Table 1.
Summary of the main findings of previous case reports describing feline discospondylitis
Case report | Signalment (age, sex, breed) | Duration, clinical and neurological findings, haematology (Hm) and serum biochemistry (Sb) findings | Microbial culture results (Cultures), concurrent comorbidities (CCM) and associated findings (AF) | Antibiotic treatment (Tx) and outcome |
---|---|---|---|---|
Norsworthy (1979) 10 | 2-year-old ME Persian | Duration: 5 days Clinical findings: lethargy, anorexiaNeurological findings: progressive paraparesis |
Cultures: none | Tx: none |
CCM: none describedAF: none described | Outcome: euthanasia | |||
Malik et al (1990) 11 | 15-year-old ME DSH | Duration: 5 weeksClinical findings: inappetence, respiratory signs (ocular and nasal discharge), pyrexiaNeurological findings: pelvic limb ataxia progressing into paraplegiaHm: segmented neutrophilia, monocytosis, lymphocytopenia and eosinopenia; Döhle bodies were present in many of the neutrophils | Culture (at necropsy) – from paravertebral abscess: Streptococcus canis in large numbers, Actinomyces viscosus in moderate numbers and a small number of Escherichia coli | Tx: previous treatment with amoxicillin–clavulanic acid by referring veterinarian for 1 weekOutcome: spontaneous death |
CCM: suspected concomitant respiratory tract infection, paravertebral abscess, chronic meningomyelitis of the overlying spinal cord | ||||
Watson and Roberts (1993) 12 | 13-year-old FN DSH | Duration: 2 weeksClinical findings: anorexia, dehydration, emaciationNeurological findings: hyperaesthesia of the lumbar spine | Cultures – urine: E coliCCM: concurrent chronic pyelonephritisAF: none described | Tx: ampicillinOutcome: initial improvement but euthanasia 2 months later |
Sb: elevated urea and creatinine | ||||
Aroch et al (1999) 13 | 1-year-old MN DSH | Duration: 1 month Clinical findings: back pain, pyrexia, anorexia, lethargy and dehydrationNeurological findings: paraparesis, proprioceptive deficit, upper motor neuron bladderHm: leukocytosis with neutrophiliaSb: hyperglobulinaemia |
Cultures – blood, urine, CSF: all negative; E coli (at necropsy)CCM: meningomyelitis of the overlying spinal cord, haemorrhages on the paravertebral musclesAF: none described | Tx: initially amoxicillin (short courses), then amoxicillin–clavulanic acid (2 weeks) and enrofloxacin; worsened while hospitalised |
Outcome: progressive despite antibiotic therapy and euthanasia in 6 days | ||||
Packer et al (2005) 14 | 8-month-old MN Scottish Fold | Duration: 2 weeksClinical findings: reluctance to ambulateNeurological findings: pelvic limb lameness, severe lumbosacral hyperaesthesiaSb: hypercalcaemia |
Cultures – urine: Enterococcus species (aerobic conditions) and Clostridium perfringens (anaerobic conditions); blood, CSF negativeCCM: sublumbar abscessAF: none described | Tx: enrofloxacin and ampicillin for 8 weeksOutcome: good at 10 weeks |
Hill et al (2015) 15 | 6.5-year-old MN Siamese | Duration: 6 monthsClinical findings: gallop rhythm; otherwise unremarkableNeurological findings: lumbar hyperaesthesia, pelvic limb ataxia, tail paresis | Cultures: FNA and urine negativeCCM: none describedAF: none described | Tx: amoxicillin–clavulanic acid for 2 months |
Outcome: no further painful episodes at 11 months | ||||
Kemelman et al (2019) 16 | 20-month-old male Maine Coon |
Duration: 1 monthClinical findings: increased level of aggression, decreased appetite and activity, obstipation, heart gallop rhythm; otherwise unremarkable | Cultures: surgical biopsy negativeCCM: none describedAF: none described | Tx: amoxicillin–clavulanic acid 20 mg/kg for 6 weeks |
Outcome: complete resolution at 12 months | ||||
Neurological findings: lumbar hyperaesthesia | ||||
Liatis et al (2020) 17 | 8-year-old MN DSH | Duration: 1 monthClinical findings: low tail carriage and tail painNeurological findings: tail paresis with proximal movement and marked pain on palpation of the proximal third of the tailSb: hyperproteinaemia (88 g/l [RI 60–85]) with moderate hyperglobulinaemia | Cultures: intervertebral space aspirates and urine negativeCCM: none describedAF: none described | Tx: 6-week course of antibiotics (12.5 mg/kg clindamycin PO q24h, 20 mg/kg cefalexin PO q12h) |
Outcome: complete resolution at 3 weeks | ||||
ME = male entire; DSH = domestic shorthair; FN, female neutered; CSF = cerebrospinal fluid; FNA = fine-needle aspirate; MN = male neutered; RI = reference interval