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Hello my name is***** and I am a licensed veterinarian with over 9 years of experience. I am hoping to help you with your pet today. Since I can’t physically exam your pet, I may need to respond with several follow up questions so I can best help you. Remember there is no limit on how many questions you can ask to in order to clarify any information I have provided regarding your pet. I just have a few initial questions to ask to gather some more information if you don’t mind? Is it just one worm you found when Ledger sneezed? What did the worm look like was it short and fat with small spikes on it? Is Ledger an outdoor cat or does he mostly remain indoors?
Okay thanks for the additional information. How long have you had Ledger for? Did the worm seem alive when he sneezed it out? There is a worm or actually a fly larvae that cats can get called cuterbra. It is caused by a fly laying a egg and the egg hatches a larvae which sometimes can crawl up a nostril of a cat. The spikes on the body of the larvae irritate the nasal passage which can cause chronic sneezing. I will try to attach a picture to see if what you saw was the same thing
Here is the picture
It can come in different shades of brown or gray, but was it the same shape or form?
Does it look more like this ?
Okay they can in different shades and sizes. But if it is a cuterebra then you should see the sneezing signs slowly resolve over time. He may still need antibiotics at this round but the signs shouldn't recur if that was the primary cause. So hopefully since he sneezed it out then you shouldn't worry about any further problems. Is he showing any other signs.
If he is congested then I would definitely recommend getting more antibiotics. You should try to save the worm if you haven't gotten rid of it already to show your veterinarian. Not sure if it is contagious to your 6 month old, but as a precaution I would treat it as such and try to keep them separated as much as possible . Also monitor your kitten very closely for any upper respiratory signs such as sneezing, coughing or runny nose because he may need antibiotics as well if these signs are seen.