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Feline Infectious Peritonitis: European Advisory Board on Cat Diseases Guidelines
Séverine Tasker1,2, Diane D Addie3, Herman Egberink4
1Bristol Veterinary School, University of Bristol, Bristol BS40 5DU, UK.
Viruses
|September 28, 2023
Summary
Feline infectious peritonitis (FIP) is a serious disease caused by feline coronavirus (FCoV). New antiviral treatments, like nucleoside analogues, now offer recovery for many cats with FIP.
Area of Science:
- Veterinary Medicine
- Virology
- Immunology
Background:
- Feline coronavirus (FCoV) is a common RNA virus in cats, typically spread via fecal-oral transmission.
- While most FCoV infections are asymptomatic or cause mild enteritis, a subset of infected cats develop fatal feline infectious peritonitis (FIP).
Purpose of the Study:
- To provide comprehensive guidelines on the diagnosis and management of feline infectious peritonitis (FIP).
- To review the pathology, clinical signs, diagnostic approaches, and treatment options for FIP.
Main Methods:
- Review of existing literature and clinical guidelines by the European Advisory Board on Cat Diseases (ABCD).
- Discussion of diagnostic techniques including effusion analysis (cytology, biochemistry, FCoV RNA/antigen detection), fine-needle aspirates, and histopathology with FCoV antigen detection.
- Evaluation of current and emerging antiviral treatments.
Main Results:
- FIP pathology involves perivascular phlebitis affecting various organs, predominantly in cats under two years old.
- Common clinical signs include fever, anorexia, weight loss, effusions, and potentially ocular or neurological symptoms.
- Diagnostic challenges are addressed with tools aiding veterinarians, with definitive diagnosis often requiring histopathology.
Conclusions:
- Antiviral therapies, particularly nucleoside analogues like GS-441524, have significantly improved recovery rates for FIP.
- Despite treatment advancements, accessibility of these antivirals may vary by country.
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