Page 619 - Problem-Based Feline Medicine

28 – THE CAT WITH BAD BREATH OR ORAL LESIONS 611

In young kitten with congenital cleft, milk is visible Diagnosis
coming from the nose during feeding.
Serology for cryptococcus antibody.
In traumatic cleft, dried blood around the nose and
Cytology for identification of the organism.
mouth and facial injuries.
Halitosis is associated with rhinitis and secondary
EOSINOPHILIC GRANULOMA COMPLEX
infection from food in the nasal passages.
Classical signs
Diagnosis
● Ulcerated lesion near the midline of the
Evidence of cleft. upper lip.
● Raised firm lesions in the oral cavity
CRYPTOCOCCOSIS (especially tongue and hard palate).
See main reference on page 1088 for details (The Cat
Classical signs
With Non-Healing Wounds).
● Chronic nasal discharge.
● Facial distortion (nasal bones).
Clinical signs

See main reference on page 25 for details (The Cat Ulcerated lesion on the upper lip near the midline.
With Signs of Chronic Nasal Disease).
Raised firm lesions (with yellow-white spots through-
out) in the oral cavity especially on the tongue and
Clinical signs hard palate.
Chronic nasal discharge and snuffling.
Diagnosis
Distortion of bridge of nose or nasal polyp is present
in most cases. Biopsy.
Depression and anorexia.
Other organs may be affected.

RECOMMENDED READING

DeBowes LJ, Mosier D, Logan E et al. Association of periodontal disease and histologic lesions in multiple organs
from 45 dogs. J Vet Dent 1996; 13: 57–60.
Harvey CE, Emily PP. Small Animal Dentistry. St. Louis, Mosby, 1993, pp. 89–143, 150–155.
Hennet P. Chronic gingivo-stomatitis in cats: long-term follow-up of 30 cases treated by dental extractions. J Vet Dent
1997; 14: 15–21.
Tonzetich J. Production and origin of oral malodor: a review of mechanisms and methods of analysis. J Periodontol
1977; 48: 13–20.
Wilson GJ. Feline Dentistry and Oral Cavity Diseases. Sydney, University of Sydney Post Graduate Foundation in
Veterinary Science, 2002.