Dr Adriana Moise
CASE PRESENTATION
- MOISE ADRIANA
TAZY-VET, BUCHAREST
SIGNALMENT AND HISTORY
- FEMALE CAT , 2 YEARS OLD WAS PRESENTED FOR A CLINICAL EXAMINATION WITH HYPERSALIVATION , HALITOSIS, LACK OF APPETITE FOR PROCESSED DRY FOOD
CLINICAL FINDINGS
-THE CAT HAD NORMOTHERMIA AND A NORMAL BODY WEIGHT
-AT PHYSICAL EXAMINATION SHE PRESENTED ULCERATIVE LESIONS IN ORAL CAVITY, LOCALISED ON GINGIVAL MUCOSA, INFLAMATION ON PALATOGLOSSAL FOLDS AND PHARYNGEAL WALLS
-EDEMA WAS PRESENTED AND LOCAL LYMPHNODES WERE REACTIVE TOO
photo 1
photo 2
LESIONS WERE PRESENTED BILATERAL ( photo 1,2)
DIFFERENTIAL DIAGNOSTIC
-FELINE LYMPHOPLASMACYTIC GINGIVITIS-STOMATITIS COMPLEX
-FELINE CALICIVIRUS INFECTION
-FELINE HERPESVIRUS INFECTION
-FeLV-FIV
-FELINE EOSINOFILIC SINDROME
-NEOPLASIA
FURTHER INVESTIGATIONS
-FELINE CALICIVIRUS Ac –NEGATIVE
-FELINE IMMUNODEFICIENCY – FIV Ac-ELISA –NEGATIVE
-FELINE LEUCHEMIA –FELV Ag-ELISA – NEGATIVE
-THE CORONAVIRUS Ac TITRE – INCREASE
-CITOLOGY FROM IMPRESSION SMEAR – INCREASE NUMBER OF BACTERIA AND NUMEROUS ACTIVE INFLAMATORY CELLS
BLOOD TEST (BIOCHEMISTRY) WAS NORMAL
-HEMATOLOGY REVEALS LYMPHOCYTOSIS
-CYTOLOGY AND HYSTOPATOLOGIC EXAM CONFIRMED THE DIAGNOSTIC – FELINE LYMPHOPLASMACYTIC GINGIVITIS STOMATITIS COMPLEX
DIAGNOSTIC
FELINE LYMPHOPLASMACYTIC GINGIVITIS STOMATITIS COMPLEX
TREATMENT
UNTIL WE GOT THE RESULTS THE OWNER BEGINS TO TREAT THE CAT WITH
-STOMODINE GEL TWISE A DAY, 14 DAYS
-CEFA CURE 20MG/KG/DAY, 10 DAYS
-SYNBIOTIC D-C 1CPS/DAY, 10 DAYS
-K9 IMMUNE SUPPORT CAT
-AFTER 10 DAYS OF TREATMENT THE INFLAMATION BEGAN TO REDUCE BUT THE ULCERS DO NOT HAVE THE TENDANCE OF HEALING
AFTER WE GOT THE DIAGNOSTIC THE CAT GETS THE FURTHER TREATMENT
-PREDNISON 2MG/KG/DAY, 5 DAYS; THEN 1MG/KG/DAY , 5 DAYS FOLLOWEDBY EVERY OTHER DAY
-STOMODINE GEL TWICE A DAY LOCAL
-HONNEY WITH PROPOLIS LOCAL
WHEN SHE CAME FOR THE EVALUATION AFTER 5 DAYS OF TREATMENT WE SAW THAT THE LESIONS HAD A TENDANCE TO REDUCE, BUT AFTER ANOTHER 5 DAYS THE LESIONS WERE EXACTLY THE SAME AS THE BEGINNING
-WE DECIDED TO INTRODUCE CYCLOSPORINE IN THE TREATMENT
-CYCLOSPORIN 7MG/KG/DAY
-THE CAT IS PERMANENTLY MONITORIZED ; HLG IS MADE EVERY 2 WEEKS
-AFTER 2 WEEKS OF TREATMENT THE LOCAL INFLAMATION BEGINS TO REDUCE
-AFTER 1 MONTH OF TREATMENT THE LESIONS FROM ONE SIDE WERE HEALD
-THE CAT IS STILL UNDER TREATMENT
-THERE IS NO SIGN OF SECOND EFFECTS OF CYCLOSPORINE
