Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review

This report provides the first clinical, radiographic, echocardiographic, and biological description of SARS-CoV-2-associated myocarditis with a 6-month follow-up in a 5-year-old obese male domestic shorthair cat (Cat-1) presented for refractory congestive heart failure, with high cardiac troponin-I...

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Main Authors: Valérie Chetboul, Pierre Foulex, Kahina Kartout, Anne Marie Klein, Corinne Sailleau, Marine Dumarest, Manon Delaplace, Meriadeg Ar Gouilh, Jeremy Mortier, Sophie Le Poder
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2021.748869/full
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author Valérie Chetboul
Valérie Chetboul
Pierre Foulex
Kahina Kartout
Anne Marie Klein
Corinne Sailleau
Marine Dumarest
Manon Delaplace
Meriadeg Ar Gouilh
Jeremy Mortier
Sophie Le Poder
author_facet Valérie Chetboul
Valérie Chetboul
Pierre Foulex
Kahina Kartout
Anne Marie Klein
Corinne Sailleau
Marine Dumarest
Manon Delaplace
Meriadeg Ar Gouilh
Jeremy Mortier
Sophie Le Poder
author_sort Valérie Chetboul
collection DOAJ
description This report provides the first clinical, radiographic, echocardiographic, and biological description of SARS-CoV-2-associated myocarditis with a 6-month follow-up in a 5-year-old obese male domestic shorthair cat (Cat-1) presented for refractory congestive heart failure, with high cardiac troponin-I level (5.24 ng/ml), and a large lingual ulcer. The animal was SARS-CoV-2 positive on serology. The other cat living in the same household (Cat-2) never showed any clinical sign but was also confirmed SARS-CoV-2 positive on serology. Both cats were SARS-CoV-2 PCR negative. Cat-1 had closer contact than Cat-2 with their owner, who had been in close contact with a coworker tested PCR positive for COVID-19 (Alpha (B.1.1.7) variant) 4 weeks before Cat-1's first episode of congestive heart failure. A focused point-of-care echocardiography at presentation revealed for Cat-1 numerous B-lines, pleural effusion, severe left atrial dilation and dysfunction, and hypertrophic cardiomyopathy phenotype associated with focal pulmonary consolidations. Both myocarditis and pneumonia were suspected, leading to the prescription of cardiac medications and antibiotics. One month later, Cat-1 recovered, with normalization of left atrial size and function, and radiographic and echocardiography disappearance of heart failure signs and pulmonary lesions. An extensive literature review of SARS-CoV-2-related cardiac injury in pets in comparison with human pathology is discussed.
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spelling doaj.art-4981aba6a5c24a9e981c1e04e4ad1c692022-12-21T22:37:49ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692021-10-01810.3389/fvets.2021.748869748869Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature ReviewValérie Chetboul0Valérie Chetboul1Pierre Foulex2Kahina Kartout3Anne Marie Klein4Corinne Sailleau5Marine Dumarest6Manon Delaplace7Meriadeg Ar Gouilh8Jeremy Mortier9Sophie Le Poder10École Nationale Vétérinaire d'Alfort, CHUVA, Unité de Cardiologie d'Alfort (UCA), Maisons-Alfort, FranceUniversité Paris Est Créteil, INSERM, IMRB, Créteil, FranceÉcole Nationale Vétérinaire d'Alfort, CHUVA, Unité de Cardiologie d'Alfort (UCA), Maisons-Alfort, FranceÉcole Nationale Vétérinaire d'Alfort, CHUVA, Unité de Cardiologie d'Alfort (UCA), Maisons-Alfort, FranceClinique Vétérinaire, Paris, FranceÉcole Nationale Vétérinaire d'Alfort, UMR VIROLOGIE, INRAE, ANSES, Laboratoire de santé animale, Université Paris-Est, Maisons-Alfort, FranceÉcole Nationale Vétérinaire d'Alfort, UMR VIROLOGIE, INRAE, ANSES, Laboratoire de santé animale, Université Paris-Est, Maisons-Alfort, FranceÉcole Nationale Vétérinaire d'Alfort, UMR VIROLOGIE, INRAE, ANSES, Laboratoire de santé animale, Université Paris-Est, Maisons-Alfort, FranceGroupe de Recherche sur l'Adaptation Microbienne (GRAM 2.0), Normandie Université, UNICAEN, 13 UNIROUEN, Caen, FranceÉcole Nationale Vétérinaire d'Alfort, CHUVA, Service d'Imagerie Médicale, Maisons-Alfort, FranceÉcole Nationale Vétérinaire d'Alfort, UMR VIROLOGIE, INRAE, ANSES, Laboratoire de santé animale, Université Paris-Est, Maisons-Alfort, FranceThis report provides the first clinical, radiographic, echocardiographic, and biological description of SARS-CoV-2-associated myocarditis with a 6-month follow-up in a 5-year-old obese male domestic shorthair cat (Cat-1) presented for refractory congestive heart failure, with high cardiac troponin-I level (5.24 ng/ml), and a large lingual ulcer. The animal was SARS-CoV-2 positive on serology. The other cat living in the same household (Cat-2) never showed any clinical sign but was also confirmed SARS-CoV-2 positive on serology. Both cats were SARS-CoV-2 PCR negative. Cat-1 had closer contact than Cat-2 with their owner, who had been in close contact with a coworker tested PCR positive for COVID-19 (Alpha (B.1.1.7) variant) 4 weeks before Cat-1's first episode of congestive heart failure. A focused point-of-care echocardiography at presentation revealed for Cat-1 numerous B-lines, pleural effusion, severe left atrial dilation and dysfunction, and hypertrophic cardiomyopathy phenotype associated with focal pulmonary consolidations. Both myocarditis and pneumonia were suspected, leading to the prescription of cardiac medications and antibiotics. One month later, Cat-1 recovered, with normalization of left atrial size and function, and radiographic and echocardiography disappearance of heart failure signs and pulmonary lesions. An extensive literature review of SARS-CoV-2-related cardiac injury in pets in comparison with human pathology is discussed.https://www.frontiersin.org/articles/10.3389/fvets.2021.748869/fullcatCOVID-19echocardiographyheart failuremyocarditisSARS-CoV-2
spellingShingle Valérie Chetboul
Valérie Chetboul
Pierre Foulex
Kahina Kartout
Anne Marie Klein
Corinne Sailleau
Marine Dumarest
Manon Delaplace
Meriadeg Ar Gouilh
Jeremy Mortier
Sophie Le Poder
Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
Frontiers in Veterinary Science
cat
COVID-19
echocardiography
heart failure
myocarditis
SARS-CoV-2
title Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
title_full Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
title_fullStr Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
title_full_unstemmed Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
title_short Myocarditis and Subclinical-Like Infection Associated With SARS-CoV-2 in Two Cats Living in the Same Household in France: A Case Report With Literature Review
title_sort myocarditis and subclinical like infection associated with sars cov 2 in two cats living in the same household in france a case report with literature review
topic cat
COVID-19
echocardiography
heart failure
myocarditis
SARS-CoV-2
url https://www.frontiersin.org/articles/10.3389/fvets.2021.748869/full
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