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Presunción de pericarditis supurativa y fibrina idiopática y efusión pericárdica en un gato
Emily Akins1, Kaitlyn Dreese1, Corey Fisher1
1Department of Clinical Sciences, Small Animal Hospital, University of Florida, Gainesville, FL, USA.
JFMS open reports
|February 10, 2026
Resumen
Un gato persa con presunta pericarditis fibrinoide idiopática y derrame pleural fue tratado con éxito con esteroides antiinflamatorios. Este caso destaca un nuevo enfoque de manejo para esta condición felina.
Área de la Ciencia:
- Medicina Veterinaria La medicina veterinaria es el campo de la medicina en el que se desarrolla la medicina veterinaria.
- Cardiología Cardiología.
- Medicina interna es la medicina interna de las enfermedades.
Sus antecedentes:
- El derrame pericárdico, la fiebre y la hiporexia son signos clínicos significativos en los gatos.
- La pericarditis fibrosa puede ser difícil de diagnosticar y manejar, con posibles causas bacterianas o neoplásicas.
- Las causas idiopáticas requieren la exploración de estrategias de tratamiento alternativas.
Objetivo del estudio:
- Informar sobre el manejo exitoso de un gato con una presunta pericarditis idiopática y fibrina y un derrame pleural.
- Para resaltar la eficacia de la terapia con esteroides antiinflamatorios en los casos refractarios.
Principales métodos:
- Imágenes de diagnóstico (tomografía computarizada) para evaluar la pericarditis y la consolidación pulmonar.
- Intervención quirúrgica que incluye esternotomía mediana, pericardiectomía subtotal y lobectomía pulmonar media derecha.
- Examen histopatológico del tejido pericárdico.
- Prueba terapéutica con antibióticos, antivirales y esteroides antiinflamatorios.
Principales resultados:
- Se identificó pericarditis grave con material fibrino y consolidación del lóbulo pulmonar medio derecho.
- La histopatología reveló una pericarditis fibrina crónica, predominante en neutrófilos, sin bacterias ni células neoplásicas.
- La fiebre postoperatoria y la hiporexia fueron refractarias a los antibióticos y antivirales, pero se resolvieron rápidamente con la administración de esteroides.
- El gato no mostró recurrencia de signos clínicos en el seguimiento de 6 meses.
Conclusiones:
- La pericarditis idiopática y fibrina se puede controlar con éxito con terapia con esteroides antiinflamatorios, incluso cuando es refractaria a otros tratamientos.
- Este caso representa el primer informe de manejo exitoso de la presunta pericarditis idiopática y fibrina y el derrame pleural en un gato.
- El manejo quirúrgico agresivo combinado con terapia antiinflamatoria dirigida puede conducir a resultados favorables en la enfermedad pericárdica felina compleja.
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