Collapsed cat 4 days after being missing for 8 days

RE: Collapsed cat 4 days after being missing for 8 days

Anthony Dennison — Mon, 11 Jun 2018 10:36:05 GMT

[quote user="Richard Carter"]cns oedema[/quote]

Fair shout - dehydrated cat gets access to a lot of water, sodium poisoning? Electrolytes were normal at testing but what where they like before the cat had access to food and water?

RE: Collapsed cat 4 days after being missing for 8 days

Richard Carter — Mon, 11 Jun 2018 10:20:36 GMT

or collapse/ semi-conscious due to concussion/ cns oedema/ meningitis with a/infl dose reducing pressure?

RE: Collapsed cat 4 days after being missing for 8 days

Anthony Dennison — Mon, 11 Jun 2018 09:43:04 GMT

Thiamine deficiency? There was that issue with the Pets at Home own brand food a couple of years ago.

RE: Collapsed cat 4 days after being missing for 8 days

Kate Richardson — Mon, 11 Jun 2018 07:06:04 GMT

[quote user="Michael Woodhouse"]

[quote user="Kate Richardson"]Addisons?[/quote]

Cow vet not cat vet but with normal electrolytes? really?

[/quote]

Yes, still a possibility.

No harm in running a basal cortisol on any blood left over pre steroid injection.

RE: Collapsed cat 4 days after being missing for 8 days

Michael Woodhouse — Sun, 10 Jun 2018 22:24:22 GMT

[quote user="Kate Richardson"]Addisons?[/quote]

Cow vet not cat vet but with normal electrolytes? really?

RE: Collapsed cat 4 days after being missing for 8 days

Kate Richardson — Sun, 10 Jun 2018 22:18:47 GMT

Addisons?

RE: Collapsed cat 4 days after being missing for 8 days

Joyce Whitehead — Sun, 10 Jun 2018 21:04:32 GMT

Well nothing deserves to die without steroids!

RE: Collapsed cat 4 days after being missing for 8 days

Michael Woodhouse — Sun, 10 Jun 2018 20:12:59 GMT

[quote user="Katie Limb"]New update. I gave 0.2ml of dexadresdon prior to tx with clindamycin. And when i returned 90 mins later he is up standing, eating and playful![/quote]

I think you've just made an old man very happy Anthony Todd

RE: Collapsed cat 4 days after being missing for 8 days

Jenny Harris — Sun, 10 Jun 2018 19:46:46 GMT

In that time frame I guess it was the dex which has helped?

RE: Collapsed cat 4 days after being missing for 8 days

Katie Limb — Sun, 10 Jun 2018 19:27:20 GMT

[quote user="Anita Fox"]

There have been reports of refeeding syndrome in cats but there were abnormalities of electrolytes, glucose or hepatic enzymes. Could it be feline cerebrocorticonecrosis/encephalopathy? A coincidental infection such as toxoplasma or FIP, or inflammation - meningoencephalitis? Depends on how far the owners want to go with further investigation and whether referral is an option. Otherwise supportive treatment and hope. Have seen something very similar years ago late on a Friday night, costs an issue so gave clindamycin, steroids (!), fluids and hand fed and by Monday when the cavalry were due he was fine.

[/quote] it's like your psychic! I didn't see you post before I posted the update!

RE: Collapsed cat 4 days after being missing for 8 days

Katie Limb — Sun, 10 Jun 2018 19:25:12 GMT

New update. I gave 0.2ml of dexadresdon prior to tx with clindamycin. And when i returned 90 mins later he is up standing, eating and playful!

What?!....

RE: Collapsed cat 4 days after being missing for 8 days

Anita Fox — Sun, 10 Jun 2018 18:34:45 GMT

RE: Collapsed cat 4 days after being missing for 8 days

Katie Limb — Sun, 10 Jun 2018 13:12:32 GMT

All within normal limits. Electrolytes also

RE: Collapsed cat 4 days after being missing for 8 days

Utlendigur — Sun, 10 Jun 2018 12:54:51 GMT

[quote user="Katie Limb"]He presented in lateral recumbency, with dull mentation. Unable to hold head up for more than a few seconds, if held to stand, keeps limbs and spine flexed and will land on face if allowed. He has no superficial or deep pain, but if limbs are extended he will withdraw them, limbs appear stiff. His jaw is very hard to open, but can be opened.[/quote]

We had a few cases with similar sounding neuro signs, especially the stiff limbs, falling onto face etc several years ago - actually twice with several years gap between. All were adult/young adult male outdoor cats in rural areas. One had high toxo titres (rest weren't tested as far as I remember - cost). Never got to the bottom of it, sorry as most deteriorated and were pts. The one with high toxo titres did respond to clindamycin and preds and made a full recovery.

RE: Collapsed cat 4 days after being missing for 8 days

Sarah Keir — Sun, 10 Jun 2018 11:11:27 GMT

I believe refeeding syndrome has only ever been shown in humans and some very unusual experiments in possibly dogs. What was the phosphorus, calcium and potassium levels on your bloods?

RE: Collapsed cat 4 days after being missing for 8 days

Katie Limb — Sun, 10 Jun 2018 10:13:27 GMT

Update. Very slight improvement this morning. Still unable to stand. But consciousness improved. Still now withdrawal to pain but if take temp or tickle toes will attempt to move hind limbs. Still tachpnoeic. Radiograph unremarkable.

RE: Collapsed cat 4 days after being missing for 8 days

Jill Butterworth — Sun, 10 Jun 2018 06:32:53 GMT

Well done, I hope you got some sleep after this difficult case. If he has made it through the night, can you radiograph him (chest and abdomen)? Always worth doing in an emergency/ collapsed case especially when you can't figure out what's going on.

PS Join the Facebook group Veterinary EEC Small Talk run by Shailen Jasani as it's international, there is usually someone awake in the small hours to give an opinion.

RE: Collapsed cat 4 days after being missing for 8 days

Glen McIntosh — Sun, 10 Jun 2018 02:36:30 GMT

Are K and Phos wnl?