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Table 1 Timeline table of the information of the case report

From: First clinical case report of Cytauxzoon sp. infection in a domestic cat in France

Day (D)

Findings

Treatment

Clinical observation

Clinical investigation

D-14

Clinical history: hyperthermia (41 °C), lethargy, anorexia, dehydration and weight loss after 4 days vagrancy

amoxicillin (10 mg/kg) + clavulanic acid (2.5 mg/kg) orally every 12 h for 10 days.

D0

hyperthermia (40.5 °C), abdominal pain and subcutaneous hematomas on the abdomen

marbofloxacin (2 mg/kg) and carprofen (4 mg/kg) marbofloxacin (2 mg/kg PO once daily for 10 days

meloxicam 0.05 mg/kg PO once daily for 5 days

D7 to D29

 

neutrophilic leukocytosis at the complete blood counts (CBC),

biochemical, serological and molecular analyses for different infectious disease: all negative

Abdominal, pulmonary and oral X-ray: normal except a marked splenomegaly

oropharyngeal swab for the detection of calicivirus and feline herpes virus were conducted

D29

no clinical improvement

vomiting, stomatitis, abdomen pain, hyperthermia, anorexia, severe depression

Stained blood smear of peripheral blood: small inclusions within erythrocytes

PCR identification of Cytauxzoon sp.

imidocarb dipropionate 3.5 mg/kg/ subcutaneous injection).

Day 37

Clinical improvement

Inclusions present in the blood smear

 

Day 46

Excellent general conditions

No more inclusions in the blood smear

Day 63

Relapse: hyperthermia, anorexia depression and stomatitis

Inclusions present in the blood smear

PCR positive for Cytauxzoon sp.

imidocarb dipropionate 3.5 mg/kg/ subcutaneous injection).

Day 69

Clinical recovery

hypergammaglobulinemia with hyperproteinemia (91 g/L; reference range: 57 – 94 g/L) with an hematocrit at the lower limit of the reference range (28 L/L; reference range: 28 – 45).

Absence of inclusion in the blood smear

 

Day 76

Death by car accident