title: Inflammatory polyp in the middle ear with secondary suppurative meningoencephalitis in a cat.
abstract: A 15-month-old male Maine Coon Cat presented with persistent auricular discharge and progressive head tilt, ataxia, and loss of blink on the right side. Using computed tomography a hyperattenuating, contrast-enhancing material within a thickened right tympanic bulla and contrast enhancement of the adjacent cerebellum were identified. Marked suppurative inflammation was identified on cerebrospinal fluid analysis with no growth on bacterial culture. Ventral bulla osteotomy was performed to remove a soft tissue mass, and an inflammatory polyp with chronic severe suppurative inflammation was confirmed using histology. Staphylococcus auricularis was grown on aerobic culture and Fusobacterium necrophorum and Peptostreptococcus anaerobius were grown on anaerobic culture. The cat was treated for 10 weeks with amoxicillin/clavulinic acid and metronidazole. Dramatic improvement in body weight, appetite, energy level, balance, and resolution of right-sided facial paralysis were noted, but the cat retained a head tilt.
authors.affiliation: Department of Veterinary Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, TX 77843, USA.
authors.forename: Laurie B
authors.initials: LB
authors.lastname: Cook
authors.forename: Robert L
authors.initials: RL
authors.lastname: Bergman
authors.forename: Anne
authors.initials: A
authors.lastname: Bahr
authors.forename: Harry W
authors.initials: HW
authors.lastname: Boothe
mesh_terms: D000658:Amoxicillin / Q000008:administration & dosage; D000818:Animals; D000890:Anti-Infective Agents / Q000008:administration & dosage; D002371:Cat Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D002415:Cats; D019818:Clavulanic Acid / Q000008:administration & dosage; D008297:Male; D008590:Meningoencephalitis / Q000150:complications / Q000000981:diagnostic imaging / Q000662:veterinary*; D008795:Metronidazole / Q000008:administration & dosage; D010035:Otitis Media, Suppurative / Q000150:complications / Q000000981:diagnostic imaging / Q000662:veterinary*; D011127:Polyps / Q000150:complications / Q000000981:diagnostic imaging / Q000662:veterinary*; D013203:Staphylococcal Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000662:veterinary*; D014057:Tomography, X-Ray Computed / Q000662:veterinary
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole; D019818:Clavulanic Acid; D000658:Amoxicillin