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Cat Forum / Health and Behavior / September 2007

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PING Phil - Really sick kitten

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Wendy - 29 Aug 2007 17:06 GMT
Sunday morning I went in to take care of my fosters and I noticed one of
them was just laying in the bottom of the playpen and there was a lot of
bloody diarrhea in the litter box and vomit on the towels. Her temperature
was so low that she felt cool to the touch. Her two sisters, who share the
playpen with her, were and still are fine. This kitty had been fine the day
and night before and in fact had spent Saturday at the store for the
adoption day. This is a kitten who is about 12 - 14 wks old. We were told
that she was born outside under someone's porch. She was 8 wks old + before
someone brought her inside and was being kept in an unfinished basement
until I had foster space open up here and brought her home.

I got the ok to take her to the emergency vet. They tested her for FIV, FeLV
and Parvo and all were negative. She had been wormed a couple of weeks ago
and had gotten her first distemper shot 2 weeks ago. They ran a fecal and it
came back negative. They wormed her again anyway. They did an ultrasound and
didn't see anything that would indicate a blockage or foreign body in the
digestive tract. They put her on IV fluids and antibiotics but were only
giving me a 50/50 chance that she'd make it.

Her blood work results showed
NEU (2.50 - 12.40) HI at 14.37
HCT (30 - 45) LOW at 19.8
RBC (5 - 10) LOW at 3.99
HGB (9 - 15.1) LOW at 7

PCV/TS/BG Test showed
PCV (37 - 55%) LOW at 34
TS (5.3 - 7.8 mg/dl) LOW at 5

Albumin (2.6 - 3.9 g/%) LOW at 1
ALT (12 - 130 IU) HI at 181
Creat (.8 - 2.4 mg/dL) LOW at .4
TP (5.7 - 8.9 g/dL) LOW at 3.8

Monday I picked her up at the emergency vet and transported her directly to
the regular vet who has been keeping her on IV fluids etc. since. She was
more energetic than when I took her to the emergency vet but that was
probably as a result of being kept hydrated. She was too wobbly to stand up
but was moving around and shifting position. Sad state of affairs when
that's an improvement from just laying there limp. When I spoke to the vet
yesterday she said that the kitten had been able to maintain body
temperature overnight without the heating pad and they didn't think she had
been vomiting but was still passing a lot of very bloody diarrhea (frank
blood). I called
this morning and they said that she still has diarrhea. I have to call back
this afternoon and try to speak with the vet to get more detail.

Other than indicating bleeding in the lower intestine I'm not sure what this
all means or what could be causing it.

Any ideas?

Wendy
Phil P. - 30 Aug 2007 16:16 GMT
> Sunday morning I went in to take care of my fosters and I noticed one of
> them was just laying in the bottom of the playpen and there was a lot of
[quoted text clipped - 29 lines]
> Creat (.8 - 2.4 mg/dL) LOW at .4
> TP (5.7 - 8.9 g/dL) LOW at 3.8

The bloodwork was done after the kitten was given fluids, right?

> Monday I picked her up at the emergency vet and transported her directly to
> the regular vet who has been keeping her on IV fluids etc. since. She was
[quoted text clipped - 13 lines]
>
> Any ideas?

Tell the vet to look for campylobacter in the feces- I know he did a fecal
for worms but he needs to use a gram stain or do a fecal culture on
campylobacter
blood agar plates for campy.

Keep me posted on this.

Good luck.

Phil
Wendy - 30 Aug 2007 21:32 GMT
Not sure if the blood work was done after fluids administered or not. I
would imagine so as they were having trouble getting any blood out of her
when she first got there.

They ended up sending her home last night. They said she was still quite
'pale'. She's on Flagyl. She still has a soft stool but no bleeding and no
vomiting. They want her to remain on I/D until the stool is back to normal
consistency.

The vet called this PM to see how she was doing and said they really have no
clue what caused all of this.

I have her separated from her sisters at the vets request. I guess I need to
have her by herself until she's back on regular food.

Wendy

>> Sunday morning I went in to take care of my fosters and I noticed one of
>> them was just laying in the bottom of the playpen and there was a lot of
[quoted text clipped - 74 lines]
>
> Phil
Phil P. - 01 Sep 2007 11:37 GMT
> Not sure if the blood work was done after fluids administered or not. I
> would imagine so as they were having trouble getting any blood out of her
[quoted text clipped - 7 lines]
> The vet called this PM to see how she was doing and said they really have no
> clue what caused all of this.

It certainly sounds like an infection caused by some bacteria- either campy
or E. coli  or even salmonella since she's a kitten.  Some vets are really
lazy- too lazy to perform a ssimple smear and culture.

> I have her separated from her sisters at the vets request. I guess I need to
> have her by herself until she's back on regular food.

Good idea- if she has a bacterial infection she's probably shedding bacteria
in her feces.

Phil

> Wendy
>
[quoted text clipped - 76 lines]
> >
> > Phil
 
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