Does Pancho have non-effusive Feline Infectious Peritonitis (FIP)?

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Pancho was a 5 year old domestic shorthair cat who was referred to Dr Diane D. Addie as a cat already being treated for FIP. His referring veterinary surgeon wanted to know if there was a better treatment than just prednisolone that he could be given to extend his life.
Feline infectious peritonitis (FIP) is one of the main infectious causes of death in the cat, especially affecting purebred cats and cats in rescue environments -- anywhere a lot of cats are kept indoors. No matter what any laboratory or manufacturer of test kits claims, there is no single test for FIP -- diagnosis is a challenge to even the most competent veterinary clinician and involves following a series of steps on an algorithm (free to download from www.catvirus.com). FIP can present as effusive (wet) or non-effusive (dry). This film is a case report of a suspect non-effusive case, taking the viewer step by step through the FIP diagnostic algorithm.
The free FIP diagnostic algorithm and worksheet can be downloaded at:
www.dr-addie.com/downloads.html
I apologise for the poor sound on this video -- I'm afraid I haven't quite mastered that technical aspect yet.
I am very grateful to Pancho himself, and to his guardian Danièlle Merian, for allowing their story to help others. I am grateful to French veterinary osteopath, Véronique Zenoni (www.verozeno.vetosteo.eu), for involving me in this case. I thank Dr Benedetta Giannini of Almo Nature for sponsoring this case report and for translating the catvirus.com FIP diagnostic algorithm into Italian for my website.
Dr Diane D. Addie is a veterinary virologist with two dreams: to eradicate feline infectious peritonitis (FIP) from the face of the earth, and to find a cure for feline chronic gingivostomatitis. You can read more about her work and these cat diseases on her website -- www.catvirus.com. The catvirus.com You Tube channel is mainly aimed at postgraduate and undergraduate veterinary students, to supply them with information which is difficult to source elsewhere. However, at catvirus.com there are resources suitable for all cat lovers.

Пікірлер: 11

  • @thestormlscoming
    @thestormlscoming4 жыл бұрын

    I wish you were my vet. I could have really used your type of analysis and diagnostics for my poor kitty. I had to put him down after many trips to the vet and the ER after they told me he likely had dry FIP and there was nothing further they could really do. I had a standing internist appointment before his symptoms became severe and before he showed any neurological symptoms, when he seemed just like a happy cat that just didn’t have much of an appetite and sneezed a lot. Most people thought he seemed healthy and fine, but the worried mom I was, I noticed all the little things and suspected he was sick or had bad allergies or even did have FIP. But then he went into respiratory failure. I had brought him to the vet 6 times in the 2.5 months I had him and tried to get to the bottom of all his symptoms, and I am now regretting not pushing for more diagnostics to feel more comfortable that this was actually the most likely cause. I know he had xrays, ultrasounds, and bloodwork done, but I don’t know all the details of the bloodwork. I wish I watched all your videos before this because I’m uncertain if the bloodwork would align with what you have outlined, and I also didn’t notice any abnormalities with his eyes, which you said was common. But on his last day he was so out of it and even I believe even had a seizure, so I couldn’t even see his eyes properly, so perhaps something did develop. I wasn’t looking for it. Unfortunately my pet insurance denied all my claims saying this was a preexisting condition before I adopted him, so the cost of getting MRIs and a neurologist consult also seemed impossible if he wouldn’t even make it if it actually was dry FIP. The first ER vet didn’t bother running any tests or deducing any sort of diagnosis, she just wanted to wait until my standing internist appointment the next day even though my cat clearly was very sick and couldn’t breathe properly. When he was in the hospital on the oxygen tank he seemed to be doing better, so I question now if the neurological symptoms were related to extreme oxygen deprivation and perhaps could have resulted from something else. He was young, slightly underweight but was a kitten and still growing, and was recently adopted so dry FIP still seems likely, but I just wish I had more certainty. I brought in a fecal sample once for them to test for lung worms - I wish I asked them to test for toxo. Ended up putting him on dewormer, antibiotics, and ear drops which all seemed to help but then sneezing and loss of appetite came back, hence me scheduling the internist appointment. In the end, he seemed too much in pain and so neurologically unstable where putting him down seemed like the right answer, but I do question whether that was the right move and whether I should have just waited to run more tests and took out a loan to cover the costs. Sigh, so many regrets and unknowns. He was a great cat.

  • @DrDianeDAddie

    @DrDianeDAddie

    4 жыл бұрын

    I'm really sorry for your loss. Grieving a cat is a terrible thing to go through and the "What if..." questions are part of that. I hope you can take comfort from knowing that your cat was deeply loved by you while on this earth? Blessed are they that mourn, for they shall be comforted: I've been through this and it won't always feel as miserable as it does just now. He was a great cat, and you were a great guardian to him, doing everything you were able to. You were wise not to incur debt - I don't think he would have wanted that.

  • @Melsincatuation

    @Melsincatuation

    Жыл бұрын

    NOW THERE IS A CURE FOR FIP!!!!! NO CAT NEEDS TO DIE AGAIN FROM FIP!!

  • @the5stacys
    @the5stacys6 жыл бұрын

    You have a beautiful voice and are obviously a gifted vet. Please please purchase a microphone cover before doing another video. Please.

  • @DrDianeDAddie

    @DrDianeDAddie

    4 жыл бұрын

    Thank you for your kind words and advice: I hear you and have done so and also learned to use Audacity. My deep apologies for the quality of the audio in my early videos - part of the learning curve.

  • @valerievanmol276
    @valerievanmol2767 жыл бұрын

    very interesting video! This is somehow comparable to tests in humans testing for cdiff, and developping pseudomembranous colitis. However, signs of pseudomembranous colitis can be seen on a petscan of the abdomen (swelling of sigmoid colon). Can't signs of fip be seen on a Petscan? This poor Pancho cat is so handsome and a victim of misdiagnosis due to medical alarmism and lack of proper Testing/ precipitated diagnostic survey ! Somehow dangerous, thinking that high stress levels are a risk factor for fip ....

  • @EyebDvs
    @EyebDvs11 жыл бұрын

    Dear Dr. Diane our cat has jaundice along with a severe kidney infection and his white blood cell count is high along with a distended belly the symptoms are really weird i know but our vet has drawn some blood to send off to a university in case of FIP i was wondering if with these symptoms if you could give your thoughts on what could be going on with our cat. he is a 13 month old himalayan. Hes had an upper respiratory infection the week before. he is being treated with antibiotics and an iv

  • @stewardshipinaction6452
    @stewardshipinaction64529 жыл бұрын

    My cat is suspected of having wet FIP. In researching, I have come across the following. I hear although it is not absolute, it can be a good starting point for determining the likelihood of FIP? Rivalta’s Test

  • @juliacampbell4222

    @juliacampbell4222

    9 жыл бұрын

    According to Dr Addie's website, a positive Rivalta test indicates ~86% chance of cat having FIP. Negative Rivalta is 97% chance is negative for FIP.

  • @matahariscreen1175
    @matahariscreen11752 жыл бұрын

    this is why i prefer supplements to medicate instead of hash chemicals

  • @vangelispapachristos2599

    @vangelispapachristos2599

    2 жыл бұрын

    Although this cat has not had FIP, many correctly diagnosed FIP cats are treated successfully using "harsh" chemicals namely GS442424.

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