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- Title
Gennyes mellűri folyadékgyülem macskában.
- Authors
Lipka, Zsuzsanna; Lajos, Zoltán
- Abstract
Objectives: The aim of this article is to present pyothorax in cats. A clinical case is discussed, detailing the aetiology, diagnosis, treatment and microbiology of the disorder. Background: Pyothorax, also known as thoracic empyema, is characterized by the accumulation of septic purulent fluid within the pleural space. While the actual route of pleural infection often remains unknown, the main reason seems to be the aspiration of the oral cavity flora. Diagnosis is based on the history, physical examination, thoracic imaging, the cytologic examination and bacterial culture of pleural fluid. The main symptoms are tachydyspnoe, cyanosis, coughing, fever, anorexia, but sometimes it can cause rapid death without significant signs. Physical examination is important to recognize respiratio nil in the lower third of the chest by phonendoscopy. Results: The essence of the therapy is the removal of the thoracic exudate and antimicrobial therapy. There are more options to remove the fluid, like tho-racocentesis, intermittent or continuous thoracic drainage, thoracic lavage, video-assisted thoracic surgery, and traditional thoracotomy. The antimicrobial therapy must be based on the cultivation of pleural effusion and the antibiotic sensitivity of the cultured bacteria. The first choice antibiotic is amoxicillin-clavulanic-acid in 20-30 mg/kg bid dosage intravenously. The prognosis is variable but can be good with appropriate treatment. The authors summarise the results of culturing from pleural fluid in 2015-2019 in Duo-Bakt Veterinary Laboratory, as well.
- Subjects
VIDEO-assisted thoracic surgery; MOUTH; SYMPTOMS; BACTERIAL cultures; PLEURAL effusions; EMPYEMA
- Publication
Magyar Állatorvosok Lapja, 2020, Vol 142, Issue 12, p717
- ISSN
0025-004X
- Publication type
Article