ABSTRACT
A 15-year-old domestic shorthair cat was evaluated for an acute onset of jaw swelling and anorexia. A small area of skin discoloration, left mandibular subcutaneous soft swelling and dehydration were noted on physical examination. Fine needle aspirate findings of the mass were compatible with an abscess. After 8 hours of supportive and antimicrobial treatment, a large area of necrotic skin was noted. The cat was taken to surgery and an aggressive debridement was performed. The histopathology findings were compatible with necrotising fasciitis and dermatitis.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Bacteroidaceae Infections/veterinary , Cat Diseases/microbiology , Fasciitis, Necrotizing/veterinary , Prevotella/isolation & purification , Animals , Bacteroidaceae Infections/microbiology , Bacteroidaceae Infections/pathology , Bacteroidaceae Infections/therapy , Cat Diseases/pathology , Cat Diseases/therapy , Cats , Combined Modality Therapy/veterinary , Drug Therapy, Combination/veterinary , Fasciitis, Necrotizing/microbiology , Fasciitis, Necrotizing/pathology , Fasciitis, Necrotizing/therapy , Female , Prevotella/drug effects , Treatment OutcomeABSTRACT
A 4-month-old castrated male domestic shorthair cat was presented for a right hind leg lameness of 1-week duration. Physical examination revealed a painful swelling over the right distal femur. A radiograph of the right stifle revealed an extensive lytic lesion involving the distal metaphysis of the right femur. Cytological examination of a needle aspirate was consistent with a deep fungal infection. A pigmented dimorphic fungus was isolated in pure culture from a representative needle aspirate from the lesion. The patient improved substantially after 5 weeks of high-dose itraconazole therapy, although it was subsequently lost to follow-up.
