Hello, Our FELV positive neutered male cat approximately 1 and ½ years old has
gotten very sick suddenly. He is a house cat, and he was neutered in May of
2019. Would you please let us know what we can do to help our much-loved cat?
A few days ago, he became lethargic and lost interest in eating. We had his
blood drawn yesterday and he had iv fluids yesterday, and today we were told he
needed a blood transfusion (or two) and more iv fluids, and then a bone marrow
test tomorrow. We were told that the first blood transfusion today was not
very effective because he got so many iv fluids at the same time, so now they
are going to give him another transfusion. As background, we rescued him as a
stray from Barbados in October 2018 when he was about 6 months old, and he has
been healthy, active, happy and gaining weight, despite being FELV positive.
Since October 2018, we cured him of giardia and bartonella henselae. On
12/31/2018, he tested positive for the ELISA and IFA, although his blood work
was in normal ranges at that time. In 03/2019, we started giving him 1 t-cyte
shot once per month, and we started giving him 1ml of interferon per days for 7
days on and then 7 days off, repeated. We have continued the interferon and
t-cyte in this manner ever since 03/2019. Just yesterday, here are the results
of his blood work:
Tests Results Ref. Range
Units
Total Protein 6.1 5.2- 8.8
g/dL
Albumin 3.5 2.5- 3.9
g/dl
Globulin 2.6 2.3- 5.3
g/dL
A/G Rat io 1.3 0.35- 1.5
AST (SGOT) 106 (HIGH) 10-100
IU/L
ALT (SGPT) 39 10- 100
IU/L
Alk Phosphatase 40 6- 102
IU/L
GGT 1 1- 10
IU/L
Total Bilirubin 0.1 0.1- 0.4
mg/dL
BUN 15 14- 36
mg/dl
Creatinine 0.9 0.6- 2.4
mg/dl
BUN/Creatinine Ratio 17 4-33
Phosphorus 4.4 2.4- 8.2
mg/dl
Glucose 178 (HIGH) 64
- 170 mg/dL
Calcium 9.3 8.2- 10 .8
m g/dL
Magnesium 2.0 1.5- 2.5
mEq/L
Sodium 153 145-158
mEq/L
Potassium 4.6 3.4- 5.6
mEq/L
NAIK Ratio 33 32-41
Chloride 121 104-128
mEq/L
Cholesterol 94 75- 220
mg/dl
Triglyceride 108 25-160
mg/dl
Amylase 611 100-1200
IU/L
PrecisionPSL(tm) 10 8- 26
U/L Acute pancrea titis is unlikely. Chronic pancreatitis is not
excluded
by a norm al PrecisionPSL(tm).
CPK 711 (HIGH) 56-529 IU/L
WBC 20.5 (HIGH) 3.5- 16.0
10'/µL
Corrected for NRBCs
ABC 2.5 (LOW) 5.92-9.93
10°/µ L
HGB 4.5 (LOW) 9.3- 15 .9
g/dL
HCT 29-48
% '
The hematocrit in th 27. (Normal range 29-48). A recent study has indicated
that >23% of anemic cats are infected with one or more species of hemoplasma
and several studies confirm that PCR is significantly more sensitive in
detecting hemoplasma.
MCV 57 37-61
fl
MCH 18.2 11-21
pg
MCHC 32 30-38
g/dl
Poikilocytosis Slight
NRBC 9(HIGH) 0-1
/100 WBC
Blood Parasites None Seen RBC Comment
Rouleaux Moderate
Platelet Count 78 (LOW) 200-500
10'/µL
Platelet count reflects the minimum number due to platelet clumping.
Platelet Estimate Adequate
Differential Absolute o/o
Neutrophils (LOW) 1640 8 2500 - 8500
/µL
Bands 0
Lymphocytes (HIGH) 17630 86 1200 - 8000
/µL
Monocytes (HIGH) 1025 5 0-600 /µ L
Eosinophils 0 0 0-1000
/µ L
Basophils (HIGH) 205 1 0- 150
/µL
FREE T4 BY EQU ILIBRIUM D IALYS IS (Pending)
UR INALYSIS- C OMPL ETE
Collection Method Cystocentesis
0.8- 4.0 µ g/dl
Color Appearance Spec ific Gravity pH
DARK YELLOW TURBID
1.056 1.015- 1.060
7.0 5.5- 7.0
Protein
2+ (HIGH)
NEGATIVE
Urine protein:creatini ne ratio testing is recommended (if the sediment is
inactive) to he lp determine the clinical significance of proteinuria.
Glucose-Strip
NEGATIVE
NEGATIVE
Ketones
NEGATIVE
NEGATIVE
Bilirubin
NEGATIVE
NEGATIVE
Occult Blood
NEGATIVE
NEGATIVE
WBC
NONE
0-3
HPF
RBC
NONE
0-3
HPF
Casts
NONE SEEN
Hyaline 0-3
LPF
Crystals
NONE SEEN
HPF
Bacteria Epithelial Cells
NONE SEEN NONE SEEN
None Seen
HPF HPF
Fat Droplets
>50
HPF
RETICULOCYTE COUNT REFLEX
Reticulocyte Total Abso lute Ret iculocytes
0.6 0-1 %
15000 <45,000 JµL
Would you please let us know what we can do to help our cat?
Thank you, Wendy
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