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Savannah Blood range/levels

Cathy Muela

Savannah Super Cat
Yes - that was my initial thought ....It started the night of 2/29/16 - We had just returned from his 2nd vet visit (this all started on 2/23) on this visit the used gas to sedate him and get an Xray of his abdomen area - we had originally thought he digested a toy or something since he had been fine that morning (and he thinks he is a dog - chews everything - rugs, furniture - shoes if you leave them out ) - I will post the log I have been keeping maybe this may help see a pattern -
 

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Patti

Admin
Staff member
Pentoxifilyn (Trental) is used in humans to treat peripheral artery disease because it acts as a 'blood thinner', that is it decreases the viscosity of blood. After doing a quick Internet search it looks like it has been used in dogs to treat dermatitis, but I don't think that is Mungus' problem (although it may be of benefit for his HCM as it could decrease his chances of forming blood clots that can occur because the heart isn't pumping as efficiently as it should).

Did the doc tell you why she suspects FIP? What were the biopsy results?
 

Cathy Muela

Savannah Super Cat
Pentoxifilyn (Trental) is used in humans to treat peripheral artery disease because it acts as a 'blood thinner', that is it decreases the viscosity of blood. After doing a quick Internet search it looks like it has been used in dogs to treat dermatitis, but I don't think that is Mungus' problem (although it may be of benefit for his HCM as it could decrease his chances of forming blood clots that can occur because the heart isn't pumping as efficiently as it should).

Did the doc tell you why she suspects FIP? What were the biopsy results?


Here is the Cytology report - they said it was NOT cancer - other than that they just said POSSIBLE FIP

Pathological Findings – Cytology

Diagnosis

Pancreas: Moderate, mixed inflammation with low-grade chronic active hemorrhage, see comment

Spleen: Moderate pyogranulomatous inflammation with necrosis

Comments

Although a well differentiated pancreatic carcinoma cannot be definitively ruled out, it is not suspected; rather, epithelial reactivity and or hyperplasia is suspected. Also present in the liver and spleen is an abundant amount of mixed to pyogranulomatous inflammation.
Although this inflammatory infiltrate is somewhat nonspecific, this infiltrate with the history of hyperglobulinemia of 9.0 g/dL warrants a suspicion of FIP. Upon request, slides can be sent to Auburn University for coronavirus PCR (although this test will still not give definitive results). Biopsy/histopathology may also help confirm/ruleout this differential.

Microscopic Description

Pancreas: The slides from the pancreas of Mungus are moderately to highly cellular and consist of a relatively small amount of peripheral blood, a lightly proteinaceous background, and a heterogeneous nucleated cell population that consist of numerous small clusters of pancreatic epithelial cells, surrounded by numerous macrophages, neutrophils, and occasional eosinophils. These pancreatic epithelial cells appear fairly uniform, however these clusters are mildly disorganized with a mildly increased nuclear density. Anisokaryosis is minimal; nuclear chromatin is densely clumped with rare visible nucleoli. Macrophages occasionally contain intact red blood cells and a small to moderate amount of globular material suggestive of hemosiderin. No microorganisms found after thorough search.

Spleen: The slides from the spleen are lightly to highly cellular and consist of a large amount of cellular debris consistent with necrosis with occasional aggregates of splenic stroma surrounded by numerous poorly preserved neutrophils, macrophages, with fewer small mature lymphocytes and plasma cells. No microorganisms found. Leukophagocytosis is occasionally noted.
 

admin

Paige
Staff member
Doesn't look or sound like FIP to me... Sounds more like pancreatitis. If they have done bloodwork, what was the A/G ratio? Is he doing any better?


Sent from my iPhone using Tapatalk
 

Cathy Muela

Savannah Super Cat
AG ratio was low 0.3. Does that match up with pancreatitis? The oncologist said his pancreas looked round
He is doing better every day the itchiness is the only thing and it comes less frequent now and shorter. He gets over it in less than a minute and he did not go in the closet once today- He was back to following me around the house today I should post a video of him in play mode so you can see him in action - I sure hope it's not FIP. I do feel like he could eat more but he had 2 small cans and 1/2 bag of treats - sneaky he took them when I wasn't looking- drank water.
 

admin

Paige
Staff member
As for FIP, I really highly doubt it. Sounds like he is doing much better, which does not go along with an FIP diagnosis. You would likely need a FCOV (corona virus PCR) along with the A/G ratio as well as fluid drawn from abdomen and analyzed...I would leave him alone unless he is getting worse.
 

Patti

Admin
Staff member
The low A/G ratio can be suggestive of FIP but I don't see much else in these biopsies that suggest it. The report is somewhat frustrating (as path reports typically are) as it states the what is seen but with no explanation of why. Pyogranulomatous inflammation of the spleen is more consistent with an infection (as are the macrophages, neutrophils, and eosinophils seen in the pancreas) and I believe can lead to splenic infarct and necrosis.

It is really unusual for a cat with FIP to show significant improvement in his symptoms so I have a low suspicion for FIP at this point in time. I am keeping my fingers crossed that Mungus will continue to improve, and whatever caused this has run its course and is now resolved.
 

Cathy Muela

Savannah Super Cat
I'm so thankful I found this site! I've gained more info from your posts and reading others- If his eating gets stronger then they want to start on the heart meds. I'm a little stressed on having to medicate him and praying these pill pockets will be the lifesaver- if anyone has any other tricks please share - I'd love to hear!!
 

Rafiki

Site Supporter
Have you been giving him pill pockets as treats? If not, try to start now. I had to give Rafiki up to 5 pills a day for a few months and those pill pockets were a life saver. Unfortunately some of her meds were split pills that were bitter and she tasted the meds. I have not been able to use pill poppers since November but fortunately she now only takes 1 pill per day. I use a pill shooter that I got at the vet's office. You might want to see if he will eat soft cheese as a treat as that can be used to hide the pills as well.
 

Patti

Admin
Staff member
What heart meds do they want to start him on? Most medications can be compounded into a tasty liquid that you can either give straight or mix in with a bit of wet or ground raw food.
 
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