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.

Abstract

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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