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8-month-old Kitten with persistent pneumonia - ideas?

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pah41071@yahoo.com - 01 Mar 2006 14:13 GMT
A few months ago, I took in 50 cats from a hoarder. Most have been
placed, but among others I have one kitten left who came down with what
seemed to be a mild URI in mid January. He was put on Clavamox (10
days), which did not help. At this point, we decided to sedate and
check for polyps, none were found. We then started him on Clindamycin
(5 days). Still no improvement, so the vet switched him to Baytril (15
days) and I started nebulizing him twice a day with Baytril liquid (10
days). He is not getting better and is starting to show symptoms of
fatigue when running and playing due to his trouble breathing.
Yesterday he was x-rayed and confirmed with interstitial pneumonia. The
x-rays also show heart abnormalities. While I cannot afford to take him
to a specialist for an echocardiogram at this point, I would be willing
to see how things go if we could only get a handle on the pneumonia,
but am wondering whether the two things are actually related. Any
thoughts or advice appreciated!
Gail - 01 Mar 2006 14:27 GMT
Was he checked for feline leukemia and FIV?
Gail
>A few months ago, I took in 50 cats from a hoarder. Most have been
> placed, but among others I have one kitten left who came down with what
[quoted text clipped - 11 lines]
> but am wondering whether the two things are actually related. Any
> thoughts or advice appreciated!
pah41071@yahoo.com - 01 Mar 2006 17:33 GMT
> Was he checked for feline leukemia and FIV?

Yes, he tested negative on the combo test. And he has a negative
coronavirus titer, so it's not FIP either.

Petra
Phil P. - 02 Mar 2006 07:17 GMT
> A few months ago, I took in 50 cats from a hoarder. Most have been
> placed, but among others I have one kitten left who came down with what
[quoted text clipped - 11 lines]
> but am wondering whether the two things are actually related. Any
> thoughts or advice appreciated!

Has anyone mentioned a transtracheal wash and culture to try to identify the
pathogen?  It sounds like an antibiotic-resistant strain of pseudomonas.
Have you tried azithromycin (Zithromax)?

Best of luck,

Phil
-L. - 02 Mar 2006 08:23 GMT
> Has anyone mentioned a transtracheal wash and culture to try to identify the
> pathogen?  It sounds like an antibiotic-resistant strain of pseudomonas.
[quoted text clipped - 3 lines]
>
> Phil

I have also seen Cryptococcus cause pneumonia in a kitten before.
Whatever it is definitely needs to be cultured to see if it is
culturable.

-L.
pah41071@yahoo.com - 02 Mar 2006 13:24 GMT
> > A few months ago, I took in 50 cats from a hoarder. Most have been
> > placed, but among others I have one kitten left who came down with what
[quoted text clipped - 15 lines]
> pathogen?  It sounds like an antibiotic-resistant strain of pseudomonas.
> Have you tried azithromycin (Zithromax)?

Thanks Phil - I talked to my vet yesterday after I had read some older
recommendations for azithromycin, and picked up a prescription last
night. It certainly won't hurt to try it, though he is still guarded
with a prognosis as he thinks that the size of his heart may be
causing/aggravating the pneumonia, as it seems to be compressing his
lungs.
 
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