Feline glossitis

RE: Feline glossitis

Martin Atkinson — Mon, 21 Nov 2016 13:54:09 GMT

[quote user="Kate Richardson"]

I agree FCV would be top of the list but FHV can cause oral ulcers

it may be a combination of causes.

given that FHV will respond to treatment it makes sense (to me) to start Famcyclovir.

[/quote]Never seen oral ulcers with FHV, I would be sceptical that when they've been seen in and FHV+ve cat that FCV was lurking there as well, not recognised or not tested for.

You could try recombinant omega interferon by injection +/- oral, works on RNA viruses as well.

RE: Feline glossitis

Kate Richardson — Mon, 21 Nov 2016 13:16:34 GMT

I agree FCV would be top of the list but FHV can cause oral ulcers

it may be a combination of causes.

given that FHV will respond to treatment it makes sense (to me) to start Famcyclovir.

RE: Feline glossitis

Martin Atkinson — Mon, 21 Nov 2016 09:07:50 GMT

Given that FHV doesn't cause these symptoms and is a stable virus and Feline Syncytium forming Virus is largely asymptomatic, then FCV which is an RNA virus and can mutate and do all sorts of things it is still top of my list.

RE: Feline glossitis

Kate Richardson — Sun, 20 Nov 2016 22:34:17 GMT

Not necessarily. Put them on famcyclovir and see what happens. Check all disinfecting procedures/products especially ET tubes/connectors?

RE: Feline glossitis

Richard Williams — Sun, 20 Nov 2016 17:10:56 GMT

Virus isolation back on the original case in this thread...... Feline Herpes Virus isolated !!! So we have cultured FCV , Feline Syncytium forming Virus, and Feline Herpes virus from what are apparently cases with the same clinical signs. My Hypothesis is that we are dealing with more than just a viral cause here.

RE: Feline glossitis

Aine Seavers — Mon, 14 Nov 2016 23:18:23 GMT

? FCV spectrum but not at the VSD (virulent systemic disease) end of spectrum where there is high mortality.

Were the philtrums involved? The peripheral pattern would fit on tongue.

The grooming ulcers would perhaps have left lesions on palate and dorsum of tongue as well perhaps- we dont use chlorhex as so many of our staff get irritancy on scrub up areas so we use iodine for ops.

what vaccine brand did you use in these cats before this?

Photo from a recent outbreak in Sydney posted in C/T

RE: Feline glossitis

Richard Williams — Mon, 14 Nov 2016 22:37:40 GMT

Virus isolation is in progress, I will post results. Tongue lesions progressing with some necrotic blisters now, but still eating on NSAIs!

RE: Feline glossitis

Martin Atkinson — Mon, 14 Nov 2016 16:33:30 GMT

[quote user="Kate Richardson"]Essentially the nurses were being a bit too liberal with neat hibi on the final scrub. We changed the protocol and only applied neat hibi directly to the incision site. Problem solved. [/quote]Hardly surprising then eh! I have never applied neat chlorhexidine anyway, the closest I've come is to dab a bit onto some damp cotton wool and it has still never caused a problem. Regardless, we use povidone iodine to routinely prep surgical sites.

RE: Feline glossitis

Kate Richardson — Mon, 14 Nov 2016 16:02:21 GMT

[quote user="Luca Poddighe"]

[quote user="Kate Richardson"]Any history of chlorhexidine used? We had a bout of tongue ulcers related to them licking chlorhexidine from their fur where it hadn't been washed off sufficiently[/quote]

How concentrated has chlorhexidine to be to cause lesion like that? I've been using some mouth wash base on chlorhexidine 0.2% and beside stinging a bit doesn't really cause any problems.

[/quote]

Essentially the nurses were being a bit too liberal with neat hibi on the final scrub. We changed the protocol and only applied neat hibi directly to the incision site. Problem solved.

RE: Feline glossitis

Luca Poddighe — Mon, 14 Nov 2016 14:25:52 GMT

How concentrated has chlorhexidine to be to cause lesion like that? I've been using some mouth wash base on chlorhexidine 0.2% and beside stinging a bit doesn't really cause any problems.

RE: Feline glossitis

Rob Loxley — Mon, 14 Nov 2016 13:26:56 GMT

[quote user="Anthony Dennison"]

[quote user="Kate Richardson"]

Any history of chlorhexidine used? We had a bout of tongue ulcers related to them licking chlorhexidine from their fur where it hadn't been washed off sufficiently

[/quote]

Interesting, I've seen a few cats with this post-neutering. I always through it was because they may have caught their tongue on recovery - there do seem to be a lot that are quite jittery post triple-combination GA (I assume it's the ketamine)

[/quote]

Likewise, but when we've looked those postop rostral tongue ulceration haven't been vacc'd or had kitten 'flu' so we suspected calici carriers and flare due to stress of neutering?

RE: Feline glossitis

Anthony Dennison — Mon, 14 Nov 2016 12:07:49 GMT

[quote user="Kate Richardson"]

Any history of chlorhexidine used? We had a bout of tongue ulcers related to them licking chlorhexidine from their fur where it hadn't been washed off sufficiently

[/quote]

RE: Feline glossitis

Martin Atkinson — Mon, 14 Nov 2016 09:25:00 GMT

[quote user="Richard Williams"]The cases have been divided into two categories, one those that have presented out of the blue and are unrelated to other cases either geographically or historically. And a second group who have been admitted for an unrelated condition, eg Cat bite wounds or lymphoma, and they have developed symptoms in the clinic.[/quote]So was the first cat mentioned the first case and therefore could have introduced the infective agent into the clinic?

[quote user="Kate Richardson"]

Any history of chlorhexidine used? We had a bout of tongue ulcers related to them licking chlorhexidine from their fur where it hadn't been washed off sufficiently

[/quote]Odd that. One reason I use chlorhexidine as an antiseptic for bathing wounds is because I consider it non-toxic compared to phenolic disinfectants, at least in its dilute form, and routinely dispense it for owners to bathe bite wounds etc at home with no problems.

RE: Feline glossitis

Richard Williams — Sun, 13 Nov 2016 22:33:50 GMT

Kate , thank you, an interesting observation. Could account for some in house cases but not those presenting fresh from the field. I will review the cases but I think this is unlikely to be a common factor. The case photographed here had Advocate applied three days earlier, but other cases had no such history.

RE: Feline glossitis

Kate Richardson — Sun, 13 Nov 2016 22:27:59 GMT

Any history of chlorhexidine used? We had a bout of tongue ulcers related to them licking chlorhexidine from their fur where it hadn't been washed off sufficiently

RE: Feline glossitis

Richard Williams — Sun, 13 Nov 2016 22:23:01 GMT

The cases have been divided into two categories, one those that have presented out of the blue and are unrelated to other cases either geographically or historically. And a second group who have been admitted for an unrelated condition, eg Cat bite wounds or lymphoma, and they have developed symptoms in the clinic. Caustic agents therefore have been ruled out , and infectious nature very much in evidence. Strict isolation and barrier nursing, along with deep cleaning and antiviral bombs has stopped in house problem; but I am still seeing odd cases (this one) that have never been admitted.

Viral it must be ,but it was the perianal symptom that most intrigued and I thought worth asking more widely about as Glasgow had not heard of it.

RE: Feline glossitis

Busybee — Sun, 13 Nov 2016 20:00:05 GMT

Maybe completely off the mark but ingestion of toxic substance/toxin exposure that, when the cat passes any remnants, causes anal irritation??

RE: Feline glossitis

Martin Atkinson — Sun, 13 Nov 2016 18:05:43 GMT

FCV was my first guess, confess I've never heard of Syncytium forming virus. What is the epidemiology of these cases - any chance of common access to a caustic agent? FCV per-acute disease was confined to catteries/colonies and had cutaneous involvement but of course had a very high mortality rate.

RE: Feline glossitis

Richard Williams — Sun, 13 Nov 2016 17:58:55 GMT

Glossitis Photo