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ABCD guidelines on prevention and management". Journal of Feline Medicine and Surgery. Praxisrelevante fragen anhand eines fallbeispiels" [Feline panleukopenia.
Practical questions based on a case study]. Tierärztliche Praxis. In Greene CE ed. Infectious diseases of the dog and cat. Philadelphia: WB Saunders.
Treatment of dogs naturally infected with canine parvovirus with lyophilized canine IgG. June 10—13, Veterinary Pathology. Veterinary Microbiology.
Annual Review of Virology. Veterinary Journal. Wiener Tierarztliche Monatsschrift. Retrieved 30 May Laboratory Animal Medicine. The Journal of Small Animal Practice.
Vaccines and vaccination". Vaccination for animal health: an overview". American Journal of Veterinary Research.
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Download as PDF Printable version. A vaccine is available, although its efficacy remains uncertain. Cats will test positive for FIV antibodies after vaccination.
Yamamoto at the UC Davis School of Veterinary Medicine in a colony of cats that had a high prevalence of opportunistic infections and degenerative conditions and was originally called Feline T-lymphotropic virus.
FIV is transmitted primarily through deep bite wounds, where the virus present in the infected cat's saliva enters the body tissues of another cat.
A vigilant pet owner who treats secondary infections can allow an infected cat to live a reasonably long life. The chance that an FIV-infected cat will pass the virus to other cats within a household is low, unless there is fighting between cats, or wounds present that could allow entry of the virus from infected to non-infected cat.
Newborn kittens may test positive for up to six months and most thereafter will gradually test negative. It is thought that this is due to antibodies transferred to the kittens via the mother's milk.
However these antibodies are transient so subsequent testing will be negative. Once they have received vaccinations against FIV, they will, in the future, always test positive, as the various blood tests detect and show the antibodies that have developed in response to the vaccination.
FIV is known in other feline species, and in fact is endemic in some large wild cats, such as African lions. Consensus in the United States on whether there is a need to euthanize FIV-infected cats has not been established.
The virus gains entry to the host's cells through the interaction of the envelope glycoproteins from the glycoprotein env of the virus and the target cells' surface receptors.
First, the SU glycoprotein binds to CD, a receptor on the host cell. Once integrated into the host cell's genome, the virus can lay dormant in the asymptomatic stage for extended periods of time without being detected by the immune system or can cause lysis of the cell.
CD is predominantly found on activated T cells and binds to OX40 ligand, causing T-cell stimulation, proliferation, activation, and apoptosis 3.
This leads to a significant drop in cells that have critical roles in the immune system. The primary mode of transmission is via deep bite wounds, in which the infected cat's saliva enters the other cat's tissues.
FIV may also be transmitted from pregnant females to their offspring in utero; however, this vertical transmission is considered to be relatively rare, based on the small number of FIV-infected kittens and adolescents.
Risk factors for infection include male sex, adulthood, and outdoor access. Higher rates of infection in males than females occurs due to biting being more frequently engaged in by males defending their territory.
The initial stage, or acute phase, is accompanied by mild symptoms such as lethargy , anorexia , fever , and lymphadenopathy. Blunting and fusion of villi may be present.
Eosinophilic intranuclear inclusion bodies are seen only occasionally in formalin-fixed specimens; use of Bouin's or Zenker's fixative will increase the likelihood of seeing these.
There may be a notable lack of lymphocytic or inflammatory cell infiltration in the bowel walls because of destruction of these leukocytes by the virus.
Neutropenia develops earlier than lymphopenia. During recovery from infection, there is typically a rebound neutrophilia with a marked left shift.
Diagnosis can, in some cases, be confirmed using an in-office immunochromatographic test kit intended for detection of fecal CPV antigen.
However, fecal antigen is detectable only for a short time after infection; false-negative results are common. Differential diagnoses include other causes of profound depression, leukopenia, and GI signs.
Salmonellosis and infections with feline leukemia virus FeLV and feline immunodeficiency virus should be considered.
FPV infections combined with various salmonellae or feline calicivirus cause much more severe disease than FPV alone. Successful treatment of acute cases of feline panleukopenia requires vigorous fluid therapy and supportive nursing care in the isolation unit.
Electrolyte disturbances eg, hypokalemia , hypoglycemia, hypoproteinemia, anemia, and opportunistic secondary infections often develop in severely affected cats.
Anticipation of these possibilities, close monitoring, and prompt intervention can improve outcome. In addition to crystalloid infusion, transfusion of fresh-frozen plasma helps support plasma oncotic pressure and provides clotting factors to severely ill, hypoproteinemic kittens.
It also provides some anti-FPV antibodies. Whole blood is preferable for the occasional cat that is severely anemic.
Parenteral, broad-spectrum antibiotic therapy is indicated; however, nephrotoxic drugs eg, aminoglycosides must be avoided until dehydration has been fully corrected.
Because of the nephrotoxic potential of the gentamicin , urinary protein dipstick findings, sequential urine sediments, and serum SDMA or creatinine should be monitored.
There are single antibiotic agents, albeit more expensive, that are effective against the anaerobes and gram-negative aerobes that are the most important bacteria in feline panleukopenia.
These include third-generation cephalosporins eg, ceftiofur, cefotaxime and extended penicillins eg, piperacillin.
Antiemetic therapy eg, maropitant, ondansetron or metoclopramide usually provides some relief and allows earlier enteral feeding of soft, easily digested food.
Maropitant is the first-choice anti-emetic. In severely affected cats it can be combined with ondansetron. Feeding little and often should be commenced as early as possible, even in the face of mild, intermittent, persistent vomiting.
Feeding promotes healing of the GI mucosa and re-establishment of an effective mucosal barrier. Cats with severe vomiting should not be fed until the vomiting is better controlled.
Parenteral nutrition is indicated only for the most severely affected cases, and its use should not delay vigorous attempts to start enteral feeding.
Although rFeIFN is not approved by the FDA for this purpose and has not been proven effective in feline panleukopenia, it is approved and effective in the treatment of canine parvoviral enteritis.
Passive immunotherapy using immune serum from solidly immune cats, or using a commercial product raised in horses, is widely practiced in some countries.
There is limited evidence of treatment efficacy, however. Excellent inactivated and modified-live virus vaccines that provide solid, long-lasting immunity are available for prevention of feline panleukopenia.
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