E-ISSN 2218-6050 | ISSN 2226-4485
 

Case Report


CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans.

Cited By:4

Abstract
Purpose: To describe a case of retrobulbar steatitis and meningitis in a cat caused by otitis media and interna. Methods: Investigations included ophthalmic and neurological examinations, haematology and biochemistry, MRI, cerebrospinal fluid (CSF) analysis (CSF) and culture of material from the middle ear. Results: A 6-year-old female neutered domestic-short-haired cat presented with right-sided exophthalmos and resistance to retropulsion. Anisocoria, reduced corneal sensation and oculocephalic movements and low Schirmer tear test (STT1) were found. An MRI revealed the right external ear canal and tympanic bulla to be fluid filled with presence of a thickened contrast-enhancing mucosa. Contrast enhancement extended into the calvarium, as marked thickening and contrast enhancement of the pachymeninges, and further rostrally through the right orbital fissure into the orbit. The retrobulbar tissues were swollen, resulting in mild exophthalmos. Enrichment culture of material from the middle ear revealed Klebsiella pneumonia sensitive to marbofloxacin. The cat underwent a total ear canal ablation. Horner’s syndrome was present immediately following surgery. The cat received a course of systemic dexamethasone (1mg daily/3 weeks) tapered off and two weeks of marbofloxacin (2mg/kg). Follow up at 120 days showed no recurrence of the symptoms. The Horner’s syndrome and low STT1 had resolved and returned to normal respectively. Conclusion: This case highlights the importance of MRI in the investigation of retrobulbar diseases. MRI is a useful tool for the evaluation of the extent of the lesion and the appearance of adjacent structures in which additional potentially life-threatening abnormalities, such as meningitis, can be seen.

Key words: Key Words: exophthalmia, retrobulbar disease, meningitis, otitis media/interna, polyp


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Elena Fenollosa-Romero
Articles by Claudia Busse
Articles by Giunio Cherubini
Articles by Pieter Nelissen
Articles by Olivier Taeymans
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Vet J. 2018; 8(2): 144-148. doi:10.4314/ovj.v8i2.5


Web Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. https://www.openveterinaryjournal.com/?mno=279742 [Access: September 16, 2023]. doi:10.4314/ovj.v8i2.5


AMA (American Medical Association) Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Vet J. 2018; 8(2): 144-148. doi:10.4314/ovj.v8i2.5



Vancouver/ICMJE Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Vet J. (2018), [cited September 16, 2023]; 8(2): 144-148. doi:10.4314/ovj.v8i2.5



Harvard Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans (2018) CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Vet J, 8 (2), 144-148. doi:10.4314/ovj.v8i2.5



Turabian Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. 2018. CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Veterinary Journal, 8 (2), 144-148. doi:10.4314/ovj.v8i2.5



Chicago Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. "CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT." Open Veterinary Journal 8 (2018), 144-148. doi:10.4314/ovj.v8i2.5



MLA (The Modern Language Association) Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans. "CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT." Open Veterinary Journal 8.2 (2018), 144-148. Print. doi:10.4314/ovj.v8i2.5



APA (American Psychological Association) Style

Elena Fenollosa-Romero, Claudia Busse, Giunio Cherubini, Pieter Nelissen, Olivier Taeymans (2018) CASE REPORT: RETROBULBAR STEATITIS AND MENINGITIS/EMPYEMA SECONDARY TO RIGHT OTITIS MEDIA AND INTERNA IN A CAT. Open Veterinary Journal, 8 (2), 144-148. doi:10.4314/ovj.v8i2.5