Thursday 16 January 2020

Tank

Dry FIP

Here's a story i was sent about a Bengal calked Tank who had dry FIP. He was treated with Polyprenyl immunostimulant PI. Best Therapy option back in the days before GS 441524 I guess i never published it as i was waiting to see the outcome.

His blood work indicated liver damage with high globulins, his A/G ratio was 0.5, his ALT and bilirubin were high and he was borderline low I took him to a specialist for an ultrasound, liver biopsy, fine needle aspirate of some excess fluids in his abdomen (the internist said it was more "free floating abdominal fluids then you normally see in a kitten), second blood chemistry panel. The results were liver inflammation, fluids consistent with what you would find in FIP (high protein, high neutrophils, etc.), his A/G ratio had gone down, his liver biopsy rules out copper storage disease, his toxo test came back negative. So for all intents and purposes, there is no other disease that this could be. 
I had already put him on 3 times weekly PI (Feb. 22 after his first vet visit) and then upped it to daily based on a conversation I had with Dr. Sass who said when it's really bad - use it daily. I thought this deserved daily treatment I added Denamarin which supposedly prevents further cell damage to the liver and helps the liver heal itself. Then he also was put on Clindamycin for one month - just in case the toxo test produced a false negative, but given the extremely slow recover - it's fair to say it's not toxo. In toxo upon administration of Clindamycin, the recovery is dramatic.

 March 26

Thought that I'd post an update on Tank. He's been on daily PI for about nine days now. He's been on Denamarin (liver support supplement) for four days and on Clindamycin for nine days as well. He has gained 1/2 lbs in the last five days. He's gone back to grooming himself, eats like a horse and is back to wrecking my house as a "normal" Bengal kitten should. Cautiously optimistic that perhaps his FIP is going into remission. Blood work again in three weeks

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