Felino séptico por piotórax y complicaciones asociadas: desafío diagnóstico y terapéutico

Juan Manuel Guevara; Emiliano Gerardo Canizzo; C Maistraurena

doi:10.19137/cienvet202426205

Juan Manuel Guevara Universidad Nacional de Entre Rios
Emiliano Gerardo Canizzo University Juan Agustín Maza https://orcid.org/0009-0002-1988-9623
C Maistraurena Universidad Nacional del Centro Pcia. de Buenos Aires

DOI:

https://doi.org/10.19137/cienvet202426205

Keywords:

Pyothorax, Sepsis, Cardiomyopathy dysfunction due to sepsis, Thromboprophylaxis, Pulmonary hypertension, Pleuropulmonary ultrasound

Abstract

The case of a 2-year-old common European feline was admitted to the emergency room due to weakness, inactivity, and total anorexia of several days of evolution according to on-call veterinarians. Using emergency pleuropulmonary ultrasonography Veterinary Point of care ultrasound, pleural effusion with suspended particles is observed. Thoracentesis was performed, obtaining a fluid with characteristics of empyema, thoracic drains were placed for evacuation and pleural lavages. Upon admission, the patient presented severe myocardial contractile dysfunction with global dilation of the heart. In addition, there were signs of stasis or spontaneous ultrasound contrast, which correlates with prothrombotic events. Bacteriological cure was achieved with pharmacological management and drainage with daily washings after one month of treatment. Improvement is observed in cardiac function (with serial ultrasound monitoring) and thromboprophylaxis without evidence of alterations generated by thrombotic phenomena. Six months after the event occurred, the patient leads a normal life without requiring any support therapy.

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Author Biographies

Juan Manuel Guevara, Universidad Nacional de Entre Rios

Práctica profesional: Cardiología, enfermedades respiratorias, ecografía general y Doppler. Asesoramiento en cuidados críticos. Publicación en revistas nacionales e internacionales, posters, participación en posgrados en instituciones privadas. Disertación en congresos varios. Docente de la UNER.

Emiliano Gerardo Canizzo, University Juan Agustín Maza

Anestesiólogo en forma privada. Docente de anestesia en la catedra Técnica Quirúrgica de la Universidad Juan Agustín Maza. Anestesiólogo en el servicio de cirugía de la Universidad Juan Agustín Maza.

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Contribuciones de los/as autores/as: Todos los autores/as contribuyeron a la concepción y el diseño del reporte. La preparación del material, la recopilación y el análisis de bibliografía fueron realizados por Juan Manuel Guevara, Celeste Maistruarena y Emiliano Canizzo. El primer borrador del manuscrito fue escrito por Juan Manuel Guevara y todos/as los/as autores/as comentaron las versiones anteriores del manuscrito. Todos/as los/as autores/as leyeron y aprobaron el manuscrito final. Agradecimiento: A mi compañera de vida María, a mis dos hijas Emilia y Amanda. Celeste y a Emiliano. A la tutora del paciente que no dudo un segundo en seguir adelante y confiar en nuestras indicaciones. Y a todo el equipo del Hospital Veterinario de Gualeguaychú, Entre Ríos.

Financiamiento: Sin financiamiento.