Bacterial Meningitis and other Nervous System Infections in Cats
The system of membranes which envelops the cat's central nervous system is called the meninges. If this system becomes inflamed, it is referred to as meningitis. Meningoencephalitis, meanwhile, is the inflammation of the meninges and brain, and meningomyelitis is the inflammation of the meninges and spinal cord.
Inflammation of meninges commonly leads to secondary inflammation of the brain and/or spinal cord, resulting in various neurological complications. Long-term inflammation can also obstruct the flow of cerebrospinal fluid (CSF) -- the protective and nourishing fluid that circulates around the brain and spinal cord -- which leads to accumulation of CSF in the brain and thus severe complications such as seizures and paresis.
Symptoms and Types
Neurological symptoms often associated with meningitis, meningoencephalitis, and meningomyelitis such as impaired movement, altered mental state, and seizures, may be profound and progressive. Other symptoms generally seen in cats suffering from one of these conditions include:
- Low blood pressure
- Abnormal increase in sensitivity to various stimuli (hyperesthesia)
The most common cause of meningitis is a bacterial infection in the brain and/or spinal cord originating from elsewhere in the body. Meningoencephalitis, meanwhile, is usually due to infections of the ears, eyes, or nasal cavity. And meningomyelitis generally proceeds following diskospondylitis and osteomyelitis. In kittens and cats with compromised immune system, such infections are commonly reach the brain and spinal cord via the blood.
You will need to give a thorough history of your cat’s health, including the onset and nature of the symptoms. The veterinarian will then conduct a complete physical examination and several laboratory tests -- such as complete blood count (CBC), blood culture biochemistry profile, and urinalysis -- to help identify and isolate the type of infection.
Biochemistry profile, for example, may indicate liver and kidney involvement, while blood testing may reveal an increased number of white blood cells, which is evidence of an ongoing infection. Urinalysis may also reveal pus and bacteria in the cat's urine, an indication of urinary tract infections.
Other tools often used to identify the infectious agent involved include magnetic resonance imaging (MRI), abdominal ultrasounds, thoracic and abdominal X-rays, and samples from the skin, eyes, nasal discharge, and sputum.
One of the most important diagnostic tests, however, is CSF (or cerebrospinal fluid) analysis. A sample of your cat's CSF will be collected and sent to a laboratory for culturing and further evaluation.
In severe cases of meningitis, meningoencephalitis, or meningomyelitis, the cat will be hospitalized to prevent more severe complications. Once the causative organism is identified, your veterinarian will employ antibiotics intravenously to maximize their effectiveness. Antiepileptic drugs and corticosteroids may also be prescribed to control seizures and reduce inflammation, respectively. Cats that are severely dehydrated, meanwhile, will undergo immediate fluid therapy.
Living and Management
Rapid and aggressive treatment is vital for a successful outcome, although its effectiveness is highly variable and overall prognosis is not favorable. Unfortunately, many cats die from these type of infections once it reaches the central nervous system, despite treatment.
However, if treatment is successful it may take more than four weeks for all the symptoms to subside. The cat's activity should be restricted during this time and until it is stabilized.
Treat your cat’s ear, eyes, and nose infections promptly to avoid spreading of these infections to nervous system.
A product made of fluid, cell waste, and cells
The term used for phlegm that is ejected from the mouth; it is secreted in the lower respiratory tract
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
The prediction of a disease’s outcome in advance
Pertaining to the chest
A medical condition in which bone and bone marrow becomes inflamed
Extra sensitive in nature
The term for the connective tissue around the brain and spine
A medical condition in which the meninges becomes inflamed
The amount of pressure applied by the blood on the arteries.
A type of paralysis that may be only slight; affects the way that an animal is able to move