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Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 14880
Experience:  Over 20 years of experience as a veterinarian.
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I have two kittens 11 weeks old. One was diagnosed by the

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I have two kittens 11 weeks old. One was diagnosed by the vet with ringworm and their stool was positive for giardia. They have received two weekly lime/sulfur dip treatments and have been on two oral medications (don't remember names - one is a pill and the other was a powder to mix in wet food). They are still getting the pills twice daily. The powder has run it's 5 day course. I'm also applying a vaseline based ointment twice a day to the infected kitty. I have laundered and vacuumed a good deal.
The kitten that is showing signs improved over week one but then fell ill again to crusty lesions (the antibiotic lasts 5 days).
The vet examined them yesterday and told me he is improving, but I'm starting to get nervous. His activity level is down and I think I'm noticing some atrophy of muscle. Lots of curling in a ball on his feet.
If there is improvement, this is okay, but I'm a little worried. I don't want the pill treatments (which they hate) to ruin any bonding for us. It's also sad that his brother wants to play and roughhouse with him like they used to, but the sick kitty wants nothing to do with this anymore.
Should I run the course a bit longer or should I have concern?
Submitted: 5 months ago.
Category: Cat Veterinary
Expert:  Dr. Kara replied 5 months ago.

Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that you got off on a less than ideal start with sick kittens.

Unfortunately both giardia and ringworm can be hard to get rid of. And ringworm especially can take weeks to months of treatment to successfully treat. If you stop too early all of your work will be for naught, and it will be even more difficult to cure.

I suspect that the powder is fenbendazole for the giardia parasite.

I am sure the ointment is an antifungal.

I would continue the lime sulfur dips every 5-7 days. If he is a long haired fellow shaving him to get rid of the spores in his coat and increasing the dip penetrating his remaining coat/skin surface may help. In many cases with using the dip you don't need to apply the topical too. The dips can cause lethargy but they have been proven to be more effective than the topical ointment, so if I had to pick one over the other I would pick the lime sulfur dip.

I'm not sure if the pill that they are taking is Metronidazole for giardia too, or whether it is oral medication (antifungal) for Ringworm (griseofulvin or itraconazole are two common ones). All of those medications tend to be hard on their stomachs and can cause nausea and loss of appetite, and of course that will make him feel less like playing and more like sleeping. Antifungal drugs can also be tough on their liver. If he is taking griseofulvin perhaps a switch to itraconazole will be better tolerated.

If he is taking metronidazole perhaps that can be discontinued since he has already had it for 5 days and he had fenbendazole.

I know it is hard to see him the way he is but long term continuing treatment is best. As long as he is continuing to eat and his liver enzymes remain relatively normal I would continue treatment.

Please let me know if you have any further questions.

Expert:  Dr. Kara replied 5 months ago.
Hi Pat,
I'm just following up on our conversation about Napkin Ring/Melon Baller. How is everything going?
Dr. Kara
Expert:  Dr. Kara replied 5 months ago.

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things are going for your kitty. If you could give me an update that would be great, thank you, ***** *****

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