| Panleukopenia |
| Panleukopenia, also
wrongly named “feline distemper”, is a highly
contagious cat disease. It mostly attacks the digestive system.
This disease was once widespread but, thanks to very effective
vaccines, it is now a little more uncommon. Unfortunately,
it still affects unvaccinated cats, especially kittens, stray
cats or those that live in shelters or barns.
Feline panleukopenia is caused by a virus
similar to the one that causes dog parvovirosis. The virus
is spread in the environment by body excretions (like saliva
and stools) during a period that can go up to 6 weeks after
the infection, and it is very resistant to most disinfectants.
In fact, it can survive more than a year in the environment.
Symptoms may include depression, loss of appetite, fever,
vomiting or diarrhea, sometimes with blood; severe dehydration
is often observed. Unfortunately, among kittens, the mortality
rate is between 50 and 90%. In addition to attacking the intestines,
the panleukopenia virus reaches the circulatory and lymphatic
systems. It can also attack the fetus and cause fetal death
or permanent cerebral damage among kittens.
For cats that are not vaccinated, the panleukopenia diagnosis
is generally based on the clinical signs. A blood test (hematology)
can also help to establish the diagnosis. A low number of
white blood cells (panleukopenia) can be observed. The word
“panleukopenia” means that the number of all white
blood cells is less than normal.
As in the case of dog parvovirus enteritis, no treatment can
succeed in killing the virus. Instead, one must offer a palliative
support treatment to help the cat’s body to produce
antibodies. The treatment consists in hydrating the animal
(intravenous fluidotherapy) and administering antibiotics.
Sometimes, antiemetics are used and in severe cases, a plasma
transfusion may be necessary. In general, symptoms may last
from 4 to 7 days. Disinfection of the area and of contaminated
objects with diluted concentrated bleach (1:30) is effective.
It is highly recommended to have all cats
vaccinated, not just against panleukopenia, but also against
viruses that attack the respiratory tract and against feline
leukemia. Kittens should be vaccinated every 3 to 4 weeks
up to the age of 12 weeks.
|
|
| |
Feline
Immunodeficiency (FIV)
and Feline Leukemia Virus (FeLV) Screening Test |
|
Is my cat at
risk of catching the feline immunodeficiency virus (FIV) and
feline leukemia virus (FeLV)?
If you answer “yes” to any of these questions,
your cat should be tested.
1. Has your cat just recently been adopted?
2. Has your cat ever been tested before?
3. Does your cat spend time outside, even
for short periods?
4. Has your cat been exposed to another
cat with an unknown status?
5. Is your cat ill?
6. Has your cat been bitten?
WHY IS IT IMPORTANT FOR YOUR CAT TO
BE GIVEN
A SCREENING TEST?
Because without diagnosis your
cat cannot receive adequate treatment. Without screening tests,
we cannot know if a cat is infected or not. If the cat’s
status is unknown, it can be a carrier and transmit the disease
to other cats.
The FIV and FeLV viruses are major causes of cat disease and
death; they weaken the immune system. They are transmitted
from one cat to the other and are very contagious. Often,
they do not create many apparent signs and even cats that
seem to be in good health can be carriers of the infection
and transmit the viruses to other cats. These viruses cannot
be transmitted to humans.
The spread of FIV is usually done through biting. The spread
of FeLV is done by contact with saliva or urine from an infected
cat, during mutual grooming, when they share food bowls and
litter boxes. An infected mother usually infects its kittens.
Only a small blood sample is required
and only a few minutes are necessary to get the results.
WHAT ARE THE SIGNS?
There are no distinctive signs
for these diseases; sometimes, signs do not appear for weeks
or even years after the infection.
Among symptoms to watch out for, there are: decrease in appetite,
vomiting, diarrhea, weight loss, weakness, bite marks, infected
wounds, fever, swollen lymph nodes, etc.
Your veterinarian can help you give your cat appropriate treatment.
Thanks to early detection of the infection, it is possible
to maintain your cat in good health and prevent transmission
of these infections to other cats.
|
|
|
| Foreign
Objects |
| Some pets have the
bad habit of swallowing everything they come across! Dogs
seem to be more affected because of their eating habits which
are less discriminatory. However, cats too can be attracted
by certain threads or objects. Beware of puppies that nibble
and may swallow almost anything!
To give you an idea, here is a non-comprehensive
list of foreign objects that can cause intestinal obstructions:
toys, balls, bottle caps, coins, buttons, bones, rocks, corn
cobs, clothing, fabric, nylon stockings, plastic bags, plastic
wrap, tampons, Christmas icicles, wool, needle with thread,
fishing line, carpet, rubber bands, razors, pieces of plastic,
cell phones, fruit pits, nails, hooks, etc.
Foreign objects can remain in the stomach
or lodge in any portion of the intestine. MOST
OFTEN, THIS CONDITION REQUIRES SURGERY AS QUICKLY AS POSSIBLE.
In some cases, if the foreign object is found in the
stomach, a gastroscopy (stomach exam with an optical instrument)
can allow for the withdrawal of the foreign object without
having to do surgery.
HOWEVER, IN ALL CASES, IT IS OF UTMOST
IMPORTANCE THAT YOU SEE YOUR VETERINARIAN. A physical
exam is necessary and X-rays of the abdomen may be suggested.
If your pet ingests a foreign object,
it may present different clinical signs (symptoms). Among
the most frequent are:
- Vomiting, a result of obstruction
with the passing of water and/or food
- Stomach distension, abdominal discomfort
- Diarrhea
- Anorexia
- Loss of liveliness
- Dehydration
| Some
foreign objects can cause severe damage to the intestinal
mucosa and sometimes even perforations with peritonitis.
In some cases, one will not only need surgery to take
out the foreign object (gastrotomy or enterotomy), but
it can also be necessary to remove a portion of the
damaged intestine (enterectomy) for example.
The patient is hospitalized and followed
closely during the post-operative period. Hydration
can be maintained with intravenous solutions. Different
drugs can be administered if necessary, like antibiotics,
analgesics, antacids and mucosa protectants. Afterwards,
an easy to digest diet is offered; then a gradual return
to the normal diet is finally considered.
|
 |
|
If you have seen your pet swallow or nibble on a foreign
object or if you have any doubt, consult your veterinarian!
|
|
|
|
| Gastroenteritis |
| If your pet suddenly
starts to vomit and has diarrhea, it may be suffering from
gastroenteritis.
It can occur following the ingestion of food
your pet is not used to, of rotten food or of the contents
of garbage cans. It is sometimes of infectious origin (viral
such as parvovirus or bacterial such as salmonella for example).
This disease is often seen with other problems
such as an intestinal obstruction caused by foreign objects,
pancreatitis, an intestinal parasitosis, an endocrinal disease
or another metabolic disease.
In some cases, the gastroenteritis can be
hemorrhagic and it is characterized by the presence of blood
in diarrheic stools and even sometimes blood in the vomit.
If your pet has gastroenteritis, it may present one or many
of the following clinical signs (symptoms) :
- Vomiting (sometimes with blood)
- Diarrhea (sometimes hemorrhagic)
- Anorexia
- Loss of appetite
- Dehydration
- Abdominal discomfort
- Occasional fever
When your pet has
such signs, it is important
to quickly consult your veterinarian;
a physical exam is necessary. Depending on the case, different
tests could be suggested to establish the diagnosis such as
abdominal X-rays, blood tests, a parvovirus detection test,
a stool analysis, etc.
Your pet may need to be hospitalized and
receive an intravenous solution to be rehydrated. It will
not be fed until the vomiting has ceased. Different drugs
can be administered according to the cat’s needs, such
as antibiotics, antacids, mucosa protectants. An easy to digest
diet is then offered, and when it feels better, a gradual
return to the cat’s normal diet will be considered.
If your pet has vomiting and/or diarrhea,
consult your veterinarian!
|
|
|
| Chronic
Renal Insufficiency |
| Renal insufficiency
occurs when the renal function deteriorates to a point where
the kidneys are unable to fulfill their functions to eliminate
waste, maintain a water and electrolyte balance, and produce
hormones. Generally, chronic renal insufficiency has been
present for some time (months or years) when the diagnosis
is made and the disease is irreversible. Dogs and cats with
chronic renal insufficiency cannot be cured but in some cases
their clinical signs can be controlled successfully.
Animals are born with such an abundance of
renal cells that the signs of renal insufficiency only appear
when more than 2/3 of the kidneys are already damaged. Because
of this great reserve of renal cells, it is often difficult
to diagnose chronic renal insufficiency at an early stage.
Consequently, chronic renal insufficiency is a deceitful disease
that declares itself just when the renal damage is already
advanced.
Typically, the first signs of chronic renal
insufficiency are an increased water consumption and an increased
quantity of urine. Other signs are weight loss, a dull coat
and an increasingly difficult appetite. As renal insufficiency
progresses, the kidneys are unable to eliminate metabolic
waste and clinical signs become worse: vomiting, loss of appetite,
ulcers in the mouth area, halitosis, weakness and depression.
Other consequences of chronic renal insufficiency are anemia
and hypertension. Anemia can worsen the loss of appetite,
weakness and depression. Hypertension can cause eye damage
(sudden blindness), cerebrovascular accidents, and heart and
kidney damage.
The diagnosis of renal insufficiency is confirmed
with blood and urine analyses. Other diagnostic tests are
sometimes necessary (X-rays, urinary culture, ultrasonography,
measuring the arterial blood pressure, fundoscopic eye exam,
etc.).
Fortunately, some animals that have renal insufficiency can
be treated (not cured however) and have a good quality of
life for months or years. Depending on the stage of renal
insufficiency, many treatments can be useful for the affected
animal: a diet change (low in protein, salt and phosphorus),
fluidotherapy and some medications (antacids, anti-vomitives,
appetite stimulant, etc.).
With humans, chronic renal insufficiency
can be controlled with dialysis (hemodialysis or peritoneal
dialysis) or a renal transplant. With small animals, dialysis
usefulness is limited because of the cost involved and the
decrease in the quality of life that is associated with it.
With some cats that have renal insufficiency, renal transplant
is possible but very expensive. Renal transplant is reserved
to cats for which the standard medical treatment does not
work.
|
|
|
| Hepatic
Lipidosis |
|
What
is hepatic lipidosis?
Hepatic lipidosis is a disease that
mostly affects cats. In general, it occurs following a stressful
situation for the cat causing it to lose its appetite (anorexia),
for example moving or acquiring a new animal in the house.
Lipidosis can also occur following an underlying concomitant
disease.
What are the signs
that would let me suspect that my pet has hepatic lipidosis?
A cat suffering from hepatic lipidosis will show a loss of
appetite and consequently develop jaundice, the severity of
which will depend on the duration of the condition. A yellowish
coloration of the skin at the ear pinna, on the oral mucous
membranes and at the level of the sclera (the white part of
the eye) can be observed. Vomiting, diarrhea and fever are
occasionally observed. When the condition progresses without
being treated, nervous signs may appear (mental depression,
excessive salivation).
How can an animal
suffering from hepatic lipidosis be treated?
Many tests are available to obtain a diagnosis of lipidosis.
It is possible to do a blood test allowing us to assess the
function of the liver enzymes. In addition, an abdominal X-ray
allows us to see the enlarged liver during lipidosis. An abdominal
ultrasonography is often useful to check the integrity of
the liver and to obtain a liver sample. This last procedure
is done in order to visualize the cells and to confirm the
hepatic lipidosis diagnosis.
It is of the utmost importance to assure
food support to the animal. For the liver to fully regain
its function, the animal must eat regularly. However, animals
affected by lipidosis are often anorexic and suffer from vomiting.
For these animals, it is important to use parenteral route
feeding, i.e. with the help of a gastrotomy tube or an oesophagian
tube. This way, it is both possible to calculate the amount
of food required by the animal to ensure its daily energetic
needs and to administer the food adequately.
An intravenous fluidotherapy is often necessary
to correct the dehydration that usually accompanies anorexia.
Antibiotics are administered according to the functional state
of the liver; medications to stimulate the appetite can occasionally
be administered.
Can hepatic lipidosis be prevented?
It is difficult to prevent the development
of cat lipidosis because the causes are numerous and sometimes
not easy to control. However, it is recommended to limit stressful
situations that could trigger a loss of appetite since cats
are particularly sensitive to change.
|
|
|
| Otitis |
|
External otitis is a frequent disease of
the ear in small animals. It consists of an acute or chronic
inflammation of the ear canal and sometimes of the ear pinna.
If your dog or cat shakes its head frequently,
scratches its ears or rubs them on the ground, if its ears
are red, dirty and smell bad, they are perhaps the center
of a problem called otitis. This disease can imply one or
both ears simultaneously. Sometimes liquid discharges can
be noticed. In severe cases, the animal can lean its head
towards the side that is infected.
Some breeds are predisposed. Indeed, dogs with dropping ears
(Cockers, Setters, Labradors), those that have a lot of hairs
in the ear canal (Poodles for example), or those that produce
a lot of sebum (Cockers) are more subject to develop otitis.
Shar-Peis are also predisposed because of their narrow ear
canal.
Factors responsible for external otitis are
numerous and varied; foreign substances such as shampoo, inadequate
medications, water entering the canal during swimming and
foreign objects predispose to the occurrence of inflammation.
Some parasites can also colonize the ear (ear mites). Allergy
problems (food and others), hormonal imbalance and auto-immune
diseases can still induce the occurrence of otitis. Finally,
the presence of tumors in the ear canal can also cause this
type of inflammation.
An otitis that is not treated can lead to
severe complications. Bacteria and/or yeast multiplication
can be seen with the occurrence of infection; proliferation
of these microorganisms aggravates the inflammation of the
affected ear. To cure otitis, it is necessary to treat the
underlying causes and complications. Your veterinarian will
do a cytology by taking a sample of the secretions to examine
them under a microscope. When there is a bacterial infection,
a culture with an antibiogram may be necessary. After having
determined the otitis cause, your veterinarian will prescribe
the appropriate treatment. He/she can show you how to clean
the ears and how to apply the chosen ear medicine. If the
bacterial otitis is severe and/or chronic, and/or if the presence
of an otitis media is detected, systemic antibiotics may be
indicated. It is also good to know that when the external
ear is affected and it is not treated correctly, this can
spread to the middle ear and to the internal ear; dogs and
cats can then have loss of balance, and become deaf. If you
have doubts concerning the health of your pet’s ears,
consult your veterinarian!
|
|
|
Could
this be cancer in my pet?
Louis-Philippe
de Lorimier, DVM, DACVIM (Oncology) |
| Dogs and cats
share our everyday environment and live longer than they used
to, thanks in part to preventive veterinary medicine and dedicated
owners. Therefore, it should not come as a surprise that certain
chronic conditions, including cancer, are commonly diagnosed
in pets.
Unfortunately, cancer is one of the
most common causes of death in pets above 10 years of age.
Once a diagnosis of cancer has been made, treatment options
exist that, in addition to prolonging the life of these pets,
can greatly improve their quality of life, as this remains
the main goal in veterinary oncology. The treatment options
are similar to those used for people with cancer and include
surgery, chemotherapy, radiation therapy, immunotherapy, targeted
therapy, and palliative therapy. It is important to realize
that, because the goals of therapy are centered on quality
of life, unpleasant side effects in cancer-bearing pets are
much less frequent and less severe than what is known to occur
in human cancer patients.
Nobody wants to discover that his/her
pet has cancer. However, it is important to be able to recognize
some warning signs that are relatively typical, though not
specific, as it may lead to early diagnosis and possibly a
better chance of survival with appropriate therapy. Below
are some signs commonly seen in pets with cancer.* The presence
of one or more of these signs is reason enough to recommend
a more thorough exam and some diagnostic tests:
1) Discharge (blood or other) from
any body orifice;
2) Lumps or bumps that persist or continue to grow over
time;
3) Wounds that do not appear to heal completely;
4) Unexplained weight loss or decreased muscle mass;
5) Decreased appetite or anorexia;
6) Foul smell;
7) Difficulty chewing or swallowing;
8) Decreased energy, lethargy;
9) Unexplained behaviour changes;
10) Persistent lameness or stiffness;
11) Difficulty breathing, urinating, or defecating;
12) Facial or muzzle deformity/asymmetry (new or progressing);
13) Abdominal distension;
14) Unexplained swelling of any body part (limb, face,
etc.);
15) Signs of pain. |
These signs can be recognized by an observant owner. Intervening
quickly when they are noticed is a good example of the
team formed by the pet, the caretaker, and the animal
health professionals!
*Adapted from an American Veterinary Medical Association
(AVMA) document. |
|
|
|
|
|
|
|