8 week old unaltered male domestic short hair feline
Pertinent Medical History
Tested for feline virals (feline leukemia and feline immunodeficiency virus) at 6 weeks of age-negative/negative 1 FVRCP (Intervet’s modified live continuum feline rhinotracheitis-calici-panleukopenia vaccine) done at 6 weeks of age. Pet came as a rescue from the shelter.
Presented for lethargy, inappetance, vomiting, diarrhea, and hanging head over water bowl with no consumption of water
Physical Exam Findings
Integument- Loss of skin turgor
Body score 3/10, anorexic, temperature elevated at 105.3
Gastrointestinal- pet is leaking bloody/liquid diarrhea. Abdomen very tense and painful upon palpation.
Diagnostic Tests Performed
Parvovirus snap test- positive
CBC to lab- marked leukopenia
Fecal Flotation- Coccidia
Direct Fecal Smear- Giarrdia
Iv catheter, iv fluids supplemented with b-vitamins and dextrose(to prevent hypoglycemia), Metronidazole (anti-diarrheal used to treat giarrdia), Ponazuril(to treat the coccidia), Lithium Citrate (to elevate white blood cell count), Tamiflu (anti-viral), Na Ampicillin (antibiotic to prevent any secondary infection), Cerenia (anti-emetic to control the vomiting), Buprenex (pain management) NPO- allow GI tract to settle, wait until pet’s vomiting stops to introduce a bland diet. Temperature Regulation- Bair hugger used PRN (as needed), temperatures did fluctuate as low as 91.3 degrees fahrenheit. Respectively, iv fluids were run through ice water to aid when temperatures reached above 103.5 degrees fahrenheit. Blood transfusion- blood had been harvested 2 months prior from a patient that had survived panleukopenia. The blood contained active antibodies against the virus. 20mls of the blood was transfused to the patient through a syringe pump over 2 hours. Quarantine
Pet hospitalized for 14 days and did begin showing interest in food without vomiting or diarrhea....
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