The lungworm Aelurostrongylus abstrusus (Nematoda: Angiostrongylidae) is a parasite of domestic and wild felids with worldwide distribution. The parasite lives in bronchioles and alveolar ducts, and its presence is associated with respiratory clinical signs. Cat lungworms are still considered by many clinicians sporadic and rarely are taken into account in the cat pathology. Therefore, in this paper we present a clinical and epidemiological study on cats with natural A. abstrusus infection. For this, 131 cats, with exclusive outdoor or outdoor and indoor access, of different gender (49 males, 82 females) and age (between 2 months and 11 years), from Southern and Center Romania, were included in the study. Of them, individual fresh faecal samples were collected and analyzed to identify first-stage larvae (L1) of lungworms, using a Baermann technique, and eggs/oocysts of other endoparasites, by a flotation method. Subsequently, of the examined samples, 6.10% (8/131) were positive for A. abstrusus. The positive cats aged between 3 months and 2 years. Of them, 3 cats were co-infected: two with Toxocara cati and one with Ancylostoma tubaeforme. Clinically, 75% (6/8) of the infected cats displayed respiratory signs varying from mild (sporadic coughing, sneezing) (n=3) to severe symptoms (mucopurulent nasal discharge, abdominal breathing) (n=3), while 25% (2/8) showed no respiratory signs. The three cats with severe respiratory disease were infected only with A.abstrusus. In conclusion, veterinary practitioners should include Aelurostrongylus infection in the differential diagnosis of catʼs respiratory pathology.