Dysautonomia in two littermate kittens

Case summary Two 6-month-old littermate Russian Blue cross kittens presented for megaesophagus, intermittent vomiting and regurgitation. The male kitten was diagnosed with aspiration pneumonia and was suspected to have a hiatal hernia on thoracic radiographs. It presented 1 month later in acute resp...

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Main Authors: Petra Černá, Michaela M Botts, Allison Watson, Susan V Carr
Format: Article
Language:English
Published: SAGE Publishing 2023-04-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169231164579
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author Petra Černá
Michaela M Botts
Allison Watson
Susan V Carr
author_facet Petra Černá
Michaela M Botts
Allison Watson
Susan V Carr
author_sort Petra Černá
collection DOAJ
description Case summary Two 6-month-old littermate Russian Blue cross kittens presented for megaesophagus, intermittent vomiting and regurgitation. The male kitten was diagnosed with aspiration pneumonia and was suspected to have a hiatal hernia on thoracic radiographs. It presented 1 month later in acute respiratory distress and was euthanized. Post-mortem examination revealed a severe gastroesophageal intussusception with approximately 90% of the stomach inverted into the distal esophagus. Histologic examination confirmed dysautonomia with marked neuronal dropout and degeneration with necrosis, satellitosis of the celiac ganglion and the myenteric and submucosal plexuses throughout the gastrointestinal tract. The less-affected littermate showed improvement on cisapride and was doing well at home at the time of writing. Relevance and novel information Dysautonomia is rare in cats, with only a few reports of affected littermates. Both kittens are significantly younger than the median age previously reported. Detailed descriptions of diagnostic and histopathology findings are included. Gastroesophageal intussusception is a novel complication to consider when managing feline dysautonomia.
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spelling doaj.art-be335b3bc9fc4bb0b0b430c395b01c192023-04-29T07:33:28ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692023-04-01910.1177/20551169231164579Dysautonomia in two littermate kittensPetra Černá0Michaela M Botts1Allison Watson2Susan V Carr3Department of Clinical Sciences, Colorado State University, Fort Collins, CO, USADepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USADepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USADepartment of Clinical Sciences, Colorado State University, Fort Collins, CO, USACase summary Two 6-month-old littermate Russian Blue cross kittens presented for megaesophagus, intermittent vomiting and regurgitation. The male kitten was diagnosed with aspiration pneumonia and was suspected to have a hiatal hernia on thoracic radiographs. It presented 1 month later in acute respiratory distress and was euthanized. Post-mortem examination revealed a severe gastroesophageal intussusception with approximately 90% of the stomach inverted into the distal esophagus. Histologic examination confirmed dysautonomia with marked neuronal dropout and degeneration with necrosis, satellitosis of the celiac ganglion and the myenteric and submucosal plexuses throughout the gastrointestinal tract. The less-affected littermate showed improvement on cisapride and was doing well at home at the time of writing. Relevance and novel information Dysautonomia is rare in cats, with only a few reports of affected littermates. Both kittens are significantly younger than the median age previously reported. Detailed descriptions of diagnostic and histopathology findings are included. Gastroesophageal intussusception is a novel complication to consider when managing feline dysautonomia.https://doi.org/10.1177/20551169231164579
spellingShingle Petra Černá
Michaela M Botts
Allison Watson
Susan V Carr
Dysautonomia in two littermate kittens
Journal of Feline Medicine and Surgery Open Reports
title Dysautonomia in two littermate kittens
title_full Dysautonomia in two littermate kittens
title_fullStr Dysautonomia in two littermate kittens
title_full_unstemmed Dysautonomia in two littermate kittens
title_short Dysautonomia in two littermate kittens
title_sort dysautonomia in two littermate kittens
url https://doi.org/10.1177/20551169231164579
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AT michaelambotts dysautonomiaintwolittermatekittens
AT allisonwatson dysautonomiaintwolittermatekittens
AT susanvcarr dysautonomiaintwolittermatekittens