Colin to Dr. Krista : May I pick your Brains?

Dear Dr. Krista,

I’m writing to ask your advice about a stray cat I found last month. See images attached.

But first I want to thank you for the polyp videos you made, which were refreshing, as well as impressive.

One of my strays was snoring, so I was eager to pluck out a polyp hiding behind his soft-palate. (He didn’t have one, but I’m gratefully alerted for the future.)

Last month I found a stunted stray ginger cat outside a 7/11 in North Thailand, where I’m a self-financed Christian missionary.

Can you help me diagnose, and treat the problem?

At first I thought it was simply FVR / Calici and chronic snuffles.
But when I opened her mouth, she had only 4 teeth in her head!

Yes, she had calici tongue-ulcers, but little sneezing, no ocular discharge, and has been eating like a horse from day one. She’s happy and bright in herself, apart from the ugly sore nose.

Her mandibular Ln were big and hard, so I put her on antibiotic tablets, with a little dexamethasone (actually 2.5mg Prednisolone tab. daily.)

Then after a week or so I sedated her, and examined her mouth more closely, no observable polyps (drat!) but one of her molars was loose and covered in calculus, so I pulled that one out, and cleaned up the remaining molar and two premolars, otherwise the poor thing would have zero teeth.

There was of course gingivitis and pharyngitis, but pink, not red like “dragon-mouthed cats” on dcf.

For the last month I’ve given her a course of floxacilin (30 days) with amoxycillin, and tried all sort of creams on her nose and lower eyelids which. as you can see, are raw and sore.

Her Ln are almost normal now, +but that nose is no better+, and she tries to rub as though it is itchy.

(I made up creams mixing; 10% flours of sulphur, betamethasone, ivermectin, and vaseline)

There’s a temporary lessening at best, but no lasting improvement.

So what is your differential for her?

In NZ where I locummed, cat leprosy was common (Mycobacterium from mice and voles) so that was my diagnosis, but the floxacillin has made no impression.

I’ve trimmed her claws and taped her fore paws to stop her making her nose raw.

I’m stuck, and thought of asking you Doc.

I’d guess she’s 3-4 years old, confident, unvaccinated, entire, lived wild all her life eating left over fast food, and possibly DCF from neighbours.

Since October I’ve been feeding her raw chicken frames, tinned sardines, vitamin syrup, and no DCF.
She loves raw chicken :), and eats whatever I put in front of her and still looks for more.

Apart from her nose you would not think she was ill in any way.

Thanks for your advice.

Colin

PS. For some reason, Depo-medrone has been taken off the market here, not even local vets can get hold of it.

Colin Melbourne English missionary in Asia
https://www.born-again-christian.org/news/
https://www.born-again-christian.org/news/ไทยคริสเตียน/
https://www.born-again-christian.info/aboutus.htm
https://www.born-again-christian.com (Asian languages)