Case report: MRI findings with CNS blastomycosis in three domestic cats.

Front Vet Sci

Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States.

Published: August 2022

Blastomycosis is a systemic mycotic infection caused by dimorphic fungi. The disease is rare in cats, and reports on imaging findings with central nervous system (CNS) involvement are limited. Magnetic resonance imaging (MRI) was performed antemortem in three feline patients. Imaging findings that may allow prioritization of intracranial blastomycosis over other differential diagnoses included focal or multifocal intra-axial mass lesions with dural contact, lesion hypointensity on T2-weighted images and diffusion-weighted imaging/apparent diffusion coefficient map (DWI/ADC), strong and homogeneous contrast enhancement of the lesion(s), concurrent meningeal enhancement, marked perilesional edema and mass-effect, and ocular abnormalities. One cat was managed successfully and had a recurrence of CNS blastomycosis more than 4.5 years after the initial diagnosis. Repeat MRI at that point revealed both new and persistent (chronic) abnormalities.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426857PMC
http://dx.doi.org/10.3389/fvets.2022.966853DOI Listing

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