Clinical case of life-threatening co-infection due to Dirofilaria immitis and Aelurostrongylus abstrusus in a cat: First report of feline heartworm disease in Bulgaria
, , , , , and | Feb 10, 2021
About this article
Article Category: Case Report
Published Online: Feb 10, 2021
Page range: 106 - 114
Received: May 18, 2020
Accepted: Sep 01, 2020
DOI: https://doi.org/10.2478/helm-2021-0005
Keywords
© 2021 A. S. Tonev, Z. Kirkova, P. T. Iliev, A. Roussenov, T. Chaprazov, R. Roydev, N. Pirovski, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Serum biochemical parameters of a cat with Dirofilaria immitis and Aelurostrongylus abstrusus co-infection.
| Parameters | Results and interpretation ↓ - decreased value; ↑ - increased value |
Reference ranges |
|---|---|---|
| Potassium, mmol/l | 4.20 | 4 – 5.30 |
| Sodium, mmol/l | 147.8 ↓ | 151 – 158 |
| Phosphorous, mmol/l | 1.22 ↓ | 1.4 – 2.0 |
| Calcium, mmol/l | 2.03 | 1.6 – 3.0 |
| Total protein, g/l | 57.2 | 57 – 80 |
| Albumin, g/l | 20.2 | 20.0 – 39 |
| Total bilirubin, μmol/l | 12.5 ↑ | up to 8.5 |
| Blood urea nitrogen (BUN), mmol/l | 2.4 ↓ | 6.0 – 10.0 |
| Creatinine, mmol/l | 86 | 60 – 160 |
| Alanine aminotransferase (ALAT), IU/l | 45 | 20 – 100 |
| Gamma-glutamyl transferase (GGT), IU/l | 13 | 0 – 27 |
| Aspartate aminotransferase (ASAT), IU/l | 28 | 12 – 70 |
Hematological parameters of a cat with Dirofilaria immitis and Aelurostrongylus abstrusus co-infection.
| Parameters | Results and interpretation ↓ - decreased value; ↑- increased value |
Reference ranges |
|---|---|---|
| White blood cell count (WBC), 109/L | 8.33 | 5.50 – 19.5 |
| Neutrophils, 109/L | 7.24 | 3.12 – 12.58 |
| Neutrophils, % | 86.9 ↑ | 38.0 – 80 |
| Lymphocytes, 109/L | 0.59 ↓ | 0.73 – 7.86 |
| Lymphocytes, % | 7.1 ↓ | 12.0 – 45 |
| Eosinophils, 109/L | 0.36 | 0.06 – 1.93 |
| Eosinophils, % | 4.3 | 1.0 – 11.0 |
| Basophils, 109/L | - | 0 – 0.12 |
| Basophils, % | - | 0.0 – 1.2 |
| Monocytes, 109/L | 0.14 | 0.07 – 1.36 |
| Monocytes, % | 1.7 | 1.0 – 8.0 |
| Haemoglobin, g/L | 113 | 85 – 153 |
| Haematocrit, % | 37.8 | 30 – 50 |
| Red blood cell count (RBC), 1012/L | 6.98 | 4.60 – 10.20 |
| Mean corpuscular volume (MCV), fL | 54.1 | 38.0 – 54.0 |
| Mean corpuscular hemoglobin (MCH), pg | 16.2 | 11.8 – 18.0 |
| Mean corpuscular hemoglobin concentration (MCHC), g/L | 299 | 290 – 360 |
| Red cell distribution width (RDW-SD), fL | 40.4 | 26.4 – 43.1 |
| Platelets, 109/L | 330 | 200 – 500 |
| Mean platelet volume (MPV), fL | 12.4 | 9.9 – 16.3 |