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This study, however, failed to demonstrate a sex predilection for neutered males, something that had been identified in previous (uncontrolled) studies.46 In cats, secondary IMHA is most often a result of feline leukemia virus (FeLV) or Mycoplasma haemofelis (formerly Haemobartonella felis ) infection, although it can also be seen with other infections (feline infectious peritonitis, Cytauxzoon felis, Leishmania infantum ), with drug therapy (methimazole, propylthiouracil) and with neoplasia (lymphoma).47-49 Although famotidine is anecdotally reported to cause immune-mediated hemolysis, a 2008 study documented no increased risk of IMHA in 56 hospitalized cats given subcutaneous or intravenous famotidine.50 A case of IMHA presumed secondary to pancreatitis was recently reported,51 which, if true, is a predisposing cause unique to cats

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