Cat with alopecia and pyrexia

RE: Cat with alopecia and pyrexia

dachsie_4 — Tue, 25 Dec 2018 13:13:12 GMT

Well I've ended up treating as autoimmune disease and it's seems to have improved the situation.

RE: Cat with alopecia and pyrexia

Anthony Dennison — Fri, 30 Nov 2018 16:54:16 GMT

[quote user="Anthony Todd"]It's got two things wrong with it??[/quote]

I must be unwell... I'm agreeing with Anthony! What's the actual numerical value for white blood cells? If its going over 50 x 10^9 then its some form of myeloproliferative disease.

RE: Cat with alopecia and pyrexia

Anthony Todd — Sun, 25 Nov 2018 23:31:42 GMT

[quote user="dachsie_4"]The bit that doesn’t fit in is the generalized alopecia and milary dermatitis including the head. [/quote]

It's got two things wrong with it??

RE: Cat with alopecia and pyrexia

dachsie_4 — Sun, 25 Nov 2018 18:07:52 GMT

The cat‘s clinical signs link well with pyrexia- general soreness and lethargy. The bit that doesn’t fit in is the generalized alopecia and milary dermatitis including the head.

Thank you for your reply

monika

RE: Cat with alopecia and pyrexia

Anthony Todd — Sat, 24 Nov 2018 20:13:31 GMT

[quote user="Richard Carter"]Think miliary dermatitis is very non-specific skin reaction in cats.[/quote]

While it may be reacting to other allergens almost always it is a flea reaction, so meticulous flea control in the house as well as the animals, is the first step, both for treatment and diagnosis, in fact I think non-flea related miliary eczema is rare ; other allergies usually give ventral baldness/irritation or around the head.

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But whatever, diagnosis is by elimination rather than tests.

Of course, while the diagnostic elimination is proceeding the distrsssing irritation must be controlled with a jab of short acting steroid, to help you get the owner on side and then give the cat continuing relief, repeating with oral pred as necessary, only when necessary.

Assuming the cat is bright and eating, no diarrhoea etc. I'd be inclined to ignore the blood results and just try and chase the signs and symptoms.

From the lab results this cat should be very very ill! Is it active, eating, playing, drinking?

Most important let us know what happens!!

RE: Cat with alopecia and pyrexia

dachsie_4 — Sat, 24 Nov 2018 19:14:34 GMT

Got access to ct scan but need off antibs for that- thank you for the reply

RE: Cat with alopecia and pyrexia

Richard Carter — Fri, 23 Nov 2018 18:58:23 GMT

FIP?

Think miliary dermatitis is very non-specific skin reaction in cats.

Also think with neuts fully activated and off scale, would be looking for real source of infection and septicaemia not just inflammatory response - some of the more weird ones can be mesenteric abscessation, renal abscesses, spinal, osteomyelitis. Access to ultrasound to scan chest for pyothorax?

perhaps a combination course abs - clav/metron; see the BSAVA now recommends for severe septicaemia a fluoroquin with a penicillin (which I have never thought to do as I was under impression worked on different stages of bacterial growth - the penicillin needing maturation to form a damaged capsule and the fluorquin preventing growth and division??); doxycycline