
Patterson
WHAT IS FIV?
Feline immunodeficiency
virus (FIV) is a virus that eventually causes immunosuppression
in cats - it interferes with a cat's immune system response. This
means that, eventually, an FIV+ cat will be more susceptible to
disease than an FIV- cat; the positive cat will have a harder time
fighting off infection since its immune system is weakened. Once
infected, there is no cure. There are over 80 different strains
of FIV. It is species-specific; people and other animals cannot
catch FIV.
With good care,
many FIV+ cats can live nearly normal lifespans; it's not uncommon
to find FIV+ cats over 10-15 years of age.
WHAT HAPPENS TO A CAT WITH FIV?
There are 3 stages of FIV infection:
- Acute -
This occurs 4-6 weeks after the initial infection. The cat may
get a mild fever for a few days, swollen lymph nodes (lasting
several days to weeks), and decreased white blood cell count.
There may be some anemia or diarrhea. Then these symptoms go away,
and the cat enters the second stage:
- Latent (Asymptomatic)
- In the latent stage, there are no symptoms, although the cat
tests FIV+. This stage can last for years. In fact, many cats
die of other causes before the chronic stage develops.
- Chronic
- The chronic stage is where the cat's immune system can't effectively
fight off infection. FIV interferes with a type of white blood
cell called the T-helper cell. Over time the immune system is
depressed. Later, lymph nodes are affected and all types of white
blood cells are suppressed. This leads to chronic inflammation
and infection.
Mouth infections
are characteristic: gingivitis (gum inflammation), stomatitis (inflammation
of the mouth lining), and periodontitis (inflammation of the tissue
around teeth). Other infections can include upper respiratory, skin,
intestinal tract, intermittent fever, abscesses, chronic sinusitis,
and, more rarely, neurologic dysfunction and tumors.
There may be
cycles of infection; a cat may have periodic bouts of say, sinusitis
that go away with treatment. The cat may then be in good health
for a period of time, and then get the sinusitis again.
HOW IS FIV SPREAD?
FIV is present
in blood, saliva, and cerebrospinal fluid of infected cats. FIV
is relatively hard to spread. The main route of transmission is
bite wounds, where there is blood and saliva exchange. FIV does
not survive outside the cat's body and is only very rarely spread
by casual cat to cat contact. Female FIV+ cats can pass FIV to their
kittens.
The cat at
greatest risk is an unneutered, outdoor male - he'll tend to roam,
fight and mate, getting and giving bite wounds.
HOW DO YOU KNOW IF A CAT HAS FIV?
The blood test
detects antibodies against the virus. FIV is in the family of lentiviruses,
and these viruses persist once a cat is infected - they don't go
away. So the presence of FIV antibodies shows infection.
There are 3
basic tests for FIV:
- ELISA (enzyme-linked
immunosorbent assay)
IFA (indirect immunofluorescent antibody assay)
Western Blot
The ELISA test
can have some false positives (i.e. a cat's test result is FIV+ while
the cat is FIV-). More false positives occur in low risk groups. You
can redo the ELISA test in several weeks, or confirm with the more
antibody specific IFA or Western Blot, which rarely have false positives.
There can also
be false negative results. It may take 8-12 weeks after infection
for a cat to test FIV+. A negative test can be repeated in 3-4 months
to confirm it is a true negative. A small percentage of FIV+ cats
may test negative since they have too little antibody to detect;
mostly these would be cats far along in the chronic stage.
Kittens get
antibodies to many diseases, in the mother's milk. Kittens younger
than 6 months may have FIV antibodies gotten from the mother, without
having FIV themselves. So, if kittens test FIV+, you can retest
after 12 weeks of age, if need be doing a final test after 6 months
of age. Many kittens initially testing FIV+ will test FIV- after
they clear their maternal antibodies.
CARE OF
YOUR FIV+ CAT
You can support
an FIV+ cat through a long life. Of course, keep the cat strictly
indoors to limit exposure to infection. Get regular vaccinations,
as long as the cat is in the latent stage. Check with your vet about
vaccinations for a cat who is symptomatic. Good diet, including
vitamin supplements such as buffered vitamin C (sodium ascorbate)
and vitamin E, builds immune system strength.
When you see
any signs of illness, go to the vet - early treatment can head off
many problems. Antibiotics can control infection; chronic stage
cats may cycle on and off antibiotics. For a cat in the chronic
stage, the relatively inexpensive drug alpha interferon can help
stimulate the immune system. Finally, love is a powerful immune
system enhancer - don't forget to cherish your FIV+ cat.
ICRA Pilot
Adoption Program - FIV+ Cats To: ICRA Members
Created by Gesine Lohr
March 12, 1999
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