Cat Forum / Health and Behavior / February 2004
Leukemia Cat With Herpes
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rescuerofcats@webtv.net - 12 Feb 2004 22:51 GMT I have a positive neutered male cat who was squinting. The vet said he has herpes in the eye. That there are lots of little ulcers and that it is quite painful. The only thing he advised doing is lubricating the eye with white petroleum w/mineral oil four times aday. He said the herpes will clear up on its own but maybe not because of the leukemia. Its only been 3 days since I've started lubricating his eyes but Miracle is definitely hurting. Has anyone dealt with herpes in the eye? Thank you!
Mary - 13 Feb 2004 02:17 GMT >I have a positive neutered male cat who was squinting. The vet said he >has herpes in the eye. That there are lots of little ulcers and that it [quoted text clipped - 3 lines] >been 3 days since I've started lubricating his eyes but Miracle is >definitely hurting. Has anyone dealt with herpes in the eye? Thank you! A friend of mine has an FLV+ kitty with herpes around the nose. The nose area gets red then gets black crusty spots. It goes away in a few weeks. He puts vaseline on it. The expensive $11 a tube eye ointment is just vaseline and mineral oil. Your vet is doing you a big favor being honest. I wasn't thrilled when I read the ingredients on Dr. prescribed eye ointment. Now I just use vaseline in my eyes at night after skiing. My friend's cat is on Interferon. Keep the cat indoors, stress free, give it good food and he may be able to live a fine life.
zuzu22@webtv.net - 13 Feb 2004 04:22 GMT Mary, please read my post to the OP. Eye ulcers are quite different from something on a cat's nose and can be very serious if left untreated. Vaseline is NOT an appropriate treatment.
Megan
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Mary - 13 Feb 2004 04:59 GMT >Mary, please read my post to the OP. Eye ulcers are quite different from >something on a cat's nose and can be very serious if left untreated. >Vaseline is NOT an appropriate treatment. I missed the ulcers part. I thought it was just like herpes of the mouth or nose. Yes, that would need something else. Should the vet at least prescribe an anti-viral like aclivar (sp?)? I thought about that after my post but just got home.
zuzu22@webtv.net - 13 Feb 2004 05:49 GMT >I missed the ulcers part. I thought it was >just like herpes of the mouth or nose. Yes, >that would need something else. Should >the vet at least prescribe an anti-viral like >aclivar (sp?)? According to the text I'll include below from http://www.eyevet.info/herpes.html Acyclovir does not work for Feline Herpes virus. I used the Idoxuridine drops and 250 mg of L-Lysine twice a day for the kittens I rescued and it worked very well. This article states that the Lysine dosage is 125 mg twice a day, but from my experience the higher dose is needed when you're in the midst of a crisis and/or dealing with an immune compromised animal.
Megan
Text from eyevet.info:
"If corneal involvement is present, topical antivirals are prescribed. In the adult cat with recrudescent FHV-1 infection topical antivirals are best used aggressively early in the course of the disease before stromal involvement progresses. Three antiviral medications are available. Idoxuridine (IDU) interferes with viral DNA synthesis by substituting for the essential nucleotide thymidine. IDU is poorly soluble and is virostatic. Prolonged contact with the infected tissue is required. The 0.1% solution must be applied five times daily. IDU is marketed as Stoxil (Smith Kline & French) and Herplex (Allergan Pharmaceuticals). Adenine Arabinoside inhibits viral DNA polymerase and thus decreases viral DNA synthesis. It is sold as Vira A (Parke Davis) and the 3% ointment is applied five times daily. Triflurothymidine is incorporated into the viral DNA and leads to the synthesis of defective proteins. Sold as Viroptic (Burroughs Wellcome) it is considered the most effective, least toxic and most soluble of the antivirals. It is also the most expensive. Available as a 1% solution, Viroptic is applied every two hours while the animal is awake until the cornea has re-epithelialized, then reduced to every four hours while awake, for two weeks more. Acyclovir is the newest antiviral available for human herpesvirus. It is a tablet given orally and is marketed under the trade name Zovirax (Burroughs Wellcome). Research by Nasisse indicates that triflurothymidine is the most effective against Feline Herpesvirus followed by Idoxuridine then Adenine Arabinoside. Although Acyclovir was most effective against Human herpes simplex virus, it was not effective against Feline Herpesvirus. This may be due to the inability of FHV-1 to induce deoxycytidine kinase. Other strategies to assist in the treatment of herpetic keratitis reported in the last few years include topically applied interferon, oral administration of l - lysine and oral administration of cimetidine. Interferon is reported to stimulate the local immunity to viral infection. A 20 to 50 IU/ml solution in artificial tear is administered topically twice daily. Orally administered l - lysine has been reported to inhibit herpesvirus growth by competitive inhibition of the uptake of arginine which is required for viral multiplication. It is given to cats at a dosage of 125 mg twice daily. Cimetidine has been shown to generally stimulate cell mediated immunity. It is given at a dosage of 50 mg once daily. Anecdotal reports suggest that maintenance of cats on one or more of these medications during periods of quiescence, will result in a longer period of time before recrudescence of infection occurs, and that when recrudescence occurs, the infection in milder and of shorter duration."
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"The only thing necessary for the triumph of evil is for good men to do nothing."
-Edmund Burke
Learn The TRUTH About Declawing http://www.stopdeclaw.com
Zuzu's Cats Photo Album: http://www.PictureTrail.com/zuzu22
"Concerning all acts of initiative (and creation), there is one elementary truth the ignorance of which kills countless ideas and splendid plans: that the moment one definitely commits oneself, then providence moves too. A whole stream of events issues from the decision, raising in one's favor all manner of unforeseen incidents, meetings and material assistance, which no man could have dreamt would have come his way."
- W.H. Murray
zuzu22@webtv.net - 13 Feb 2004 04:19 GMT Rescuer of cats wrote:
> I have a positive neutered male cat who > was squinting. The vet said he has [quoted text clipped - 9 lines] > Miracle is definitely hurting. Has > anyone dealt with herpes in the eye? You need to take this cat to a veterinary opthamologist IMMEDIATELY and get correct medication. Vaseline may help lubricate, but it is NOT going to clear up the ulcers and without treatment they will only get worse, and the cat will suffer and may go blind and lose its eye. There are anti-viral drops available for this condition and I have used them with cats with great success. Do not waste time with home remedies as your cat, especially with his compromised immune system, needs immediate treatment to get things under control. To emphasize this, here is a picture of one of a litter of kittens that I rescued (all were suffering from herpes) that had not been getting correct treatment and nearly lost her eye:
http://pic10.picturetrail.com/VOL320/476350/1617042/18983347.jpg A trip to the opthamologist turned things around and saved her eye, which would have been lost otherwise. Another kitten in the same litter unfortunately was worse and did lose most of the vision in one eye.
One thing you can do long term is give your cat 250 mg of L-Lysine (get the powdered capsule form) mixed in with some canned food twice a day. Given long term it helps to stop the herpes virus from replicating which will minimize and sometimes completely eliminate flare-ups. Regardless, he needs to see an opthamologist, or at the very least a different vet that can offer appropriate treatment ASAP!
Megan
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"The only thing necessary for the triumph of evil is for good men to do nothing."
-Edmund Burke
Learn The TRUTH About Declawing http://www.stopdeclaw.com
Zuzu's Cats Photo Album: http://www.PictureTrail.com/zuzu22
"Concerning all acts of initiative (and creation), there is one elementary truth the ignorance of which kills countless ideas and splendid plans: that the moment one definitely commits oneself, then providence moves too. A whole stream of events issues from the decision, raising in one's favor all manner of unforeseen incidents, meetings and material assistance, which no man could have dreamt would have come his way."
- W.H. Murray
Sharon Talbert - 17 Feb 2004 20:53 GMT > One thing you can do long term is give your cat 250 mg of L-Lysine (get > the powdered capsule form) mixed in with some canned food twice a day. > Given long term it helps to stop the herpes virus from replicating which > will minimize and sometimes completely eliminate flare-ups. > Regardless, he needs to see an opthamologist, or at the very least a > different vet that can offer appropriate treatment ASAP! Megan, we get our L-Lysine from Costco in tablet at a fraction of the price and then crush it before adding it to a food or a treat. Helps the poor old pocket book. The anti-viral drops are expensive but they work, for the flare-ups. We have one guy in-house whose eyes are so horribly scarred from herpes that he has very little vision. We call him Googley.
I hope the OP gets the cat to an eye specialist soon.
Sharon Talbert Friends of Campus Cats
Phil P. - 13 Feb 2004 15:10 GMT > I have a positive neutered male cat who was squinting. The vet said he > has herpes in the eye. That there are lots of little ulcers and that it > is quite painful. The only thing he advised doing is lubricating the eye > with white petroleum w/mineral oil four times aday. Absurd! That's a prescription for disaster. Your cat might have ulcerative or deep keratitis - secondary to a herpesvirus infection - and probably needs a more aggressive therapeutic plan that includes an antiviral medication such as trifluridine (Viroptic) or idoxuridine (Herplex) (we've had better results with trifluridine q4-6h), antibiotics to control secondary infections and medication for pain management.
You need to seek a second opinion ***ASAP*** - ideally, by a veterinary ophthalmologist. If you don't live within traveling range of a`veterinary university hospital, go to http://www.acvim.org/Kittleson/search.htm and do a search for a Small Animal Diplomate/Specialist in your area. American College of Veterinary Internal Medicine Diplomates are about the best there is.
If you can't find an ACVIM specialist in your area, my second choice would be an ABVP Diplomate/Feline Specialist (American Board of Veterinary Practitioners).
go to http://www.abvp.com/diplosearch1.htm http://www.abvp.com/
Make no mistake, without immediate proper treatment, your cat could lose his eye or at the least his sight.
Please do not delay - or adopt the "wait and see" strategy. You need to seek a second opinion ***ASAP***
Best of luck.
Phil.
Yngver - 13 Feb 2004 17:59 GMT >Absurd! That's a prescription for disaster. Your cat might have ulcerative >or deep keratitis - secondary to a herpesvirus infection - and probably [quoted text clipped - 21 lines] >Please do not delay - or adopt the "wait and see" strategy. You need to >seek a second opinion ***ASAP*** I just want to chime in to note that even in human beings, herpes in the eye is very serious and can lead to blindness. My mother just went through a bout of this and her opthamalogists warned her how serious it was and that it takes a long time to get under control. She was using three different medications for a couple months, and it was a very gradual recovery.
You don't want to "wait and see", just as Phil warns. It needs serious treatment as soon as possible.
rescuerofcats@webtv.net - 14 Feb 2004 23:33 GMT Had to take Miracle back to the vet on Friday. He had a temp. of 106.1 which the vet thought was great since he said the antibiotics will work great. Again he said not to put anything else in his eyes and that we will know if this is caused by his leukemia in a couple of days. He is a little better today.
zuzu22@webtv.net - 15 Feb 2004 03:06 GMT Rescuer of cats wrote:
>Had to take Miracle back to the vet on >Friday. He had a temp. of 106.1 which the [quoted text clipped - 4 lines] >leukemia in a couple of days. He is a little >better today. You need to find a new vet now. A temp of 106 is *NOT* great! It's a dangerous temperature to have and the fact that he is telling you not to treat your cat's eye is malpractice. I am shocked that you have chosen to ignore the several knowledgeable replies you've received and instead are risking your cat's vision and health by listening to an obviously incompetent vet. If you care anything about this cat get it to a different vet right away and get it the treatment it should have. To ignore the eye issue and allow your cat to be stay in pain and untreated is neglectful and abusive.
Megan
 Signature
"The only thing necessary for the triumph of evil is for good men to do nothing."
-Edmund Burke
Learn The TRUTH About Declawing http://www.stopdeclaw.com
Zuzu's Cats Photo Album: http://www.PictureTrail.com/zuzu22
"Concerning all acts of initiative (and creation), there is one elementary truth the ignorance of which kills countless ideas and splendid plans: that the moment one definitely commits oneself, then providence moves too. A whole stream of events issues from the decision, raising in one's favor all manner of unforeseen incidents, meetings and material assistance, which no man could have dreamt would have come his way."
- W.H. Murray
MaryL - 15 Feb 2004 04:04 GMT > Had to take Miracle back to the vet on Friday. He had a temp. of 106.1 > which the vet thought was great since he said the antibiotics will work > great. Again he said not to put anything else in his eyes and that we > will know if this is caused by his leukemia in a couple of days. He is a > little better today. How could your vet possibly think that a temperature of 106+ is "great"? The normal temperature for a cat ranges from approximately 100.5 to 102.5 degrees fahrenheit. Some references list a different range, but the acceptable difference from these numbers is very slight. *None* show anything *near* 106 as being "acceptable" (let alone "great"). Take a look at these sites for information concerning "normal" temperature: http://ask.yahoo.com/ask/20011116.html http://petplace.compuserve.com/articles/artShow.asp?artID=2911 http://petplace.netscape.com/articles/artShow.asp?artID=2686
Please see another vet ASAP for a second opinion. My wonderful cat Duffy is blind, and has been blind from birth. I would do anything if I could do something to give him sight, and you are in a position where delay could *cost* your cat his sight. If possible, see a veterinary ophthalmologist, but at the very least get to a competent vet. PLEASE DO NOT DELAY.
MaryL (take out the litter to reply)
Photos of Duffy and Holly: >'o'< http://tinyurl.com/8y54 (Introducing Duffy to Holly) http://tinyurl.com/8y56 (Duffy and Holly "settle in")
Phil P. - 15 Feb 2004 11:11 GMT > Had to take Miracle back to the vet on Friday. He had a temp. of 106.1 > which the vet thought was great How can you call yourself "rescuer of cats" without knowing the very basics? 106.1 is almost critical!
This is the *second* absurd statement you say your vet made... which I find very, very hard to believe. I cannot fathom even the worst of vets saying 106.1* was "great".... So I think either you're a troll or an idiot too utterly stupid to be entrusted with a cat's life.... I'm leaning toward the former...
In the unlikely event that you actually did manage to find the most incompetent vet on the planet, you now have more than enough reason to take your cat to another vet... before the cat goes blind or dies.... which would be *your* fault since you've already been warned by more than one person.
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