Myelomatous pleural effusion in a cat diagnosed with multiple myeloma

Case summary A 10-year-old male castrated domestic shorthair cat was presented with a 3-day history of dyspnoea, chronic lethargy and inappetence. A bilateral pleural effusion was identified by thoracic ultrasound, and cytological examination revealed numerous atypical plasma cells. Biochemistry and...

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Main Authors: Tancrède Amalbert, Aude Morgane Canonne, Jérémy Béguin
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169221134094
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author Tancrède Amalbert
Aude Morgane Canonne
Jérémy Béguin
author_facet Tancrède Amalbert
Aude Morgane Canonne
Jérémy Béguin
author_sort Tancrède Amalbert
collection DOAJ
description Case summary A 10-year-old male castrated domestic shorthair cat was presented with a 3-day history of dyspnoea, chronic lethargy and inappetence. A bilateral pleural effusion was identified by thoracic ultrasound, and cytological examination revealed numerous atypical plasma cells. Biochemistry and serum protein electrophoresis revealed a severe hyperglobulinaemia associated with a monoclonal gammopathy. A moderate non-regenerative anaemia was also noted. Multiple bone lytic lesions were detected, and marked plasmacytosis was observed on bone marrow aspirates. Chemotherapy with cyclophosphamide and prednisolone was initiated but did not result in any clinical or biological response, and pleural effusion recurred. Lack of therapeutic response led to euthanasia 2 months after diagnosis. Relevance and novel information This is the first description of a myelomatous pleural effusion in a cat diagnosed with multiple myeloma and should be considered as one of the possible differential diagnoses for cats presented with pleural effusion and hyperglobulinaemia. The diagnostic, therapeutic and prognostic aspects of this manifestation are discussed.
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spelling doaj.art-2069c521629e4421995678229b9845b32023-02-02T12:33:34ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692023-02-01910.1177/20551169221134094Myelomatous pleural effusion in a cat diagnosed with multiple myelomaTancrède Amalbert0Aude Morgane Canonne1Jérémy Béguin2National Veterinary School of Alfort, Paris-Est University, Maisons-Alfort, FranceDepartment of Internal Medicine, National Veterinary School of Alfort, Paris-Est University, Maisons-Alfort, FranceDepartment of Internal Medicine, National Veterinary School of Alfort, Paris-Est University, Maisons-Alfort, FranceCase summary A 10-year-old male castrated domestic shorthair cat was presented with a 3-day history of dyspnoea, chronic lethargy and inappetence. A bilateral pleural effusion was identified by thoracic ultrasound, and cytological examination revealed numerous atypical plasma cells. Biochemistry and serum protein electrophoresis revealed a severe hyperglobulinaemia associated with a monoclonal gammopathy. A moderate non-regenerative anaemia was also noted. Multiple bone lytic lesions were detected, and marked plasmacytosis was observed on bone marrow aspirates. Chemotherapy with cyclophosphamide and prednisolone was initiated but did not result in any clinical or biological response, and pleural effusion recurred. Lack of therapeutic response led to euthanasia 2 months after diagnosis. Relevance and novel information This is the first description of a myelomatous pleural effusion in a cat diagnosed with multiple myeloma and should be considered as one of the possible differential diagnoses for cats presented with pleural effusion and hyperglobulinaemia. The diagnostic, therapeutic and prognostic aspects of this manifestation are discussed.https://doi.org/10.1177/20551169221134094
spellingShingle Tancrède Amalbert
Aude Morgane Canonne
Jérémy Béguin
Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
Journal of Feline Medicine and Surgery Open Reports
title Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
title_full Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
title_fullStr Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
title_full_unstemmed Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
title_short Myelomatous pleural effusion in a cat diagnosed with multiple myeloma
title_sort myelomatous pleural effusion in a cat diagnosed with multiple myeloma
url https://doi.org/10.1177/20551169221134094
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