Case Study 03 - Respiratory tract infection caused by possible Cryptococcus sp. and C.aerophilia

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Case Study - 3
by Beverley Highfield BSc. (Hons). St. Helens Laboratory Manager

  CLIN PATH REPORT - CYTOLOGY
 
Wash Cytology - Bronchoalveolar lavage. 

Description
Wash cinsists of large numbers of poorly preserved ciliated columnar and cuboidal epithelial cells, macrophages and yeasts with a clear non-staining capsule. Neutrophils are present in relatively low numbers.

One Capillaria aerophila egg can also be seen in this wash. No bacterial organisms identified.

Conclusion
The yeast organisms are almost certainly Crytococcus neoformans.
Histoplasma capsulatum and Blastomyces dermitidis are two similar organisms but neither of these infections is known to occur in the UK. Has this cat lived outside the UK?
Capillaria aerophilia is a parasite that usually lives in the nasal passages, trachea or bronchi and eggs can sometimes be seen in tracheal washes or bronchoalveolar lavages.
is suggest that the cat be checked for FeLV/FIV status, as it is possible the cat may be immunosuppressed.


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MICROBIOLOGY
General Bacteriology
Sample……....... Bronchoalveolar lavage

Microaerophilic Culture - no growth after 48 hrs
Anaerobic - no growth after 48 hrs 

   

 

 

 

 DISCUSSION

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