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Created page with "{{Template:Manson Sparkes}} [[Image:|centre|500px]] <br /> '''A 5-year-old DSH cat is presented which has been depressed, anorexic, and showing upper respiratory tract signs (..."
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'''A 5-year-old DSH cat is presented which has been depressed, anorexic, and showing upper respiratory tract signs (sneezing, nasal discharge) for the last 2 days. On clinical examination, the cat is pyrexic and has several small lingual ulcers.'''

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<FlashCard questions="4">
|q1=What is the most likely diagnosis?
|a1=
The acute onset of clinical signs and pyrexia are suggestive of an infectious cause, therefore cat ‘flu’ is the most likely diagnosis.
|l1=Cat Flu
|q2=What are the most likely causal infectious agents?
|a2=
FHV and FCV are the most likely causal agents. FCV is more frequently associated with tongue ulcers although both viruses can cause all of the signs described in this case.
|l2=Feline Calicivirus
|q3=What treatment is recommended?
|a3=
Supportive care of the individual cat is a priority and may include:
*Antibiotic cover for secondary bacterial infections.
*General nursing care, intravenous fluid therapy, and nutritional support.
*Steam therapy and/or nebulization.
*Use of antiviral agents such as interferon has been shown to be helpful in experimental FHV infection and may be of benefit.
*If the cat is hospitalized, barrier nursing is required in order to reduce the risk of spreading infection to other hospitalized patients.
|l3=Feline Calicivirus
|q4=How can this illness be explained in a fully vaccinated cat?
|a4=
No vaccine offers 100% protection and potential causes of ‘vaccine failure’ include:
*Overwhelming challenge.
*Immunosuppressed individual (due to other disease, e.g. FIV, FeLV, or chemotherapy treatment).
*The cat was incubating the disease when vaccinated.
*Many different isolates of FCV exist in the field and the vaccine virus strains used will not provide cross protection for all of these.
*Clinical signs may not be caused by FCV or FHV infection.
*The cat was already a carrier of FCV or FHV and shedding of virus was associated with recurrence of clinical signs of disease.
|l4=Feline Calicivirus
</FlashCard>

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