Meningoencephalitis in Cats in Austria: a Study of Infectious Causes, Including Encephalitozoon Cuniculi
Overview
Affiliations
Objectives Despite comprehensive diagnostics, the aetiology of meningoencephalitis (ME) in cats often remains undetermined. As a result of recently published surveys, Encephalitozoon cuniculi has gained growing importance in cats not only with ocular disorders, but also with central nervous system disease. Therefore, it was hypothesised that E cuniculi may be an underestimated pathogen in the development of feline non-suppurative and/or granulomatous ME. Methods As a first step, histopathological sections of the brain of cats with encephalopathy were retrospectively reviewed to identify cases of granulomatous ME. In a second step, an immunohistochemical screening for detection of E cuniculi was performed in cases with ME of unknown origin. Results In 59/89 (66.3%) cats with ME, an aetiologically relevant pathogen was detected. Forty-three of 89 (48.3%) cats had a diagnosis of feline infectious peritonitis. In 14/89 (15.7%) cats, protozoan cysts were identified and infection with Toxoplasma gondii was confirmed by immunohistochemistry (IHC) in all cases. In 2/89 (2.3%) cats with granulomatous ME, fungal organisms were identified. Thirty of 89 (33.7%) cats with ME of unknown origin that underwent IHC for the detection of E cuniculi remained negative. Conclusions and relevance The results of this study suggest that E cuniculi is unlikely to be directly associated with (non-suppurative and/or granulomatous) ME in cats in Austria.
Matiasek K, Pfaff F, Weissenbock H, Wylezich C, Kolodziejek J, Tengstrand S Nat Commun. 2023; 14(1):624.
PMID: 36739288 PMC: 9899117. DOI: 10.1038/s41467-023-36204-w.
2022 AAFP/EveryCat Feline Infectious Peritonitis Diagnosis Guidelines.
Thayer V, Gogolski S, Felten S, Hartmann K, Kennedy M, Olah G J Feline Med Surg. 2022; 24(9):905-933.
PMID: 36002137 PMC: 10812230. DOI: 10.1177/1098612X221118761.
Santaniello A, Cimmino I, Dipineto L, Agognon A, Beguinot F, Formisano P Int J Environ Res Public Health. 2021; 18(17).
PMID: 34501921 PMC: 8430659. DOI: 10.3390/ijerph18179333.
infection in cats: European guidelines from the ABCD on prevention and management.
Addie D, Tasker S, Boucraut-Baralon C, Belak S, Egberink H, Frymus T J Feline Med Surg. 2020; 22(11):1084-1088.
PMID: 33100172 PMC: 10814217. DOI: 10.1177/1098612X20941787.
Recurrent seizures in cats: Diagnostic approach - when is it idiopathic epilepsy?.
Hazenfratz M, Taylor S J Feline Med Surg. 2018; 20(9):811-823.
PMID: 30139320 PMC: 10816265. DOI: 10.1177/1098612X18791873.