Epidural dirofilariosis in a paraparetic cat: case report of Dirofilaria immitis infection

J Feline Med Surg. 2013 Dec;15(12):1160-4. doi: 10.1177/1098612X13492740. Epub 2013 Jun 21.

Abstract

A 6-year-old neutered female cat was examined for chronic and progressive pelvic limb ataxia that progressed to non-ambulatory paraparesis over 1 month. Haematological and serum analyses were mainly within normal ranges. Thoracic and abdominal radiographs did not reveal any morphological abnormalities. Magnetic resonance imaging investigation of the thoraco-lumbar spine demonstrated a well-defined, extradural mass that extended into the epidural space from the L2 to L3 vertebral bodies and expanded in the L2 to L3 left intervertebral foramen. During surgery, a long, narrow, white parasite which was weakly adherent to the phlogistic epidural fat tissue was gently removed from the spinal canal. Histological examination of the pathological tissue supported a diagnosis of epidural steatitis surrounding a female adult Dirofilaria immitis. This is a novel case of natural D immitis infection with spinal localisation in a cat, well documented with magnetic resonance investigation, and cytological and histological examinations, introducing a novel differential diagnosis for extradural spinal masses in cats.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Cat Diseases / etiology
  • Cat Diseases / parasitology*
  • Cat Diseases / pathology
  • Cat Diseases / surgery
  • Cats
  • Dirofilaria immitis / isolation & purification*
  • Dirofilariasis / pathology*
  • Epidural Space / parasitology*
  • Epidural Space / pathology
  • Female
  • Paraplegia / parasitology
  • Paraplegia / surgery
  • Paraplegia / veterinary*