Cardiomegaly

History

“When in doubt, put a needle in it…..carefully”. Cardiomegaly in a cat doesn’t mean just heart failure or neoplasia.

Presenting radiographic history: “Wow that’s the biggest cat heart I have ever seen.” The diagnosis was just a probe and a needle away. Case managed by Dr. Christine Stockmal at American AH, Randolph, New Jersey . Imaging by Dr. Eric Lindquist of SonoPath.com & New Jersey Mobile Associates.

Sonogram: Jasmine the cardiomegaly cat

“When in doubt, put a needle in it…..carefully”. Cardiomegaly in a cat doesn’t mean just heart failure or neoplasia.

Presenting radiographic history: “Wow that’s the biggest cat heart I have ever seen.” The diagnosis was just a probe and a needle away. Case managed by Dr. Christine Stockmal at American AH, Randolph, New Jersey . Imaging by Dr. Eric Lindquist of SonoPath.com & New Jersey Mobile Associates.

Sonogram: Jasmine the cardiomegaly cat

History: This 13- year-old DSH FS cat presented for lethargy, anorexia and tachypnea. The patient has a history of diabetes, labored breathing, weakness in the hind limbs, anemia. Hematocrit 25.4, BUN 61, urine specific gravity 1.022, WBC 35000 with monocytosis. The radiographs revealed severe cardiomegaly.

Comments

**Special thanks to Dr. Christine Stockmal & staff at American Animal Hospital, Randolph, New Jersey, USA for the clinical management of this case.

Clinical Differential Diagnosis

(Remo Lobetti PhD, DECVIM):

Cardiac disease – dilated cardiomyopathy, hypertrophic cardiomyopathy, pericardial effusion
Renal disease – chronic kidney disease, pyelonephritis, neoplasia, renoliths
Pulmonary thrombo-embolic disease.

Sampling

30 cc of hemorrhagic effusion was removed for the pericardium via US-guided pericardiocentesis.

Sonographic Differential Diagnosis

(Lindquist DMV, DABVP): Pericarditis, neoplasia, vasculitis, F.I.P.

Outcome

Cardiac fluid analysis revealed intracellular and extracellular cocci bacteria forming chains. Culture revealed Beta-hemolytic Streptococcus 3+. Cytological Dx: Septic suppurative pericarditis.

Video

Patient Information

Age : 13 Years
Gender : Female, Spayed
Species : Feline
Status : Complete

Images

COM_1209_01COM_1209_02

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