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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 30381
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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My cat has had pyothorax for nearly a month. Our vet has

Customer Question

My cat has had pyothorax for nearly a month. Our vet has been giving her antibiotics and removing pus from her chest weekly. She gets perky for the first few days then symptoms come back. Today the vet said there is nothing more to do. This is not the worst she has been. Is my vet giving up too soon? She has had 3 rounds of antibiotics now.
JA: I'm sorry to hear that. What is the cat's name and age?
Customer: June. She is 16 months
JA: Is there anything else the Veterinarian should be aware of about June?
Customer: Early July she had a fever, was wheezing, had no voice and was "not herself". Without doing any tests, the vet gave her an antibiotic shot and she seemed fine for 6 weeks then got worse.
Submitted: 1 month ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 1 month ago.

You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 1 month ago.

I'm sorry that your question wasn't answered in a timely manner and I'm sorry to hear of this with June. There is more that can be done. Surgical management (thoracotomy) is indicated when a definitive cause is identified and retained in the thoracic cavity (foreign body or lung lobe abscess); when fluid is loculated within the pleural space (lavage can't access portions of fluid accumulations); when my patient fails to respond to intensive medical therapy (4-5 days of pleural lavage and antibiotics); or when Actinomyces bacteria are present (notoriously poor response to medical mamangement alone). Surgical management consists of aggressive debridement of the pleural space, removal of the underlying cause if identified, thorough intraoperative lavage, and postoperate intermittent pleural aspiration, lavage and antimicrobial therapy. June should be referred to a specialist surgeon for such intensive surgical management. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 month ago.
Hi Annette,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin