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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Feline Distemper (Panleukopenia): Part 2

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March 07, 2012 / (18) comments


If you didn’t catch yesterday’s discussion about feline distemper/parvovirus/panleukopenia, go back and read that post before starting this one so you don’t have the feeling that you’re only getting half of the story.

 

 

Okay, now on to what the virus that causes panleukopenia does to a cat’s body.

The virus attacks rapidly dividing cells, primarily in the bone marrow and lining of the intestinal tract. This is a double whammy for infected cats. They can’t make the white blood cells necessary to fight off infection at a time when the protective barrier between the bloodstream and the bacteria that live in the intestines is compromised. Secondary bacterial infections that often originate from the intestinal tract and dehydration as a result of profuse vomiting and diarrhea are responsible for most panleukopenia deaths. Even with aggressive treatment (e.g., fluid therapy, antibiotics, anti-nausea medications, and blood or plasma transfusions), most cats with the disease cannot be saved. Panleukopenia is even more deadly than its close relative, canine parvovirus

A unique form of panleukopenia develops when kittens are infected while still in utero. When a queen is infected early in her pregnancy, she aborts the fetuses. Later in the gestation period, however, the virus attacks the kitten’s developing cerebellum, the part of the brain that coordinates movement and balance. Affected kittens are born with what is known as cerebellar hypoplasia (incomplete development of the cerebellum). They walk unsteadily and have tremors whenever they focus on a specific task. Their condition might improve a little as they learn to adapt, but they will never be "normal."

Yesterday, I talked about how little canine distemper and feline distemper (i.e., panleukopenia) actually have in common, but the two diseases do share a at least one similarity — preventative vaccination is highly effective. In general, kittens should be vaccinated for panleukopenia every three or four weeks between the age of seven or eight weeks and sixteen weeks of age, and then boosted at their first annual checkup. From then on, revaccination every three years should be sufficient to maintain adequate immunity.

Panleukopenia vaccines (usually combined with herpes virus and calicivirus and called a FVRCP or distemper vaccine) have not been linked to vaccine-associated sarcomas, but for owners who want the most infrequent vaccination schedule possible, vaccine titers are available. Once the three year revaccination date has been reached, an adult cat’s panleukopenia antibody levels can be tested annually by drawing a blood sample and sending it off to a lab that runs vaccine titers. If antibody levels are sufficient, a booster is not needed that year, but once titers fall to the point where protective immunity is questionable, revaccination is recommended.

So that’s it — panleukopenia/feline distemper in a nutshell.

Okay, a big, two-day post may not exactly be a "nutshell," but it’s a pretty interesting topic, yes?

 

 

 

Dr. Jennifer Coates

 

 

Image: Charlie by Lori Horwedel  / via Flickr

 

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COMMENTS (18)
1
Excellent Information
by TheOldBroad on 03/07/2012 07:19am

Thank you, Dr. Coates! Feline Distemper is very, very scary and very, very preventable.

My next question is about the FVRCP vax. It's my understanding that it hasn't changed in years and that the diseases it's meant to prevent have mutated in that time. Is the FVRCP vax as effective as it was 20 or 30 years ago?

by Dr. Jennifer Coates on 03/08/2012 09:57am

Yes, thankfully it is still extremely effective.

2
Treating panleuk
by 50kittens on 03/07/2012 09:49am

We just successfully treated a kitten with panleuk using sub-q fluids, antinausea meds, antibiotics, and syringe feeding. He had received one dose of killed vaccine at the rural shelter where he came from--clearly not much protection from infection, but perhaps kept his illness from being worse than it was. He's spent the last several days making up for lost time at the food dish...he put on a pound in less than a week! Seven other (younger) kittens from the same shelter were not so lucky.

by Nancy Bernacchi on 05/31/2012 03:05pm

Hi. I see your kitty recently survived disptemper. How old was your kitten? I have 4 foster kittens right now that appear to have gotten really sick after their first vaccination. Were also spayed/neutered and dewormed on the same day. They were fine for 2-3 days, then got sick. Not sure they have distemper, but symptoms are similar and I'm worried I'll lose them after I trapped them and a month of fostering! I've taken them to 3 vets, including two ER and they appeared to be on the mend until today, all 4 throwing up again! None of the vets could tell me what this is! If they're fighting distemper...how long did yours take to survive? Mine are 2ish pounds, 8-9 weeks, and were totally healthy until this. Hoping we can beat it with the meds I have and fluid injections, but not sure I can keep this up. These fosters are expensive and I just want to know how long it takes to beat this! Or any thoughts on what else it could be? Good news is, even though they are vomiting, they aren't lethargic. Lower than normal appetite and sleeping alot, but when they're up and playing, they seem normal...

by 50kittens on 05/31/2012 05:03pm

Nancy, the kitten we had (Groundhog) was older--closer to 3 pounds; however, we've had 2 pounders survive diarrhea/vomiting combo, but it takes a few days of effort. Do your kittens have diarrhea on top of the vomiting? If that's the case, sub-q fluids are even more important. Are your kittens still eating? Ours was not, so we syringe-fed him slurry. He was very lethargic and clearly sick. He turned the corner in about 4 days. We've also given Cerenia injections, which we've found to be very helpful for nausea/vomiting. If yours are still active and eating and it's only vomiting, my guess is that it might be something other than distemper--virus? Or perhaps their one vaccine has resulted in a milder illness. From the sound of it, I would guess they will pull through. You can check out Groundhog's course of illness on our blog: www.50kittens.com. Good luck!

by Nancy Bernacchi on 05/31/2012 05:15pm

Thanks! They had loose stools and a little diarrhea, but are taking metronidizole now, so their poops are becoming more normal. After talking to a vet just now, was warned they can be seemingly fine, then suddenly die. So a friend is checking on them while I'm at work. They're still alive :) They're eating, but there was still some vomit evidence, so she's waiting to see how this meal goes down. Purring and playing too. The doc is going to test one for distemper so we can hopefully rule that out. Also taking all in tonight for fluids. She said she'd teach me to give them fluids, but the kittens are still feral (the purring is a new development, that will likely stop when I torture them further with another vet visit), so not sure I can pull it off. And we're on day 5 for one and day 4 for the others, so hoping whatever it is starts to clear up soon. Have you had to treat for longer than 5-7 days? I'll check out your site too. Thanks!

by 50kittens on 05/31/2012 05:57pm

We have treated for longer than 5-7 days, but usually more for persistent diarrhea than the combo. Metronidazole usually does a great job with diarrhea. We also put pumpkin in their wet food to help firm up stools. Learning to do sub-q fluids is easy and can be an absolute life-saver, especially in the smallest kittens. See if you can get the vet to give them Cerenia injections. It's stressful, but we've rarely lost foster kittens to GI stuff using meds/fluids/syringe-feeding. URIs are another story. I hope they turn the corner soon for you. And purring is a great sign!

by Nancy Bernacchi on 05/31/2012 06:13pm

Thank you so much! Reading your blog is really helpful. I'm glad I found you! They did all have URIs too, but not really very symptomatic. They were treated for those in early May. 1 week of antibiotics. Then total health from May 16 - May 25, when they were spayed/neutered/dewormed, etc. I'm learning fluids tonight at the vet. Another visit. Not sure how you guys afford all your kittens. These 4 have cost me over $700 plus another couple hundred I'll incur tonight. Don't get me wrong, it's worth it, but there's no way I can take in another litter for a while. Not to mention the stress on my two 3 year old cats. Hoping they don't get this!!! And if they test positive for panleukopenia (although I'm less worried about that right now), I have to take them in for boosters! Speaking of which, and I'm sorry to bother you but you're being so kind and responsive. My cats were last vaccinated for distemper on Oct 6 2010. According to this article, that's fine, right? I'll still take them in for a booster, but am now worried about my own pets.

by 50kittens on 05/31/2012 09:34pm

Our rescue group pays for most meds and vet care. We pay for everything else. They get most of their meds online. I wouldn't worry about your own cats. Adult cats are much less susceptible to panleuk, and I assume you keep them separate from the fosters anyway. We keep our own cats updated on their vaccines, but we never worry about passing stuff back and forth. Feel free to contact me directly via our email address on the blog. Glad you found it helpful. We feel that fosters have a lot of good info to share with each other!

3
? re panleuk vaccines
by Transplanted Texan on 03/07/2012 10:49am

If all my cats are indoor and received the age- appropriate panleuk vaccinations as kittens and at 3 years of age, if they4 never meet other cats, and there are no foster cats/kittens in the house, do they still need to be vaccinated every 3 years?

by Dr. Jennifer Coates on 03/08/2012 10:03am

My recommendation is typically "yes" under similar circumstances because the virus can enter your home on your shoes, you never know when a cat may sneak out a door, and the vax isn't associated with vaccine associated sarcomas, but you should talk to your vet about your specific situation.

4
Vax at/after age 16 wks
by dhengel on 03/07/2012 11:36am

Dr. Coates,

Around Easter last year, our rescue lost 6 kittens over a 2 week period to panleuk. None of them had had a vaccination over the age of 12 weeks, although they had had vaccines. Our primary vet is telling us to make sure that any cats/kits in the program get at least one FVRCP (or FVRCCP) vaccination at 16 weeks or older, since everyone's starting to realize that maternal antibodies aren't always gone by 12 weeks. Believe me, I am not questioning him, I am just stating this, b/c your message says:

----------------
In general, kittens should be vaccinated for panleukopenia every three or four weeks between the age of seven or eight weeks and sixteen weeks of age, and then boosted at their first annual checkup. From then on, revaccination every three years should be sufficient to maintain adequate immunity.
----------------

With the way it's written, if someone vaccinates at 7 weeks, then every 3 weeks, you get vaccinations at 7wk, 10wk, 13wk, and (theoretically) 16wks. With 8 weeks at every 3 weeks, you get 8w, 11w, 14, then may not get a 17wks.

But I know folks who don't think kittens should get 4 kitten vaccinations. So would it be safer to state that a kitten should get their last vaccination in the kitten series at or after the age of 16 weeks?

I lost 2 of the 6 kittens to panleuk. I was lucky that all the cats they had been near were adults with a full series as kittens and boosters every couple of years. The other 4 kittens that were lost were in a different foster home that does a *lot* of kittens.

One of the two started showing obvious ssx on a Sunday afternoon. Vomiting, diarrhea, lethargy, lack of appetite, etc. On Monday AM (noting that we weren't sure what it is, as I had never seen panleuk in 10+ years of doing cat rescue), I called the vet, setup to take her in, walked in to check on her (a second time) and in the 30 min between me checking on her before calling the vet and me coming back into the room, she'd died.

The second started showing obvious ssx late Monday and was euthed Tues AM.

For those who have never had to deal with it, I hope you never have to. It's horrendous. I've had to explain over and over to folks who want me to take in their cats that I couldn't take in *anything* under the age of 18 weeks and at 18 weeks, they had to have had an MLV at 16 weeks. Ideally it not being the *only* time they were vaccinated.

I've only done a small handful of fosters in the past year, because of the panleuk last year. I wouldn't do that to the cats.

Thanks for giving folks more info on this.

by Dr. Jennifer Coates on 03/08/2012 10:07am

You make a good point. I do recommend a 4th booster when kittens start their series on the early side and come in every 3 weeks. I like to give the last "distemper" vaccine at the same time as rabies, which can't be given until 16 weeks of age or older.

by dhengel on 03/08/2012 12:15pm

In Texas, rabies vaccinations can be given as early as 12 weeks, with rescue animals being required to have it by 16 weeks. So sometimes getting an FVRCP/FVRCCP vaccination at or after 16 weeks involves a completely extra vet visit. And you may or may not be able to get a new owner to get another vaccination if the kit being adopted already has the rabies vaccination.

5
Oral vax
by CathyA on 03/10/2012 09:17am

Do you have an opinion on oral vax for this malady, versus injection?

by Dr. Jennifer Coates on 03/11/2012 10:02am

You are probably referring to the intranasal/ocular product - I don't know of an oral vaccine for panleuk. I used the intranasal/ocular vax for panleuk/herpes/calici at one point but found that a significant number of cats developed squinting, ocular discharge, and sneezing. The all returned to normal over the course of a week or two, but these side effects were bad enough for me to decide against using that vaccine in the futuer. Plus, the injectable form is so effective (and not associated with sarcomas) that I didn't really see the benefit.

6
intranasal/ocular product
by CathyA on 03/11/2012 11:06am

Yes, sorry not oral! I didn't have that problem in my household. A little sneezing and that's all. I used Feline Focus.

I am interested in the efficacy of these non-injectibles for panleukopenia though, if you have any opinion.

The main reason I do not seek out the injectibles is because around where I live they always included feline leukemia vaccine in combo and I did not want to do that.

7
Sick Kittens
by Nancy Bernacchi on 05/31/2012 03:11pm

I have 4 foster kittens right now that appear to have gotten really sick after their first vaccination. Were also spayed/neutered and dewormed on the same day. They were fine for 2-3 days, then got sick. Not sure they have distemper, but symptoms are similar and I'm worried I'll lose them after I trapped them and a month of fostering! I've taken them to 3 vets, including two ER and they appeared to be on the mend until today, all 4 throwing up again! None of the vets could tell me what this is! If they're fighting distemper...how long will it take to run its course? Mine are 2ish pounds, 8-9 weeks, and were totally healthy until this. Hoping we can beat it with the meds I have (metronidizole) and will force feed them if it gets to that...and take them in for fluids if I need to. But not sure how long I can keep this up. These fosters are expensive and I just want to know how long it takes to beat this! Or any thoughts on what else it could be? Good news is, even though they are vomiting, they aren't lethargic. Lower than normal appetite and sleeping alot, but when they're up and playing, they seem normal...

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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