[Felvtalk] PLEASE HELP ASAP - VERY SICK FELV CAT - REPOSTING WITH FULL BLOOD WORK

[Wendy]

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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