NAVLE Respiratory

Feline Pneumonia Study Guide

Pneumonia is inflammation of the pulmonary parenchyma (alveoli and terminal bronchioles) that causes respiratory disturbance, hypoxemia, and potentially life-threatening respiratory failure.

Overview and Clinical Importance

Pneumonia is inflammation of the pulmonary parenchyma (alveoli and terminal bronchioles) that causes respiratory disturbance, hypoxemia, and potentially life-threatening respiratory failure. While less common in cats than dogs, pneumonia represents a significant clinical challenge due to the diversity of etiologic agents and often subtle clinical presentation in felines.

Cats possess robust protective mechanisms, including a strong laryngospasm reflex, making aspiration pneumonia relatively uncommon compared to canine patients. However, when pneumonia does occur, it requires rapid identification and aggressive treatment. Understanding the various types, diagnostic approaches, and treatment protocols is essential for NAVLE success.

High-YieldFeline pneumonia is rare compared to dogs. In one study of over 31,000 cat necropsies over 10 years, only 39 cases of confirmed infectious pneumonia were identified. The strong feline laryngospasm reflex is protective against aspiration.
Type Etiologic Agents Key Features
Bacterial Pasteurella multocida, Bordetella bronchiseptica, Mycoplasma spp., E. coli, Streptococcus spp. Most common cause; often secondary to viral infection or aspiration
Viral Feline calicivirus (FCV), Feline herpesvirus-1 (FHV-1) Usually self-limiting; predisposes to secondary bacterial infection
Fungal Cryptococcus neoformans/gattii (most common in cats) Usually nasal involvement first; pulmonary less common; chronic presentation
Parasitic Aelurostrongylus abstrusus, Troglostrongylus brevior, Eucoleus aerophilus Verminous pneumonia; outdoor cats that hunt; Baermann test diagnostic
Aspiration Secondary bacterial invasion after aspiration of gastric contents, mineral oil, or foreign material Less common in cats than dogs due to strong laryngospasm; poor prognosis
Protozoal Toxoplasma gondii Rare; may occur in immunocompromised cats (FIV/FeLV positive)

Classification of Feline Pneumonia

Feline pneumonia can be classified by etiology or by mechanism of infection. Understanding these classifications helps guide diagnostic workup and treatment selection.

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