Facial distortion due to chronic inflammation of unknown cause in a cat.

Autor:	Johnson LR; Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA., Vidal SA; William R Pritchard Veterinary Medical Teaching Hospital, Davis, CA, USA., Brust KD; William R Pritchard Veterinary Medical Teaching Hospital, Davis, CA, USA., Keel MK; Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA., Steffey MA; Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Jazyk:	angličtina
Zdroj:	JFMS open reports [JFMS Open Rep] 2020 Sep 15; Vol. 6 (2), pp. 2055116920957200. Date of Electronic Publication: 2020 Sep 15 (Print Publication: 2020).
DOI:	10.1177/2055116920957200
Abstrakt:	Case Summary: An 8-year-old neutered male indoor cat was presented for evaluation of a year-long history of swelling over the bridge of the nose that extended from the subcutaneous tissue of the right upper eyelid to the dorsum of the skull. Intermittent regression of the mass lesion was reported with antibiotic or corticosteroid therapy; however, progressive swelling, malaise and hiding behavior persisted. CT revealed an aggressive osteolytic mass lesion in the right and left nasal cavities and extending into the frontal sinuses. Rhinoscopy using a 2.8 mm rigid telescope revealed somewhat normal-appearing turbinates rostrally and ventrally on the left side, with turbinate destruction on the right. After obtaining a biopsy from the right side of the nasal cavity, thick material filling the entire nasal cavity was visible caudally and was extracted endoscopically from a rostral approach. Surgical biopsy of the dorsal nasal bridge resulted in protrusion of inspissated material from the incision site. Rhinoscopic exploration revealed that the material extended into both frontal sinuses. Following extensive debridement and medical therapy, marked resolution of facial asymmetry was achieved. Relevance and Novel Information: Facial distortion is often considered suggestive of a neoplastic process; however, it can also be seen with fungal and mycobacterial infections, and, in this case, an inflammatory condition of unknown etiology. In this cat, aggressive intervention and debridement of necrotic debris resulted in substantial bony remodeling of the skull and return to normal activity levels. Competing Interests: Conflict of interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2020.)
Databáze:	MEDLINE
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