2011
DOI: 10.1016/j.jfms.2010.08.009
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Foxtail-associated endocarditis in a cat

Abstract: An adult female neutered domestic shorthair cat developed right heart failure 1 week after having surgical drainage of a neck abscess of unknown etiology established at our hospital. Echocardiography revealed a large vegetative mass adhered to the tricuspid valve. Post-mortem examination revealed fibrinous endocarditis and myocarditis associated with the presence of a grass awn (Hordeum species) foreign body. Foxtail migration with subsequent thrombus and endocarditis formation on the tricuspid valve is consid… Show more

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Cited by 14 publications
(21 citation statements)
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“…1 As in dogs, 3 the valves most commonly affected are the mitral and aortic valves, 2,4 although there are rare cases of tricuspid valve endocarditis reported in the cat. 4,5 Clinical signs are often vague, including lethargy, anorexia and weakness, as exhibited by the cat in this report. Cats with IE are more likely to show respiratory distress than dogs with IE.…”
Section: Discussionmentioning
confidence: 62%
“…1 As in dogs, 3 the valves most commonly affected are the mitral and aortic valves, 2,4 although there are rare cases of tricuspid valve endocarditis reported in the cat. 4,5 Clinical signs are often vague, including lethargy, anorexia and weakness, as exhibited by the cat in this report. Cats with IE are more likely to show respiratory distress than dogs with IE.…”
Section: Discussionmentioning
confidence: 62%
“…Foreign body migration distant from the original penetration site is well recognised in dogs and cats. [16][17][18][19] Unusual locations of migration are reported, for example in one case report, a grass awn migrated from the neck to the heart in cat leading to fatal endocarditis and myocarditis. 17 It is therefore not unreasonable to suggest that hair shafts could have migrated from the original laceration site to the common bile duct in this case.…”
Section: Discussionmentioning
confidence: 99%
“…[16][17][18][19] Unusual locations of migration are reported, for example in one case report, a grass awn migrated from the neck to the heart in cat leading to fatal endocarditis and myocarditis. 17 It is therefore not unreasonable to suggest that hair shafts could have migrated from the original laceration site to the common bile duct in this case. Another consideration is that hair was ingested and perforated the gastrointestinal tract; however, there was no evidence of gastrointestinal damage at exploratory laparotomy.…”
Section: Discussionmentioning
confidence: 99%
“…The overall incidence of pericardial disease in cats is low, with the most common cause being secondary to congestive heart failure . Unlike in the dog, septic pericarditis due to chest wall trauma or migrating foreign bodies such as the Hordeum grass awn (foxtail) have not been reported in the cat, although there has been one recent report of Hordeum grass awn migration in a cat that subsequently developed endocarditis . The few reports of septic pericarditis in the cat have either been presumed to be secondary to hematogeneous spread of infection or their etiology remained unknown.…”
Section: Discussionmentioning
confidence: 99%