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endocarditis cat ?????

Sonopath Forum

endocarditis cat ?????

This is a 6 yr old nm cat. the owner self referred for an echo. The history is the cat had fever in april had murmur . The cat was placed on clavamox for 14 days improved. two weeks later relapse of fever. the owner was told he had vegatative/infected heart valve. No other therapy had been given. She was here today to see if it improved. this is outside my experience for sure but tried to helpout. The cat has 3/6 murmur pmi sternum. normal resp rate , hr 200 bpm. bright alert active normal wt normal at home.

This is a 6 yr old nm cat. the owner self referred for an echo. The history is the cat had fever in april had murmur . The cat was placed on clavamox for 14 days improved. two weeks later relapse of fever. the owner was told he had vegatative/infected heart valve. No other therapy had been given. She was here today to see if it improved. this is outside my experience for sure but tried to helpout. The cat has 3/6 murmur pmi sternum. normal resp rate , hr 200 bpm. bright alert active normal wt normal at home. Maybe xray was taken, no echo before, no ecg. he felt so good the echo was very challenging even after alittle torbugesic. I see what appear to be normal tri ,mitral, aortic valves. If this was a resolving endocarditis would they be normal? I demonstrated a mr jet I am concerned about hypertrophy that i may see subjectively, should i pursue this further. Are there any references I may look at that may give me more info on feline endocarditis. I do not want to miss true heart disease in kitty if it exists. LA 13mm. M mode didn’t happen got ivs at 7 mm .

Comments

EL

Septal MV leaflet looks a bit

Septal MV leaflet looks a bit stiff and both vegetative. I don’t know of a definitive way to rule out low grade endocarditis other than empirical tx and scan before and after…. I never have much luck wiht blood cultures. This could just be a minor form of HCm wiht valve sdisease as well. In NJ I would see this occasionally respond to zithromax or clincamycin but i see this in normal non clinical cats as well. With the fever hx I would run a toxo bartonella screen and start clinda for 3 weeks and rescan. You are in PA right Sherry? Lots of bugs grow in the green of PA and NJ:)

EL

Septal MV leaflet looks a bit

Septal MV leaflet looks a bit stiff and both vegetative. I don’t know of a definitive way to rule out low grade endocarditis other than empirical tx and scan before and after…. I never have much luck wiht blood cultures. This could just be a minor form of HCm wiht valve sdisease as well. In NJ I would see this occasionally respond to zithromax or clincamycin but i see this in normal non clinical cats as well. With the fever hx I would run a toxo bartonella screen and start clinda for 3 weeks and rescan. You are in PA right Sherry? Lots of bugs grow in the green of PA and NJ:)

sherilin

I want to get this in the

I want to get this in the short axis views I think I can appreciate the lesions. In the long axis views not as much I think I am expecting bigger and uglier. I have to get records from previous practice I don’t think they ran anything . In this part of Pa lots of feral population so lots of good bugs. This will be the before echo when I rescan can I expect complete resolution of vegatative lesions?

sherilin

I want to get this in the

I want to get this in the short axis views I think I can appreciate the lesions. In the long axis views not as much I think I am expecting bigger and uglier. I have to get records from previous practice I don’t think they ran anything . In this part of Pa lots of feral population so lots of good bugs. This will be the before echo when I rescan can I expect complete resolution of vegatative lesions?

EL

They may go away or not

They may go away or not depends on chronicity theoretically. I’ve seen them go away at times under clindamycin or zithromax.

EL

They may go away or not

They may go away or not depends on chronicity theoretically. I’ve seen them go away at times under clindamycin or zithromax.

sherilin

Okay great I’ll watch them.

Okay great I’ll watch them.

sherilin

Okay great I’ll watch them.

Okay great I’ll watch them.