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      Nasopharyngeal abscess causing inspiratory dyspnoea in a domestic cat

      case-report

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          Abstract

          Case summary

          An 11-month-old female domestic shorthair cat presented with a 24 h history of inspiratory dyspnoea, abnormal upper respiratory tract sounds, gagging, retching and making exaggerated swallowing motions. Retroflexed nasopharyngoscopy revealed a large, right-sided nasopharyngeal mass that was seen to exude purulent material and a possible small foreign body when pressure was applied with forceps. Thorough expression of the mass alleviated clinical signs. Cytology revealed septic neutrophilic inflammation, and a Pasteurella species with no noted antimicrobial resistance was cultured. The cat was discharged with oral antibiotics and analgesia and made a full recovery, with no recurrence of clinical signs at the 6-month follow-up.

          Relevance and novel information

          Abscess formation in the nasopharyngeal region has not been previously reported in cats, to the authors’ knowledge. The cause of the abscess was suspected to be a foreign body, but other aetiologies could not be fully excluded. This case demonstrates that nasopharyngeal abscesses are a rare but potentially significant differential diagnosis for upper respiratory tract obstruction in cats.

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          Most cited references13

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          Nasopharyngeal diseases in cats: a retrospective study of 53 cases (1991-1998).

          The records of 53 cats with nasopharyngeal disease were examined. Of the cats with nasopharyngeal disease, 49% had lymphosarcoma and 28% had polyps. Clinical signs in these cats were compared to 24 cats with nasal disease alone. Cats with only nasal disease more commonly had historical nasal discharge and sneeze, whereas cats with nasopharyngeal disease more often had stertorous respiration, phonation change, and typically reported less nasal discharge or sneeze. It is important to include nasopharyngeal disease in the differential diagnosis for cats with nasal discharge, sneeze, stertor, or phonation change.
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            Nasopharyngeal disease in cats: 1. Diagnostic investigation.

            Nasal discharge, sneezing and upper respiratory noise are frequent presenting signs in feline practice.
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              Pasteurella multocida infection in cats: ABCD guidelines on prevention and management.

              Pasteurella species are part of the normal oral flora of cats. They are also a common cause of infection in this species and an important zoonotic agent. INFECTION IN CATS: Pasteurella species are commonly isolated from subcutaneous abscesses and pyothorax in cats. They may also cause secondary lower respiratory tract infection and have been associated with spinal empyema and meningoencephalomyelitis. INFECTION IN HUMANS: Disease in humans mainly occurs after a cat bite or scratch, but may also be transmitted via respiratory secretions from cats in close contact with a person. Signs of local infection after a cat bite appear in a few hours (3-6 h). Severe disease and a fatal outcome mostly occur in immunocompromised people, but have also been reported in immunocompetent healthy individuals. Cat ownership by immunocompromised people may carry a risk.
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                Author and article information

                Journal
                JFMS Open Rep
                JFMS Open Rep
                JOR
                spjor
                JFMS Open Reports
                SAGE Publications (Sage UK: London, England )
                2055-1169
                29 June 2023
                Jan-Jun 2023
                : 9
                : 1
                : 20551169231178448
                Affiliations
                [1-20551169231178448]Southfields Veterinary Specialists (part of Linnaeus Veterinary), Basildon, UK
                Author notes
                [*]Annie Slater MA, VetMB, MRCVS, Southfields Veterinary Specialists (part of Linnaeus Veterinary), Cranes Point, Gardiners Ln S, Basildon SS14 3AP, UK Email: annie.slater@ 123456southfields.co.uk
                Author information
                https://orcid.org/0000-0003-3398-8142
                https://orcid.org/0000-0002-8413-9995
                Article
                10.1177_20551169231178448
                10.1177/20551169231178448
                10333994
                037ec945-0f77-4cb1-8735-88cab3813e13
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 10 May 2023
                Categories
                Case Report
                Custom metadata
                January-June 2023
                ts1

                pharynx,nasopharynx,abscess,airway obstruction,retroflexed nasopharyngoscopy,stridor

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