Viral Diseases
FELINE VIRAL RESPIRATORY DISEASE COMPLEX
Feline viral respiratory diseases are highly contagious, often serious illnesses of
cats that can spread rapidly through a multicat home, a cattery, or a shelter.
They are one of the most common infectious disease problems a cat owner is
likely to encounter. Although few adult cats die of upper respiratory disease,
the death rate among young kittens approaches 50 percent.
Although these diseases are highly contagious among cats, they cannot be
transmitted to humans. Cats also cannot catch our colds. This is because the
viruses that attack cats do not affect humans, and vice versa.
Recently, it has been recognized that two major viral groups are responsible
for the majority of clinical upper respiratory infections in cats (80 to 90 percent).
The first is the herpesvirus group, which includes feline viral rhinotracheitis
(FVR). The second is the calicivirus group, which includes feline caliciviral
disease.
Other viral agents, especially those of the reovirus group, cause feline viral
respiratory illness. They account for a minority of cases.
There are two distinct stages in the feline viral respiratory disease complex.
The acute stage is followed by the chronic carrier state.
Acute Viral Respiratory Infection
There is considerable variation in the severity of illness. Some cats have mild
symptoms, while in others the disease is rapidly progressive and sometimes fatal.
The disease is transmitted from cat to cat by direct contact with infected discharge
from the eyes, nose, mouth; by contaminated litter boxes, water bowls,
and human hands; and rarely, by airborne droplets. The virus is stable outside
the host for as short as 24 hours or as long as 10 days, depending on conditions.
Regardless of which virus is responsible for the infection, the initial signs
are similar. The infected organism can be identified only by viral or serologic tests. These tests are not always available quickly enough to be of use in planning
treatment.
Clinical signs appear 2 to 17 days after exposure and reach maximum
severity 10 days later. Illness begins with severe bouts of sneezing lasting one
to two days. This is followed by conjunctivitis and watery discharge from the
eyes and nose, which may suggest a cold or flu. By the third to fifth day, a cat
exhibits fever, apathy, and loss of appetite. The eye and/or nasal discharge
becomes mucoid or purulent. Cats with obstructed nasal passages breathe with
their mouths open.
Further signs depend on the particular respiratory virus in question. A cat
with herpesvirus develops a spastic cough. If the surface of the eye is severely
inflamed, the cat may develop keratitis or corneal ulcerations.
In a cat with calicivirus, you may see ulceration of the mucous membranes
of the mouth (stomatitis). This is particularly disabling, because the cat loses
his taste for food and refuses to eat and drink. Drooling is common. Shortness
of breath and viral pneumonia can occur. Secondary bacterial infection,
dehydration, starvation, and rapid weight loss are all complications that can
lead to death.
A diagnosis can be suspected from the clinical signs. It can be confirmed by
isolating the virus from the throat or by specific serologic blood tests. Because
these diseases are highly contagious, these tests are most important when the
disease involves a cattery, a shelter, or a multicat household.
Treatment:
: Cats suspected of having acute viral respiratory infection
should be strictly isolated for three to four weeks so as not to infect others. It is important to disinfect any bedding, bowls, cages, or other items the sick cat
has come into contact with by washing them thoroughly with a dilute solution
of bleach and water. Human caretakers should change their clothing,
wear disposable shoe covers, and wash their hands frequently.
For the patient, rest and proper humidification of the atmosphere are
important. Confine your cat in a warm room and use a home vaporizer. A cool
steam vaporizer offers some advantage over a warm vaporizer because it is less
likely to cause additional breathing problems. At the very minimum, keeping
the cat in the bathroom while you shower will help.
Because dehydration and anorexia seriously weaken a cat, it is important to
encourage eating and drinking. Feed highly palatable foods with a strong
smell, such as tuna-flavored foods or strained baby food (make sure it doesn’t
contain onion powder), diluted with water. Supplemental fluids can be given
using a syringe. Once the cat begins
to eat and drink again, the worst danger is past.
Clean secretions from the eyes, nose, and mouth with moist cotton balls as
often as needed.
Shrink swollen nasal membranes by administering Afrin Children’s
Strength Nose Drops (.025 percent). Administer just one drop to one nostril
the first day. The next day, put one drop in the other nostril. The medicine is
absorbed and works on both nasal passages. Continue to alternate between
nostrils. Administer cautiously to prevent rebound congestion and excessive
drying out of the mucous membranes. Use the decongestant for no more than
five days.
If the cat becomes dehydrated, refuses to eat, loses weight, or does not
respond to home care, seek prompt veterinary help.
Antibiotics are important to manage moderate to severe respiratory infections
by treating secondary bacterial infections when present. Antibiotics
are not needed or recommended for mild upper respiratory infections.
Amoxicillin-clavulanate and doxycycline are good choices. Antibiotics must
be prescribed by a veterinarian. L-Lysine is an amino acid that may help clear
the infection if it is related to herpesvirus.
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