Table 1.
Signalment, pertinent findings, treatment and outcome of present series
Case/country of origin | Year of diagnosis | Age at diagnosis (years) | Breed | Sex | Presenting complaint | Physical findings | Tissues involved | Lymph nodes affected | Mycobacterial therapy | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
1, Australia | 1995 | 3 | Aby | Mn | Routine examination | Enlarged popliteal lymph node, subsequent weight loss | Intestines, lungs, liver, kidney, mesentery | Popliteal, mesenteric, medial iliac, hilar | Ciprofloxacin (125 mg bid) discontinued after 1 month | Euthanasia |
2, Australia | 1999 | 2 | Aby | Mn | Weight loss | Poor body condition, hepatomegaly, irregular kidneys, harsh inspiratory sounds | Lungs, liver, spleen, kidney | Mesenteric | Clarithromycin (62.5 mg bid), clofazimine (25 mg sid) | Resolved during 1 year therapy. Lost to follow-up 22 months later |
3, Australia | 1999 | 2 | DSH | Fs | Enlarged, reddenned vulva | Swollen, erythematous vulva, lymphadenomegaly (submandibular, popliteal, mesenteric) | lungs, vulva | Popliteal, submandibular, mesenteric | Clarithromycin (62.5 mg bid), clofazimine (50 mg eod) | Resolved during 1 year therapy. Recurrence 4 years later |
4, USA | 2000 | 3 | Aby | Fs | Weight loss, polyphagia | Poor body condition, harsh respiratory sounds, pyrexia | Ileum, liver, kidney, bone marrow, brain | Mesenteric, hilar | Not attempted | Euthanasia (diagnosis was post mortem) |
5, Australia | 2001 | 3 | Somali | Fs | Enlarged popliteal lymph node | Poor body condition, enlarged popliteal lymph node, subsequent weight loss | Lungs, liver, spleen | Popliteal, mandibular, mesenteric, others (not specified) | Not attempted | Euthanasia (diagnosis was post mortem) |
6, USA | 2002 | 4 | Aby | Fs | Weight loss | Poor body condition, dehydrated, pyrexia, harsh expiratory sounds | Lungs, liver, spleen, bone marrow | Mesenteric | Clarithromycin (30 mg bid) [adverse reactions to others tried] | Improved during therapy. Died 1 year later |
7, USA | 2002 | 5 | Aby | Mn | Weight loss, anorexia, tachypnoea | Poor body condition, abdominal mass, tachypnoea | Ileum, caecum, omentum, lungs | Mesenteric | Clarithromycin (15 mg bid) discontinued at 10 weeks, clofazimine (50 mg sid), doxycycline (50 mg bid) | Resolved during 5.5 months therapy. Therapy discontinued due to azotaemia |
8, Australia | 2003 | 1 | Aby | Mn | Weight loss, hyporexia | Poor body condition, enlarged popliteal lymph node, harsh respiratory sounds | Lungs | Popliteal | Clarithromycin (62.5 mg bid) adverse reaction to rifampicin (75 mg sid) after 4 months, changed to: clofazimine (25 mg sid) | Resolved during 14 months therapy |
9, Australia | 2004 | 4 | Aby | Mn | Weight loss, lethargy | Poor body condition, enlarged popliteal lymph node, bilateral renomegaly | Lungs, liver, spleen, kidney | Popliteal, mesenteric | Clarithromycin (62.5 mg bid), rifampicin (75 mg sid) | Clinically normal during 12 months of therapy. Recurrence 3 months later and therapy restarted |
10, Australia | 2004 | 2 | Aby | Mn | Ill thrift, anorexia, coughing, head tilt, ataxia | Poor body condition, harsh expiratory sounds, pyrexia, nystagmus | Liver, omentum, brain | Mesenteric, ileocaecal | Rifampicin (75 mg sid) possible adverse reaction to azithromycin (40 mg sid) after 4 months, changed to: clarithromycin (62.5 mg twice daily) | Initial improvement during therapy. Euthanased at 5 months due to deterioration |
11, USA * | 2004 | 4 | Aby | Mn | Weight loss, coughing, sporadic vomiting, blood in faeces | Poor body condition | Liver, spleen, pancreas, peritoneum | Mesenteric | Clarithromycin (62.5 mg bid), rifampicin (75 mg sid) | Improved. Still undergoing therapy (9 months of treatment at time of writing) |
12, Australia | 2004 | 2 | Aby | Mn | Weight loss, lethargy | Enlarged popliteal, mandibular lymph nodes, harsh respiratory sounds | Lungs | Popliteal, mandibular | Clarithromycin (62.5 mg bid), rifampicin (75 mg sid), doxycycline (50 mg sid) | Improved. Still undergoing therapy (7 months of treatment at time of writing) |
Aby=Abyssinian, DSH=domestic shorthair, Mn=male neuter, Fs=female spayed, bid=every 12 h, sid=every 24 h.
Moved to and was diagnosed in Australia.