Infertility in the Female Cat

Axnér, E., E. Ågren, et al. (2008). "Infertility in the cycling queen: seven cases." Journal of Feline Medicine & Surgery 10(6): 566-576.

There are many potential causes of infertility in cats, and investigation must take into account many factors, such as nutrition, housing, environment, management, and infectious diseases. This study evaluated 7 queens with a history of infertility despite normal estrous behavior and normal mating behavior. All queens were over 18 months of age, and had been mated at least 3 times with fertile males without pregnancy. A detailed medical and reproductive history for each queen was recorded. Each cat had a complete physical examination, vaginal swabs for culture and cytology, and blood samples for infectious diseases and hormone levels. The uterus and ovaries of each cat were examined with ultrasound. Four of the queens were treated with antibiotics, and 2 went on to successfully deliver kittens. Of the other 2 treated cats, one was not mated again, and one was mated unsuccessfully. One queen was spayed due to the discovery of uterine pathology. For 2 of the queens, no definitive diagnosis was established and no treatment was given. In summary, 4 of the queens were diagnosed with uterine pathology, while no definitive diagnosis could be established for the remaining 3 queens. [SL]
>> PubMed Abstract

Related articles:
Axner, E. (2008). "Updates on reproductive physiology, genital diseases and artificial insemination in the domestic cat." Reprod Domest Anim 43 Suppl 2: 144-9.
>> PubMed Abstract

Romagnoli, S. (2003). "Clinical approach to infertility in the queen." J Fel Med Surg 5(2): 143-146.
>> PubMed Abstract

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Axnér, E., E. Ågren, et al. (2008). "Infertility in the cycling queen: seven cases." Journal of Feline Medicine & Surgery 10(6): 566-576.

There are many potential causes of infertility in cats, and investigation must take into account many factors, such as nutrition, housing, environment, management, and infectious diseases. This study evaluated 7 queens with a history of infertility despite normal estrous behavior and normal mating behavior. All queens were over 18 months of age, and had been mated at least 3 times with fertile males without pregnancy. A detailed medical and reproductive history for each queen was recorded. Each cat had a complete physical examination, vaginal swabs for culture and cytology, and blood samples for infectious diseases and hormone levels. The uterus and ovaries of each cat were examined with ultrasound. Four of the queens were treated with antibiotics, and 2 went on to successfully deliver kittens. Of the other 2 treated cats, one was not mated again, and one was mated unsuccessfully. One queen was spayed due to the discovery of uterine pathology. For 2 of the queens, no definitive diagnosis was established and no treatment was given. In summary, 4 of the queens were diagnosed with uterine pathology, while no definitive diagnosis could be established for the remaining 3 queens. [SL]
>> PubMed Abstract

Related articles:
Axner, E. (2008). "Updates on reproductive physiology, genital diseases and artificial insemination in the domestic cat." Reprod Domest Anim 43 Suppl 2: 144-9.
>> PubMed Abstract

Romagnoli, S. (2003). "Clinical approach to infertility in the queen." J Fel Med Surg 5(2): 143-146.
>> PubMed Abstract

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Herpesvirus Infections in Cats

Westermeyer, H. D., S. M. Thomasy, et al. (2009). "Assessment of viremia associated with experimental primary feline herpesvirus infection or presumed herpetic recrudescence in cats." American Journal of Veterinary Research 70(1): 99-104.

Feline herpesvirus-1 is associated with respiratory disease, often in kittens. Most infected cats remain latently infected for life; these latent infections may reactivate during times of stress. While herpesviruses in other species commonly spread to other tissues in infected animals via the bloodstream, this appears to be infrequent in cats. These researchers investigated the occurrence of virus in the blood of infected cats during acute infection, as well as during reactivation of latent infections. Following infection of six cats with FHV-1, virus was detected in the blood for up to two weeks post-infection. However, virus was not detected in the blood of 34 shelter cats, 25 of whom had evidence of FHV-associated disease and tested positive for the virus on conjunctival samples, using either virus isolation or polymerase chain reaction (PCR) testing. The authors conclude there may be a brief period of viremia in cats following acute infection, but none associated with reactivation of latent infection. [MK]
>> PubMed Abstract

Related articles:
Maggs, D., M. Lappin, et al. (1999). "Evaluation of serologic and viral detection methods for diagnosing feline herpesvirus-1 infection in cats with acute respiratory tract or chronic ocular disease." J Amer Vet Med Assoc 214(4): 502.
>> PubMed Abstract

Bannasch, M. and J. Foley (2005). "Epidemiologic evaluation of multiple respiratory pathogens in cats in animal shelters." J Fel Med Surg 7(2): 109-119.
>> PubMed Abstract

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Westermeyer, H. D., S. M. Thomasy, et al. (2009). "Assessment of viremia associated with experimental primary feline herpesvirus infection or presumed herpetic recrudescence in cats." American Journal of Veterinary Research 70(1): 99-104.

Feline herpesvirus-1 is associated with respiratory disease, often in kittens. Most infected cats remain latently infected for life; these latent infections may reactivate during times of stress. While herpesviruses in other species commonly spread to other tissues in infected animals via the bloodstream, this appears to be infrequent in cats. These researchers investigated the occurrence of virus in the blood of infected cats during acute infection, as well as during reactivation of latent infections. Following infection of six cats with FHV-1, virus was detected in the blood for up to two weeks post-infection. However, virus was not detected in the blood of 34 shelter cats, 25 of whom had evidence of FHV-associated disease and tested positive for the virus on conjunctival samples, using either virus isolation or polymerase chain reaction (PCR) testing. The authors conclude there may be a brief period of viremia in cats following acute infection, but none associated with reactivation of latent infection. [MK]
>> PubMed Abstract

Related articles:
Maggs, D., M. Lappin, et al. (1999). "Evaluation of serologic and viral detection methods for diagnosing feline herpesvirus-1 infection in cats with acute respiratory tract or chronic ocular disease." J Amer Vet Med Assoc 214(4): 502.
>> PubMed Abstract

Bannasch, M. and J. Foley (2005). "Epidemiologic evaluation of multiple respiratory pathogens in cats in animal shelters." J Fel Med Surg 7(2): 109-119.
>> PubMed Abstract

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Heart Disease in Cats

Paige, C. F., J. A. Abbott, et al. (2009). "Prevalence of cardiomyopathy in apparently healthy cats." J Am Vet Med Assoc 234(11): 1398-1403.

The purpose of the study was to determine the prevalence of cardiomyopathy and the relationship between cardiomyopathy and heart murmurs in apparently healthy cats. The study included 103 privately owned and apparently healthy cats that were physically and echocardiographically examined independently by two investigators. Left ventricular wall thickness was determined using 2-dimensional echocardiography in short-axis and long-axis views. Sixteen of the cats examined had heart murmurs detected; of these, 5 had cardiomyopathy. Cardiomyopathy was also identified in 16 cats; 15 had hypertrophic cardiomyopathy (HCM), and one had arrhythmogenic right ventricular cardiomyopathy. The sensitivity and specificity of auscultatory detection of a heart murmur for diagnosis of cardiomyopathy were 31% and 87%, respectively. The findings of this study indicated that cardiomyopathy is common in healthy cats. In addition, detection of a heart murmur is not a reliable indicator of cardiomyopathy in apparently healthy cats. [VT]
>> PubMed Abstract

Related articles:
Rush, J., L. Freeman, et al. (2002). "Population and survival characteristics of cats with hypertrophic cardiomyopathy: 260 cases (1990-1999)." J Amer Vet Med Assoc 220(2): 202-207.
>> PubMed Abstract

Zimmering, T. M., F. Meneses, et al. (2009). "Measurement of N-terminal proatrial natriuretic peptide in plasma of cats with and without cardiomyopathy." American Journal of Veterinary Research 70(2): 216-222.
>> PubMed Abstract

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Paige, C. F., J. A. Abbott, et al. (2009). "Prevalence of cardiomyopathy in apparently healthy cats." J Am Vet Med Assoc 234(11): 1398-1403.

The purpose of the study was to determine the prevalence of cardiomyopathy and the relationship between cardiomyopathy and heart murmurs in apparently healthy cats. The study included 103 privately owned and apparently healthy cats that were physically and echocardiographically examined independently by two investigators. Left ventricular wall thickness was determined using 2-dimensional echocardiography in short-axis and long-axis views. Sixteen of the cats examined had heart murmurs detected; of these, 5 had cardiomyopathy. Cardiomyopathy was also identified in 16 cats; 15 had hypertrophic cardiomyopathy (HCM), and one had arrhythmogenic right ventricular cardiomyopathy. The sensitivity and specificity of auscultatory detection of a heart murmur for diagnosis of cardiomyopathy were 31% and 87%, respectively. The findings of this study indicated that cardiomyopathy is common in healthy cats. In addition, detection of a heart murmur is not a reliable indicator of cardiomyopathy in apparently healthy cats. [VT]
>> PubMed Abstract

Related articles:
Rush, J., L. Freeman, et al. (2002). "Population and survival characteristics of cats with hypertrophic cardiomyopathy: 260 cases (1990-1999)." J Amer Vet Med Assoc 220(2): 202-207.
>> PubMed Abstract

Zimmering, T. M., F. Meneses, et al. (2009). "Measurement of N-terminal proatrial natriuretic peptide in plasma of cats with and without cardiomyopathy." American Journal of Veterinary Research 70(2): 216-222.
>> PubMed Abstract

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Scintigraphy for Feline Hyperthyroidism

Harvey, A. M., A. Hibbert, et al. (2009). "Scintigraphic findings in 120 hyperthyroid cats." Journal of Feline Medicine & Surgery 11(2): 96-106.

The purpose of this study performed at the University of Bristol, United Kingdom, was to characterize the scintigraphic findings in a group of cats with hyperthyroidism to determine the location of the abnormal thyroid tissue. Thyroid scintigraphy relies on the selective uptake of a radionuclide by thyroid tissue. Hyperthyroidism is diagnosed by the increased level of uptake by the thyroid gland compared with salivary gland tissue. Thyroid scintigraphy also demonstrates the location of the abnormal thyroid tissue, which is useful when planning treatment options. The database of the Feline Centre at the University of Bristol was searched for cases of feline hyperthyroidism with good quality scintigraphic images between 1994 and 2007. Images from 120 cats were evaluated. Almost 1 in 5 hyperthyroid cats was found to have multiple areas of abnormal thyroid tissue and/or intrathoracic thyroid tissue where surgical thyroidectomy would not be curative. Another finding was that scintigraphy could not reliably differentiate between thyroid carcinoma and adenoma. The authors conclude that the possible presence of ectopic thyroid tissue should be discussed with all owners of hyperthyroid cats prior to performing surgical thyroidectomy. [SL]
>> PubMed Abstract

Related articles:
Henrikson, T. D., L. J. Armbrust, et al. (2005). "Thyroid to salivary ratios determined by technetium-99m pertechnetate imaging in thirty-two euthyroid cats." Vet Radiol Ultrasound 46(6): 521-3.
>> PubMed Abstract

Naan, E. C., J. Kirpensteijn, et al. (2006). "Results of thyroidectomy in 101 cats with hyperthyroidism." Vet Surg 35(3): 287-93.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
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Harvey, A. M., A. Hibbert, et al. (2009). "Scintigraphic findings in 120 hyperthyroid cats." Journal of Feline Medicine & Surgery 11(2): 96-106.

The purpose of this study performed at the University of Bristol, United Kingdom, was to characterize the scintigraphic findings in a group of cats with hyperthyroidism to determine the location of the abnormal thyroid tissue. Thyroid scintigraphy relies on the selective uptake of a radionuclide by thyroid tissue. Hyperthyroidism is diagnosed by the increased level of uptake by the thyroid gland compared with salivary gland tissue. Thyroid scintigraphy also demonstrates the location of the abnormal thyroid tissue, which is useful when planning treatment options. The database of the Feline Centre at the University of Bristol was searched for cases of feline hyperthyroidism with good quality scintigraphic images between 1994 and 2007. Images from 120 cats were evaluated. Almost 1 in 5 hyperthyroid cats was found to have multiple areas of abnormal thyroid tissue and/or intrathoracic thyroid tissue where surgical thyroidectomy would not be curative. Another finding was that scintigraphy could not reliably differentiate between thyroid carcinoma and adenoma. The authors conclude that the possible presence of ectopic thyroid tissue should be discussed with all owners of hyperthyroid cats prior to performing surgical thyroidectomy. [SL]
>> PubMed Abstract

Related articles:
Henrikson, T. D., L. J. Armbrust, et al. (2005). "Thyroid to salivary ratios determined by technetium-99m pertechnetate imaging in thirty-two euthyroid cats." Vet Radiol Ultrasound 46(6): 521-3.
>> PubMed Abstract

Naan, E. C., J. Kirpensteijn, et al. (2006). "Results of thyroidectomy in 101 cats with hyperthyroidism." Vet Surg 35(3): 287-93.
>> PubMed Abstract

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Treatment of Ringworm in Cats

Mancianti, F., S. Dabizzi, et al. (2009). "A lufenuron pre-treatment may enhance the effects of enilconazole or griseofulvin in feline dermatophytosis?" Journal of Feline Medicine & Surgery 11(2): 91-95.

In this study performed at the University of Pisa, Italy, the effect of pre-treatment with lufenuron on the effectiveness of enilconazole or griseofulvin for the treatment of feline ringworm was studied. Ringworm in cats is most commonly caused by the fungal agent, Microsoporum canis. A variety of treatment options have been recommended over the years, including both topical and systemic drugs. Lufenuron is a drug that interferes with chitin synthesis and is most commonly used to prevent flea infestations. It has also been proposed as an alternative treatment for ringworm, but with highly variable results when used as a sole agent. Lufenuron was given at 100 mg/kg biweekly for 8 weeks to 38 M. canis infected cats. Group A cats (13) were only treated with lufenuron. In Group B, 11 cats were pre-treated with lufenuron, and then treated with four weekly rinses of enilconazole (0.2% solution). In Group C, 14 cats were pre-treated with lufenuron, and then treated with oral griseofulvin at 50 mg/kg twice daily for 40 days. Twelve cats were used as controls in that they were given griseofulvin (7 cats) or enilconazole (5 cats), but not lufenuron. All cats except one given lufenuron alone were still infected at day 60. The authors conclude that lufenuron alone was found to be ineffective, but may have an immunomodulatory effect as a pre-treatment combined with other drugs. [SL]
>> PubMed Abstract

Related articles:
Nuttall, T. J., A. J. German, et al. (2008). "Successful resolution of dermatophyte mycetoma following terbinafine treatment in two cats." Veterinary Dermatology 19(6): 405-410.
>> PubMed Abstract

Sharma, R., S. de Hoog, et al. (2007). "A virulent genotype of Microsporum canis is responsible for the majority of human infections." J Med Microbiol 56(10): 1377-85.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
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Mancianti, F., S. Dabizzi, et al. (2009). "A lufenuron pre-treatment may enhance the effects of enilconazole or griseofulvin in feline dermatophytosis?" Journal of Feline Medicine & Surgery 11(2): 91-95.

In this study performed at the University of Pisa, Italy, the effect of pre-treatment with lufenuron on the effectiveness of enilconazole or griseofulvin for the treatment of feline ringworm was studied. Ringworm in cats is most commonly caused by the fungal agent, Microsoporum canis. A variety of treatment options have been recommended over the years, including both topical and systemic drugs. Lufenuron is a drug that interferes with chitin synthesis and is most commonly used to prevent flea infestations. It has also been proposed as an alternative treatment for ringworm, but with highly variable results when used as a sole agent. Lufenuron was given at 100 mg/kg biweekly for 8 weeks to 38 M. canis infected cats. Group A cats (13) were only treated with lufenuron. In Group B, 11 cats were pre-treated with lufenuron, and then treated with four weekly rinses of enilconazole (0.2% solution). In Group C, 14 cats were pre-treated with lufenuron, and then treated with oral griseofulvin at 50 mg/kg twice daily for 40 days. Twelve cats were used as controls in that they were given griseofulvin (7 cats) or enilconazole (5 cats), but not lufenuron. All cats except one given lufenuron alone were still infected at day 60. The authors conclude that lufenuron alone was found to be ineffective, but may have an immunomodulatory effect as a pre-treatment combined with other drugs. [SL]
>> PubMed Abstract

Related articles:
Nuttall, T. J., A. J. German, et al. (2008). "Successful resolution of dermatophyte mycetoma following terbinafine treatment in two cats." Veterinary Dermatology 19(6): 405-410.
>> PubMed Abstract

Sharma, R., S. de Hoog, et al. (2007). "A virulent genotype of Microsporum canis is responsible for the majority of human infections." J Med Microbiol 56(10): 1377-85.
>> PubMed Abstract

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Feline Vaccine-Associated Sarcoma Treatment

Eckstein, C., F. Guscetti, et al. (2009). "A retrospective analysis of radiation therapy for the treatment of feline vaccine-associated sarcoma." Vet Comp Oncol 7(1): 54-68.

Feline vaccine-associated sarcomas occur in about 1 in 10,000 vaccinated cats, comprise about 40% of all skin tumors, and are the most frequent skin tumor in cats. These tumors are highly invasive and rapidly growing. This study, among other goals, examined the effect of curative radiation treatment on survival time after surgery. Curative treatment (higher dosages, more frequent administration) did improve outcome. Cats with a poorer prognosis and given reduced radiation therapy benefited from the addition of chemotherapy by increased survival time. Both protocols are legitimate options for vaccine-associated sarcomas. [MK]
>> PubMed Abstract

Related articles:
Kass, P. H., W. L. Spangler, et al. (2003). "Multicenter case-control study of risk factors associated with development of vaccine-associated sarcomas in cats." J Am Vet Med Assoc 223(9): 1283-92.
>> PubMed Abstract

Romanelli, G., L. Marconato, et al. (2008). "Analysis of prognostic factors associated with injection-site sarcomas in cats: 57 cases (2001-2007)." J Am Vet Med Assoc 232(8): 1193-9.
>> PubMed Abstract

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Eckstein, C., F. Guscetti, et al. (2009). "A retrospective analysis of radiation therapy for the treatment of feline vaccine-associated sarcoma." Vet Comp Oncol 7(1): 54-68.

Feline vaccine-associated sarcomas occur in about 1 in 10,000 vaccinated cats, comprise about 40% of all skin tumors, and are the most frequent skin tumor in cats. These tumors are highly invasive and rapidly growing. This study, among other goals, examined the effect of curative radiation treatment on survival time after surgery. Curative treatment (higher dosages, more frequent administration) did improve outcome. Cats with a poorer prognosis and given reduced radiation therapy benefited from the addition of chemotherapy by increased survival time. Both protocols are legitimate options for vaccine-associated sarcomas. [MK]
>> PubMed Abstract

Related articles:
Kass, P. H., W. L. Spangler, et al. (2003). "Multicenter case-control study of risk factors associated with development of vaccine-associated sarcomas in cats." J Am Vet Med Assoc 223(9): 1283-92.
>> PubMed Abstract

Romanelli, G., L. Marconato, et al. (2008). "Analysis of prognostic factors associated with injection-site sarcomas in cats: 57 cases (2001-2007)." J Am Vet Med Assoc 232(8): 1193-9.
>> PubMed Abstract

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Treatment of Feline Mammary Cancer

McNeill, C. J., K. U. Sorenmo, et al. (2009). "Evaluation of adjuvant doxorubicin-based chemotherapy for the treatment of feline mammary carcinoma." Journal of Veterinary Internal Medicine 23(1): 123-129.

Mammary carcinoma is the third most common cancer of cats. Female cats with a mean age of 10 to 12 years are primarily affected and approximately 90% of mammary tumors are malignant. Mammary tumors are characterized by local invasion into vasculature and surrounding tissues along with metastasis to distant locations such as draining lymph nodes, lungs, and other sites. A retrospective study was performed to evaluate whether adjuvant doxorubicin-based chemotherapy improved outcomes for cats with mammary carcinoma (MC) compared with surgery alone. Seventy-three cats with naturally occurring, biopsy-confirmed MC were included in the study. The surgery alone group contained 37 cats and 36 cats were in the surgery plus chemotherapy group (adjuvant doxorubicin-based chemotherapy). Median disease free survival and overall survival times were compared between groups. This study did not find a benefit to adjuvant doxorubicin-based chemotherapy in cats with MC. Additional studies are recommended to determine whether certain patients with negative prognostic factors (e.g., tumor size at time of surgical intervention) may benefit from adjuvant chemotherapy. [VT]
>> PubMed Abstract

Related Articles:
Overley, B., F. S. Shofer, et al. (2005). "Association between ovarihysterectomy and feline mammary carcinoma." J Vet Intern Med 19(4): 560-3.
>> PubMed Abstract

Viste, J. R., S. L. Myers, et al. (2002). "Feline mammary adenocarcinoma: tumor size as a prognostic indicator." Can Vet J 43(1): 33-7.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
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McNeill, C. J., K. U. Sorenmo, et al. (2009). "Evaluation of adjuvant doxorubicin-based chemotherapy for the treatment of feline mammary carcinoma." Journal of Veterinary Internal Medicine 23(1): 123-129.

Mammary carcinoma is the third most common cancer of cats. Female cats with a mean age of 10 to 12 years are primarily affected and approximately 90% of mammary tumors are malignant. Mammary tumors are characterized by local invasion into vasculature and surrounding tissues along with metastasis to distant locations such as draining lymph nodes, lungs, and other sites. A retrospective study was performed to evaluate whether adjuvant doxorubicin-based chemotherapy improved outcomes for cats with mammary carcinoma (MC) compared with surgery alone. Seventy-three cats with naturally occurring, biopsy-confirmed MC were included in the study. The surgery alone group contained 37 cats and 36 cats were in the surgery plus chemotherapy group (adjuvant doxorubicin-based chemotherapy). Median disease free survival and overall survival times were compared between groups. This study did not find a benefit to adjuvant doxorubicin-based chemotherapy in cats with MC. Additional studies are recommended to determine whether certain patients with negative prognostic factors (e.g., tumor size at time of surgical intervention) may benefit from adjuvant chemotherapy. [VT]
>> PubMed Abstract

Related Articles:
Overley, B., F. S. Shofer, et al. (2005). "Association between ovarihysterectomy and feline mammary carcinoma." J Vet Intern Med 19(4): 560-3.
>> PubMed Abstract

Viste, J. R., S. L. Myers, et al. (2002). "Feline mammary adenocarcinoma: tumor size as a prognostic indicator." Can Vet J 43(1): 33-7.
>> PubMed Abstract

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