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Fungal Rhinosinusitis in Cats in the United Kingdom: 34 Cases (2013-2022)
Oliver Luke Russell1,2, Daisy Johnson1,3, Frederik Allan4,5
1Queen's Veterinary School Hospital, University of Cambridge, Cambridge, UK.
Background:
Fungal rhinosinusitis in cats is an uncommon condition with sparse literature regarding the presentation, causative agents, diagnosis, treatment, and prognosis within the UK.
Hypothesis/Objectives:
To describe and report the presenting clinical signs, diagnostic imaging findings, treatment approach, and outcome of cats diagnosed with fungal rhinosinusitis in the UK.
Animals:
Thirty-four client-owned cats were diagnosed with fungal rhinosinusitis.
Methods:
Retrospective multicenter observational study. Cases presenting at 10 UK referral centers between January 2013 and December 2022 were retrospectively recruited.
Results:
Median duration of clinical signs was 3 months (0.5-42-months). The most common signs were sneezing (27/34, 79%) and nasal discharge (21/34, 62%). Turbinate lysis was present in 27/34 cases (79%) and always involved the caudal nasal cavity. Osteolysis of the frontal bone, orbit, or cribriform plate was observed in 16/34 cases (47%). At least two tests from fungal culture, panfungal PCR, and histopathology were performed in all cases, and in 8/34 cases (24%) only one was positive. The treatment approach varied, with debridement, topical clotrimazole, and systemic azole therapy used alone or in various combinations, and repeat treatment occurred in 9/34 cases (26%). Clinical remission > 90 days after treatment was found in 9/24 cases (38%), but case fatality rates were low, with 3/34 cases (9%) dying with clinical disease during available follow-up.
Conclusions And Clinical Importance:
Fungal rhinosinusitis should be considered in cats of any age with clinical signs of nasal disease. The prognosis from this data appears guarded for cats with fungal rhinosinusitis, with less than 50% of cats achieving long-term clinical remission.
Insights
Fungal rhinosinusitis in cats presents with sneezing and nasal discharge, often involving turbinate lysis. Prognosis is guarded, with less than 50% achieving long-term remission after treatment.
Area of Science:
- Veterinary Medicine
- Feline Health
- Infectious Diseases
Background:
- Fungal rhinosinusitis is an uncommon feline condition in the UK with limited research.
- Understanding its clinical presentation, diagnosis, and treatment is crucial for feline welfare.
Purpose of the Study:
- To detail the clinical signs, diagnostic findings, treatments, and outcomes for cats with fungal rhinosinusitis in the UK.
- To provide insights into the prognosis of this condition in domestic cats.
Main Methods:
- A retrospective multicenter observational study involving 34 client-owned cats diagnosed with fungal rhinosinusitis.
- Data collected from 10 UK referral centers between January 2013 and December 2022.
Main Results:
- Common signs included sneezing (79%) and nasal discharge (62%), with turbinate lysis (79%) and frontal bone osteolysis (47%) frequently observed.
- Diagnostic tests (culture, PCR, histopathology) showed variable sensitivity; treatment approaches varied, with 26% requiring repeat treatment.
- Long-term clinical remission (>90 days) was achieved in 38% of cases, with a 9% case fatality rate.
Conclusions:
- Fungal rhinosinusitis should be considered in cats presenting with nasal disease, regardless of age.
- The prognosis for feline fungal rhinosinusitis appears guarded, with a significant portion of cats not achieving sustained remission.
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