cats – Vets on the Balkans - an online journal for veterinarians from the Balkans

On 24-25th of May 2018 in Bucharest, Romania, held 6th edition of annual congress of Romanian Society of Feline Medicine.
Vets on The Balkans was part of the congress to celebrate 3th birthday. It was an initiative organised by SRMF and Vets on The Balkans and 7 veterianrians from the region came to present their clinical cases, as they do in the journal in general.

The veterinarians who attend were:

Dr Elli Kalemntazki from Greece. She is a graduate the Faculty of Veterinary Medicine of Aristotle University in Greece and held postgraduate degree in Public Health from The National School of Public Health in Athens, Greece. She is also Profesional Coach accreditated by the International Coach Federation since 2010 and a Certified Practicioner of Neuro Linguistic programming since 2012. Her subject was “Management of communications with clients”.

Dr Mila Bobadova is graduate the Faculty of Veterinary Medicine of University of Foresty in Sofia , Bulgaria. She is head manager of „ Dobro Hrumvane” veterinary clinics in Bulgaria. Mila paricipate ESAVS Dermatology courses.Her subject was „ Dermatolgy Puzzle”.

Dr Zoran Loncar from Serbia. Workin as full time Doctor of Veterinary Medicine Regional refferal veterinarian in Neurology and Orthopedic field. Member of ECVN, ESVOT, SCIVAC, SITOT, AO-Active member, jounior speaker. Author of sciantific publications. Clinical research surgeon. I can say the she showed 40 % of the pathology in cats through the point of view of Neurology.

Dr Daniela Drumea from Romania. Veterinary doctor, Dr. Daniela Luciana Drumea graduated the University of Veterinary Medicine in Bucharest, promotion 2014. Became a member of the non-stop veterinary clinic Tazy Vet in 2011, working as a veterinary assistant during her student years. Her passion and ambition to learn as much as possible about veterinary dermatology and the ongoing training at numerous national and international congresses and workshops led to the experienced and dedicated doctor that she is today.

Dr Bianca Bofan, PhD student, veterinarian in Centru de endoscopie si chirurgie minim invasive in Bucharest, Romania. Stgrongly involved in respiratory pathology in dogs and cats. Her subject was Interventional Treatment of Nasopharyngeal Stenosis- different approach on 2 cats.

Dr Constantin Ifteme, the head manager of Centru de endoscopie si chirurgie minim invasive in Bucharest, Romania. Member of VES&VIRIES,speaker, owner and manager of Vet Traing Center in Bucharest, Romania. His subject was Esophageal stricture-it is not always easy.

Dr Luba Gancheva, owner of Vets on The Balkans presented dermatology case from Bulgaria, managed together with romanian vet Dr Rares Capitan, as a great job between balkans vets. Because we strongly believe that hand by hand we all be better.
On 24th as a precongress course, she present the difference between veterinary medicine between Romania and Bulgaria. Both countries has what to learn and in that way will be more easy and fast. The motto of the journal is „ Sharing is Caring”. 25 veterinarians participated the workshop.

The organization of the Congress was in high professional level and more than 200 veterinarians attended.

We would like to express our gratitude to SRMF and Dr Tache Epure and Dr Valentin Nicolae for the opportunity to be part of it and to share these moments together.

See you next year on th 7th edition!

Dr Emil Ofner

Authors : Emil Ofner, DVM

Marina Barižon, DVM

Small Animal Veterinary Clinic More, Šibenik, Croatia

Bronchial foreign body in feline patient – case presentation

Introduction :

Male cat ( 4.5 kg ) with chronic gingivitis-stomatitis-pharyngitis syndrome was admitted to our clinic because of aspiration of loose tooth 15 days ago. At that time, the owner told us that cat first started to cough suddenly and because of coughing he received antibiotics. After a course of antibiotics, cough started to decrease, but didn’t stop completely. Thorax x-rays done on next physical examination revealed tooth inside the lungs.

Case presentation :

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At the time of admission cat was stable with no apparent breathing problems. The cat was afebrile and blood work revealed elevation in leukocyte number. On x-rays we could see that the tooth (premolar) was stuck somewhere in the right caudal lung lobe (Picture 1). The x-ray scan also demonstrates a radio opaque area around the tooth, which represents fluid filled dilated bronchi ( Picture 2).

Equipment and Methods :

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After initial examination, we decided to do a bronchoscopy to attempt endoscopic tooth removal. After intubation Olympus fiberoptic paediatric bronchoscope (3.6 mm diameter) with 1.2 mm working channel was introduced into the trachea (Picture 3 and 4). In level of segmental bronchi of right caudal ( posterior ) lung lobe we located bronchus plugged with white thick purulent material. In order to liquify this purulent material for aspiration we first lavaged it with warm saline. After successful aspiration of pus tooth was finally revealed. Grasping of the tooth was done with 0.9 mm diameter alligator forceps (Picture 5 and 6). After removal of the tooth rest of the pus was aspirated.

Discussion :

In cats most aspirated foreign objects will get trapped in the right caudal lung lobe. In our opinion the reasons for that are difference in right and left lung volumes, diameter of principal bronchi and bronchial tree anatomy. In cats average diameter of left principal bronchus is 6.0 mm, while the average diameter of right principal bronchus is 7.34 mm. Also, because of bronchial tree anatomy in the cats bronchial pathway which leads to right caudal lung lobe is more straight in comparison to left lung bronchial tree anatomy.

Conclusion

Majority lung foreign bodies in cats will be trapped somewhere along the right bronchial three because of anatomical differences of right and left lungs.

Cats with chronic gingivitis-stomatitis-pharyngitis syndrome may have an increase chance in aspirating foreign objects. Sudden attack of cough in cats with gingivitis-stomatitis-pharyngitis syndrome maybe can be aspirated foreign object.