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Question

Very sick 5 mo. spayed Adopted DS kitten. 3 weeks later got serious upper respiratory, put on meds. Got lethargic on 2nd dose of Azithromycin with no eating, drinking. Put on IV for hydration. Has been seen by 6 vets and had blood work. Diagnosis inconclusive. Blood mostly normal. Slight elev. liver enzyme, slight elev. white cells, slight fever. Everything else normal. Suspected FIP, but some usual symptoms not there. All organs normal. Slight neurological deficit. Slight drooping & weeping left eye and recovering from upper resp. virus when adopted. Showed some staggering in gait after intensive care recovery, has since recovered. Now home on Clindamyacin. Still slight fever and down on eating and drinking, but a little better. Manually hydrating subcultaneously at home as preventative and to encourage self maintenance. Neg. FIV, Leukemia. Any thoughts ?

Submitted: 286 days and 6 hours ago.
Category: Cat
Value: $30
Status: CLOSED
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Optional Information

Age: <1; Female; Breed: Domestic Shorthair

Already Tried:
7 different vets, Clavamax, Cefa Drops, Azithromycin twice and now Clindamycin. Plus blood work up. What is causing this little kitty to not want to eat and drink. Is doing better, but am afraid if I stop the Subcultaneous fluids she will regress and become lethargic again. Keeping her hydrated seems to help with eating and drinking. But she is not up to normal for her age. What is typical signs of FIP. How long can I keep doing the subQ hydration. ?

Posted by Dr. Chad 286 days and 5 hours ago.

Info Request

Hello XXXXXXXXX,

 

Sorry about your kitty's problems. Clindamycin is great idea. It treats Toxoplasma which isn't likely the cause, but nothing else has worked so good to try. Have any of the vets done cytology on the respiratory discharge?

286 days and 5 hours ago.

Reply

Hi Dr. Chad. Actually there currently is no actual respiratory discharge. Most of that has been cleared up. Probably not cured, but nose is pretty much clear. Possible drainage in throat, but that is "clear". Toxoplasmosis test done and results came back yesterday as negative. She has also had 2 doses of Interferon. 2nd dose was on Friday. Is possibly why she is doing better right now. Don't know long the affect of that lasts though. Sinus drainage/discharge cleared up dramatically with first round of Azithromycin .75 mg for 5 days. Then 5-7 days later cough appeared. Told to put on another round of Azi .75. After 4 doses cat went down hill very quick. No eating, drinking and becomming more and more inactive and lethargic. Got scared that maybe Azi was wrong for her and had overdosed her. She was starting to dehydrate so we took her to emergency clinic on Sunday. They hydrated her subQ to hold her till Monday. Took her to regular vet on Monday a.m. They put her on IV and really expected her to die over night. Next morning she was up and moving around. By Tuesday she was climbing the cage door. They had give her only fluids, Clindamyacin and shot of Interferon. On Wednesday she was eating and drinking well and they discharged her. She did not eat or drink well at home. Just a little so we took her back to vet to be hydrated. Friday she got hydration subQ and 2nd shot of Interferon. Saturday we had her re-checked to make sure she would be okay hydration wise till Monday. They had me do the subQ 20cc and gave me a bag and syringe to use on Sunday at 40cc. She is doing better eating and drinking, but certainly not normal yet. Am concerned that we are just "maintaining" her with this hydration and if we do not do it she will immediately go back down hill. What are the signs of FIP. Two of the vets are in conflict with that diagnosis. Two first thought that was what it was, but one changed his mind. Obviously this hydration thing which is painful for the cat is no life for her. We are just trying to do the right thing and give her a chance. Just not sure if she really has a chance at normal life.

Posted by Dr. Chad 286 days and 5 hours ago.

Answer

There are 2 forms of FIP. Wet form usually causes fluid in chest and/or abdomen. If it is FIP it would be the dry form and is hard to diagnose. There is a test for it, but if positive it may be wrong. If it is negative, then you could rule it out. I would be more suspicious of herpesvirus, so interferon is good idea. It may just take a while to work if it is going to though. You can also give Lysine to help keep it under control.

286 days and 5 hours ago.

Reply

The vets found no fluid in her abdomen. They did tell me that the test for FIP would be inconclusive, but did not say that if negative that it would rule it out, just that we could get a false posiive. She is on Ensyl-F twice a day. Since she IS eating some, I am not sure if I should ALSO force feed her to keep up her strength and calories. I have canned AD feed and also Nutri-Cal that I can force her to take. I am afraid if I do LOTS of force feeding that she might quit the voluntary feeding also. When you say may take awhile to work...how long is awhile. We don't want to quit on her before giving her a chance, but also don't want to just "SUSTAIN" her and put her through so much only to have top put her down anyway. How long should we keep up the sustanance/hydrating before we should conclude that we can not do any more to help her. I ask vet how we would know and all he said was if she gets down as bad as before and is so totally lethargic. But I am wondering if she would get that far if we are hydrating and force feeing her. Can you give me any kind of time line?

Posted by Dr. Chad 286 days and 4 hours ago.

Answer

I would think you would see improvement at least within 2 weeks. I know that is a long time to nurse her like you are, but if not doing better on her own by then I would think she wouldn't get better. Sounds like your vets have covered everything. With respiratory problems it affects smell and often they won't eat. The only other thing I can think to add in would be Metacam, which is an anti-inflamatory which can decrease inflamation in airways and "open" them up some. It was mentioned in meeting I went to last year on chronic snuffly cats.

286 days and 4 hours ago.

Reply

She had a metacam shot the 2nd time I brought her in and she did start eating and seemed to get back to normal and then 5 days later is when she started coughing and went back on the Azi med for the 2nd time. It was day 4 of the Azi med that she crashed so bad. If this is Herpes virus....are my other 2 cats not infected and either way, is Herpes virus manageable or do they just get better and it stays dormant and just reappears from time to time, but hopefully her immune system will have improved to where she won't crash so bad. If the congestion is so much better, wouldn't se be eating better by now? I think she also got the metacom while she was in intensive care, but not sure. This whole thing has been going on now for almost a month. But it was last week that she was so bad. The vets are calling her the "miracle cat", because of how bad she was and then got so much better so fast. So should be plan on hydrating her for another week then to give her a chance or should it be longer? I also want to know if you think force feeding her is a good idea or just see how she eats on her own. ?

Accepted Answer

I would give her another week with hydrating her. Herpesvirus doesn't go away. It is a matter of controlling it. Many cats exposed to it never show signs. Younger, sick cats are most likely to have it flairup. I would recommend the metacam if you r vets thought it helped at all while in hospital, esp. if she seemed to get worse off of it. Other than that, I can't think of anything you haven't already tried. You do need to force nutrition also. Hard to tell when it is ok to stop. Just have to wait until she eats some on her own. Good Luck!

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Expert: Dr. Chad
Pos. Feedback: 100.0 %
Accepts: 
Answered: 2/8/2009

Cat Veterinarian

I have been a veterinarian since 1989 and see many cats in my practice.

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