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A Tritrichomonas foetus  and  Giardia duodenalis  mixed infection was diagnosed in two Maine Coon cats aged six months. One of them presented a history of chronic liquid diarrhea and of several unsuccessful treatments. In both cats,  G. duodenalis  and trichomonads were detected in fecal smears from freshly voided feces; the presence of  T. foetus  was confirmed by a real-time PCR assay. The cats completely recovered after treatment with ronidazole. In a refrigerated fecal sample collected from the cat with chronic diarrhea, drop-shaped trichomonad pseudocysts smaller than  G. duodenalis  cysts were detected. They appeared brownish or light-bluish when stained with Lugol's solution or with Giemsa stain, respectively, and their morphological features were similar to those expressed by bovine  T. foetus  pseudocysts  in vitro . Existence of pseudocysts even in feline trichomonads is noteworthy as they could represent a form of protozoan resistance due to unfavorable conditions whose detection in refrigerated feces can be a useful clue for clinicians.

Coinfection withTritrichomonas foetusandGiardia duodenalisin Two Cats with Chronic Diarrhea