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Question

Three months ago, my six year old cat (Angel) became lethargic and hadn't eaten in two days. Alarmed, I took her to vet. After some blood work, my vet referred her to a internal specialist at a veterinary referral hospital. Her red blood cell count was at 16%. She underwent an immediate blood transfusion. And, since that time she has been on Prednisolone (various doses - from 2.5 mg - 10 mg per day) and antibotics (on/off). Her HCT fluctuates between 21-26%, but never higher. Lately, her blood suger has been coming back high. Fearful that the pred is lending to this, the vet, internist and I decided to be more agressive in getting an answer. Angel underwent a bone marrow biopsy/aspiration, spleen biopsy and a CBC last week. The result just came in today. Nothing.   Her bone marrow shows normal activity, spleen is normal. Feline aids and leuk. - negative - four times.   A new "set of eyes" would be great.   Is there anything else we can try?

Submitted: 68 days and 16 hours ago.
Category: Cat
Value: $30
Status: CLOSED
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Optional Information

Pet's Sex: Female
Pet's Age: 6

Already Tried:
Please see my original question.

Posted by Lynn 68 days and 14 hours ago.

Info Request

Has she had a fecal sample checked recently?

 

Has she been checked for blood parasites?

 

Lynn

68 days ago.

Reply

No. Her stool has never been checked and I am not sure about blood parasites. Her blood has been drawn every week for the past three months. Wouldn't a blood parasite show? Or, do you have to be looking for it specifically?

Accepted Answer

Hi,

 

Thanks for your reply. With your additional information there are a few more things that need to be ruled out. The first is hookworms. This is an intestinal parasite, and is easily overlooked. It probably isn't the culprit because they are way more common in kittens, but definitely needs to be checked. Here is a link to a page about hookworms:

 

http://www.sniksnak.com/cathealth/hookworms.html

 

The second thing is to look for blood parasites. Hemobartonella is the common name they used to be called. These will not show up on regular blood work. They are actually a mycoplasma and can be difficult to diagnose. There is a specific test called a PCR test that you will have to discuss with your veterinarian. Often if a blood parasite is suspected they are simply treated for rather than getting a definite diagnosis. The tetracycline antibiotics are effective against them. Doxycycline is commonly used in cats. Here is a link to a page about this problem with more details:

 

http://www.veterinarypartner.com/Content.plx?P=A&A=1692&S=1&SourceID=42

 

 

Another slight possibility is Ehrlichiosis, a tick borne disease. This is fairly rare in cats, and will usually cause additional symptoms besides anemia, but it wouldn't hurt to check. This requires a specific blood test to diagnose, and it is also treated with doxycycline.

 

If you have further questions let me know. If this answer is helpful please click accept. Thank you and best wishes for your kitty!

 

Lynn

 

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Expert: Lynn
Pos. Feedback: 100.0 %
Accepts: 
Answered: 9/15/2009

Veterinary Assistant

worked at a vet clinic for 15 yrs, BA in biology, have had cats most of my life

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