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Published on: March 29, 2020
Intra-abdominal actinomycetoma in a cat
Mellora J Sharman1, Clara S Goh, Richard G Kuipers von Lande
1University Veterinary Centre, Faculty of Veterinary Science, The University of Sydney, Werombi Road, Camden, New South Wales 2570, Australia. m.sharman@murdoch.edu.au
Journal of Feline Medicine and Surgery
|February 3, 2009
Summary
A rare intra-abdominal actinomycetoma in a Ragdoll cat was successfully treated with surgery and clindamycin. This condition mimics cancer, highlighting the need for specific diagnostics and treatments in feline actinomycetoma cases.
Area of Science:
- Veterinary Medicine
- Mycology
- Surgical Pathology
Background:
- Intra-abdominal mycetoma is a rare fungal infection in cats.
- It often presents as a mass, mimicking neoplastic disease.
- Diagnosis typically requires histopathological examination.
Observation:
- A 5-year-old Ragdoll cat presented with an intra-abdominal mycetoma in the ileocaecal region.
- Initial surgery for mass resection and anastomosis had complications including lymphangiectasia and leakage.
- A cystic structure was noted on follow-up ultrasound.
Findings:
- Surgical resection and ileocolic anastomosis were performed.
- Amoxycillin clavulanate was ineffective; clindamycin successfully resolved the infection.
- Histopathology confirmed actinomycetoma, distinct from neoplastic conditions.
Implications:
- Feline abdominal actinomycetoma may be under-diagnosed due to its similarity to cancer.
- Standard treatments are often ineffective against Actinomyces species.
- Combined surgical resection and long-term, targeted antimicrobial therapy offer a good prognosis for localized lesions.
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