{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:28:59Z","timestamp":1783351739037,"version":"3.54.6"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K Kleintiere Heimtiere"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Ein 2,5-j\u00e4hriger, kastrierter Europ\u00e4isch-Kurzhaar-Kater, der 8\u2005Tage zuvor wegen einer FLUTD behandelt worden war, wurde nachts aufgrund Apathie und Anorexie vorgestellt. R\u00f6ntgenaufnahmen, EKG, Blutdruckmessung und Echokardiografie ergaben linksventrikul\u00e4res kongestives Herzversagen, linksventrikul\u00e4re konzentrische Muskelhypertrophie, Vorhofstauung links, fortgeschrittene diastolische Dysfunktion, Hypotension und vagotonusabh\u00e4ngige Sinusbradykardie mit AV-Block 1.\u2005Grades und Rechtsschenkelblock. NT-ProBNP- und Troponin-I-Konzentrationen waren stark erh\u00f6ht (NT-ProBNP\u2005&gt;\u20051500\u2005pmol\/l, Troponin I 32,87\u2005ng\/ml). Die Verdachtsdiagnose lautete akute Myokarditis. Die PCR auf Bartonella henselae verlief negativ, f\u00fcr Toxoplasma gondii wurden ein negativer IgM- und ein IgG-Antik\u00f6rpertiter von 1:32 (Referenzbereich\u2005&lt;\u20051:32) bestimmt, eine sp\u00e4tere Kontrolle des IgG-Titers lieferte einen negativen Befund. FeLV- und FIV-Schnelltest waren negativ. Ein Test auf Coronavirus erfolgte nicht, da die Katze geimpft war. Eine metastatische Infektion von dem zuvor aus dem Harn isolierten Keim Proteus mirabilis erschien m\u00f6glich. In Erw\u00e4gung gezogen wurde auch eine \u00dcberempfindlichkeitsreaktion auf Medikamente oder eine stressinduzierte Myokarditis. Die Katze wurde station\u00e4r mit Furosemid (initial und sp\u00e4ter im Verlauf), Theophyllin initial, Dauertropfinfusion von Ringer-Laktat-L\u00f6sung, Pimobendan und Zusatz von Enrofloxacin zur bestehenden Gabe von Amoxicillin\/Clavulans\u00e4ure behandelt. Nach 4\u2005Tagen zeigte der Patient ein gutes Allgemeinbefinden und einen Blutdruck im Referenzbereich. Die linksventrikul\u00e4re Muskelhypertrophie war r\u00fcckl\u00e4ufig, die diastolische Dysfunktion und die Vorhofstauung hielten an. Im Verlauf von 8\u2005Wochen normalisierten sich die echokardiografischen Befunde und die Herzmarker weitestgehend. Alle Medikamente konnten sukzessive abgesetzt werden. Bei der Abschlussuntersuchung nach 7\u2005Monaten lie\u00dfen sich keine kardialen Ver\u00e4nderungen mehr nachweisen.<\/jats:p>","DOI":"10.1055\/a-1483-3342","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T22:30:59Z","timestamp":1624401059000},"page":"220-227","source":"Crossref","is-referenced-by-count":1,"title":["Reversible linksventrikul\u00e4re Muskelhypertrophie und Herzversagen durch vermutete Myokarditis bei einer Katze im Zuge einer FLUTD"],"prefix":"10.1055","volume":"49","author":[{"given":"Sonja","family":"Sinzinger","sequence":"additional","affiliation":[{"name":"Tierklinik Stuttgart Plieningen GbR"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,6,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1024\/0036-7281.149.2.65","article-title":"Prevalence of heart disease in symptomatic cats: an overview from 1998 to 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