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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 28518
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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Four days ago found 5-6 wk old kitten on edge of field. Everything

Customer Question

Four days ago found 5-6 wk old kitten on edge of field. Everything fine until 1 hr ago. Getting lethargic. Just now found right side below ear swollen
and painful to touch. She squeaks instead of meowing when area touched. Shes on Weaning Formula mixed with pate cat food. But just before lethargy she ate three pieces of adult cats hard treats. Have 2 other adult cats in house not friendly to her.
Could this be infected scratch or something from what she ate? Her nose is now white.
Submitted: 2 years ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 2 years ago.
The painful swelling is likely to represent a bite wound abscess. These need to be lanced, drained, flushed with an antimicrobial solution, and then a systemic antibiotic prescribed. My primary concern at this time, however, is that white nose which indicates profound anemia. Anemia at her age can be due to flea infestation or infections such as the abscess or by the feline leukemia (FeLV) or kitty AIDS (FIV) viruses. This kitty needs to see a vet at your earliest convenience. Please respond with further questions or concerns if you wish.
Customer: replied 2 years ago.
Thank you so much. She has had pink nose right along, I've been checking. Will tele my vet right now. Hope i can get in on a Sat.
Your guidance is appreciated. I was a prof. dog groomer and my favorite cust. was a retired vet and his wife from Iowa. Wonderful couple, wonderful little Yorkie. We all lived in Naples, FL.
Expert:  Dr. Michael Salkin replied 2 years ago.
You're quite welcome. Make a fuss if you need to to get the kitty in today. Make sure she's tested for those viruses - it's just a few drops of blood and the results are back in 10 minutes.
I thought I was retired until this gig. Now I work more hours than ever! I can't set a follow-up in this venue and so would appreciate your returning to our conversation with an update - even after rating - at a time of your choosing.
Customer: replied 2 years ago.
Took her to emergency hospital, only one open. Checked her for FHIV Feline Leukemia both came out negative. Thank Goodness. Temp though 105°. Shaved side of swollen cheek and found some old very small possible puncture wounds, but causing face swelling. They think botfly from her living in polebarn with mother and sibs, but not yet erupted.
I thought botflies only in tropics not Michigan. Guess I was wrong. Given Clavamox for infection and told to put very warm compresses over swollen cheek 2x day. She's been sleeping since 10am, awake a little at clinic but sleeping again now on top of her box home separated from my other cats.
You have a wonderful profession and wanted be a veterinarian at one point but didn't think I had the smarts. As an adult in 30's took a MENSA test and scored really high. Guess I had what it takes mentally but not the confidence.
Expert:  Dr. Michael Salkin replied 2 years ago.
Thank goodness, indeed. Keep in mind that the FIV test can't be accurate until a kitten is 6 months of age. Botflies? Unlikely...I'll go with puncture wounds with such a fever. Thank you for your kind words. Keep up the Clavamox. It should work nicely if that cellulitis (inflammation of the tissues) hadn't turned into a pus filled abscess yet.