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FELINE INFECTIOUS ANEMIA

What causes feline infectious anemia (FIA)?

FIA is caused by a tiny, microscopic protozoal parasite which attacks the cat's red blood cells within the circulation . It is called Haemobartonella felis. The damaged cells may die leading to anemia

How would an owner recognize FIA in the cat?

Cats are very good at hiding anemia until it is quite severe. The earliest indication may be pallor of the mucous membranes - the conjunctiva (lining of the eye), gums and tongue appear white or pale instead of the normal pink color. It can be difficult to assess the mucous membranes in some cats - occasionally they may normally appear rather pale and there are causes of pallor other than anemia As the anemia becomes more severe the cat may become lethargic and breathless if stressed or after any exertion. In FIA there may be loss of condition, poor appetite, weight loss and occasionally high temperature, occasionally jaundice is seen - usually only in very severe, acute cases.

How is FIA diagnosed?

Diagnosis of FIA is difficult and depends on identifying this tiny parasite microscopically on specially prepared and stained blood films. It is so small that it is difficult to recognize particularly if it is present in very low numbers. Diagnosis is also hampered by other problems. In particular the parasite is sometimes found on blood cells of normal cats with no anemia Finding FIA in a cat without anemia would not necessarily be considered significant. There are also many other possible causes of anemia in cats other than FIA, and therefore identifying it in an anemic cat may not necessarily mean that other causes of anemia may not also be involved. You can see, therefore, that diagnosis of FIA is very problematic.

Can FIA be treated?

Treatment of FIA can be difficult since no drugs can be relied upon to eliminate the parasite. Cases respond well initially but sometimes recur once treatment is stopped. Nevertheless there are some drugs which can be used to control FIA in the majority of cases. Some other diseases may also be present in cats with FIA and it is thought that the effects of other diseases, including stress, may be important in enabling FIA to cause disease successful treatment may depend on resolving any other disease problems the cat is showing. In severe cases where the cat becomes very weak a blood transfusion may help.

Does a diagnosis of FIA have any implications for my other cats?

Although FIA is a disease caused by an infectious agent, it may not prove to be a problem in other cats living in the same household. The way it is spread between cats is not certain. Cat bites and fleas may spread the parasite but other methods may be involved. Fighting therefore represents a risk of spread of infection. Flea infestations should be treated - indeed the presence of fleas may make anemia of any cause more severe. Even if your other cats do become infected this may well not result in any anemia or other problems.

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