Zampieri B, Church ME, Walsh K, Lennon EM. Feline eosinophilic sclerosing fibroplasia – a characteristic inflammatory response in sites beyond the gastrointestinal tract: case report and proposed nomenclature.
JFMS Open Rep 2022;
8:20551169221117516. [PMID:
36003069 PMCID:
PMC9393682 DOI:
10.1177/20551169221117516]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Case summary
An adult male neutered Russian Blue cat presented for a right-sided nasal mass with
bilateral retropharyngeal and right mandibular lymphadenomegaly. Medial retropharyngeal
lymph node excision with nasal mass biopsy revealed eosinophilic sclerosing
lymphadenitis and eosinophilic and lymphoplasmacytic rhinitis, respectively. Bacterial
culture of the lymph node grew Pseudomonas aeruginosa, and treatment
with pradofloxacin was started. Despite initial improvement, clinical signs recurred
after 9 months, and fine-needle aspirates of the right mandibular and left medial
retropharyngeal lymph nodes showed eosinophilic and mastocytic infiltration. Bacterial
culture of the left medial retropharyngeal lymph node grew P
aeruginosa, and treatment with anti-inflammatory doses of prednisolone and,
later, marbofloxacin was instituted.
Relevance and novel information
This report describes a case of feline eosinophilic sclerosing lymphadenitis diagnosed
outside of the abdominal cavity and is the first case reported to be associated with
P aeruginosa. Feline eosinophilic sclerosing lymphadenitis should be
considered as a differential for lymphadenopathy occurring in areas other than the
abdominal cavity. Feline eosinophilic sclerosing lymphadenitis may develop in cats due
to a species-specific inflammatory response to chronic bacterial and fungal
infections.
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