indexed: 11/16/2022]
Abstract
Aelurostrongylus abstrusus and Angiostrongylus vasorum (Nematoda, Metastrongyloidea) are causative agents of verminous feline and canine pneumonia. Both are presently emerging in several geographical areas and are of major clinical importance. Given the range of parasitic and non-parasitic pathogens which may cause cardio-respiratory distress in dogs and cats, the unequivocal specific diagnosis of both diseases is pivotal for unravelling their epidemiology and central to therapy and control. Several conventional clinico-pathologic, diagnostic imaging and parasitological approaches are currently used in practice, but all have major limitations in the specific diagnosis of these diseases. Serological methods have shown promise in the diagnosis of A. abstrusus and A. vasorum infections, but no clinically useful tests are currently available. Additionally, there have been major advances in the development of novel molecular diagnostic tools for feline aelurostrongylosis, but efforts to develop molecular diagnostic tests are still preliminary for angiostrongylosis. This article provides a review of A. abstrusus and A. vasorum infections in cats and dogs, focusing on the advantages and shortcomings of classical diagnostic methodologies and on present diagnostic advances as well as future perspectives instrumental to epidemiological and clinical studies.
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Affiliation(s)
- Donato Traversa
- Department of Comparative Biomedical Sciences, University of Teramo, Piazza Aldo Moro 45, Teramo 64100, Italy.
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21
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Traversa D, Di Cesare A, Milillo P, Iorio R, Otranto D. Aelurostrongylus abstrusus in a feline colony from central Italy: clinical features, diagnostic procedures and molecular characterization. Parasitol Res 2008; 103:1191-6. [DOI: 10.1007/s00436-008-1115-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2008] [Accepted: 06/30/2008] [Indexed: 10/21/2022]
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22
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Grandi G, Calvi LE, Venco L, Paratici C, Genchi C, Memmi D, Kramer LH. Aelurostrongylus abstrusus (cat lungworm) infection in five cats from Italy. Vet Parasitol 2005; 134:177-82. [PMID: 16076529 DOI: 10.1016/j.vetpar.2005.06.015] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2005] [Revised: 04/19/2005] [Accepted: 06/24/2005] [Indexed: 10/25/2022]
Abstract
Infection by the cat lungworm Aelurostrongylus abstrusus is considered uncommon. Here, the authors report the clinical, diagnostic and therapeutic features of five infections recently observed in Italy. All cats were under 12 months of age. All except one cat had symptomatic infections, with cough, dyspnea, and weight loss with radiographic signs of broncopneumonia. All cats were eosinophilic. Larvae were present in fresh fecal smears and on flotation exam in all cats. Baermann larval recovery permitted definitive identification and, in one case, larvae per gram of feces (lpg) counts. One dose of ivermectin (400 microg/kg) was not effective in one cat, while one dose of selamectin (6 mg/kg) was effective in one of three cases and fenbendazole at 50 mg/kg given daily for 15 days was effective in four of four cases.
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Affiliation(s)
- G Grandi
- Dipartimento di Produzioni Animali, Biotecnologie Veterinarie, Qualità e Sicurezza degli Alimenti, Università degli Studi di Parma, Italy
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Affiliation(s)
- A Burgu
- Department of Parasitology, Faculty of Veterinary Medicine, Ankara University, 06110 Diskapi, Ankara, Turkey
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