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Outpatient care is standard, with antifungal medication being given to combat the infection, but if your cat is showing symptoms of nervous system impairment your veterinarian will most likely recommend inpatient care until your cat's health stabilizes.
Surgery may be recommended if your cat has nodular (granulomatous) masses in its nose and/or throat; removal of these masses will alleviate breathing difficulties.
Your veterinarian will need to monitor liver enzymes monthly while your cat is receiving antifungal drugs. An improvement in clinical signs, a resolution of lesions, a general improvement in well being, and a return of appetite will measure your cat's response to treatment.
The anticipated duration of treatment is three months to one year; patients with central nervous system disease may require lifelong maintenance treatment. Cats that are also infected with the feline leukemia virus (FeLV), or feline immunodeficiency virus (FIV) will have a worse prognosis for recovery.
Your veterinarian will measure the presence of antigens of Cryptococcus every two months, and up until six months after completion of treatment (or until the antigen is no longer detectable). If your cat is able to maintain low titers -- the amount of medicine or antibodies found in the blood -- for several months after all signs of disease have resolved, the treatment will continue for at least three months. If titers suddenly rise after treatment, therapy will be resumed.
A medical condition in which the meninges becomes inflamed
The prediction of a disease’s outcome in advance
Something that is related to the whole body and not just one particular part or organ
Small structures that filter out the lymph and store lymphocytes
The digestive tract containing the stomach and intestine
The process of removing tissue to examine it, usually for medical reasons.
The feces of an animal
Any substance or item that the body of an animal would regard as strange or unwanted; a foreign disease or virus in the body (toxin, etc.)
An increase in the number of bad white blood cells