Hello all,
Writing in with an agonizing and drawn out struggle with my cat Petra..

I rescued a feral kitten in 2022 who developed cryptococcosis the following year – confirmed through a biopsy.
She has the cutaneous and nasal form, and while we tried itraconazole for a few months, it did devastating damage to her nose.
Vet switched her to fluconazole 37.5 mg (at that time my cat was just over year old and weighed 3.5 kg) once a day… and the symptom relief was remarkable!
Within a month, her nose was much less inflamed and starting to look “relatively normal” again, and best part was she was no longer having difficulty breathing, no stertor or mouth open.
Her many crusty skin lesions and nodules under the skin cleared up miraculously!

But, the success was short-lived, because a couple of months later she developed a big bulge on her abdomen/side under the skin – which eventually erupted. She had had several of these nodules and lumps, that ulcerated last year but the fluconazole seemed to clear them all up. Until now. I was so disheartened, to say the least.
The crater-like ulcer got infected and our vet (RCVS licensed in UK) decided surgery was the best option.
We did this, and the vet found more ulcers which needed to be removed to patch up the skin. It was a horrific looking surgery aftermath when she came home.

Petra required to wear a cone for 3 weeks after her surgery so she couldn’t touch her healing wound. It got infected anyway, and this increased her “cone suffering” duration.
The impact of many vet visits, surgery, and follow ups while the vet checked if the wound was healing and if the stitches could be removed, was quite an ordeal for Petra.
She gets very stressed and is difficult to put in a carrier. I feel that the stress of cone duration + all the vet trips triggered an inflammatory response in her and her nose started showing signs of the fungus again. Inflammation, distortion and worst of all the stertor was back.

The vet increased her fluconazole dose to 75 mg a day (37.5 mg morning, 37.5 mg evening). This had no noticeable effect and her nose got more inflamed as each day went by. 2 months later and her nose is worse than ever and the tip is so inflamed. With the loss of scent and ability to breathe sufficiently, she’s become reluctant to eat more than half a tin of food a day. Sometimes all she will eat is half a tablespoon and then runs off, upset.

Petra’s vet wants to put her on a maximum dose of 150 mg of fluconazole, daily, before assessing her quality of life and potential euthanasia.
I decided to try homeopathic remedies first, while continuing 75 mg a day of fluconazole) but it doesn’t appear to be helping 3 weeks in.

I’m concerned about continuing vet interventions, because Petra is so stressed by them, and at 150 mg a day she will need to see the vet frequently and likely need blood tests. At 150 mg a day, it’s also a non sustainable chunk of my monthly expenses (taken from diminishing savings), and she is not my only cat or responsibility… this could go on for years..

If she has no positive response (symptoms relief) at 150 mg, the vet is out of ideas other than euthanasia. I live in Bahrain and the options for treating this fungus are very limited.
They have not seen it in over 40 years of vet practice, so this is a first time.

I love Petra and it’s been hell witnessing her struggle to breathe for over a year. That’s what makes me panicky and consider quality of life, if she cannot be cured or brought to a level of management where the fungus doesn’t impede her breathing.

I need advice from a community of animal lovers, vets, who can also understand and take into consideration her temperament and adverse reaction (inflammation) to vet visits.

I was really hoping the homeopathic medicine would help and the practitioner I found has many years of successes working with animals. It’s either the wrong remedy, or just going to take a long time. In the meantime, in my opinion, my cat is suffering and struggling. She takes gasps of air every so often and her mouth is slightly open while she makes a snoring sound as she tries to breathe through her blocked airway. She has lost weight as she eats much less now. She was 4.7 kg in April before her surgery. At the beginning of June she was 4.5 kg and now she is closer to 4 kg.
Also within the last 2 months, her eyes have gotten affected by the nodules. One above her right eye, under the skin and affecting the bone. The other is in her left lower eyelid.
During this whole ordeal, her right lymph node under her jaw has been the size of a golf ball.. and the left one also swelled up a few months later. But that side seems to have gone down.

Any help or advice on what to do.. would be very much appreciated.

Pics from most recent (today June 3rd 2024) to last year before fluconazole and way before, late 2022, when she was a kitten.

Hello, my cat just had 2 polyps removed today. One from his throat and one from his left ear. I noticed when we got home his left eye looks a little funny. His inner eyelid is covering half the eye and it doesn’t seem to be dilated the same as his right eye. I’m worried they caused damage to the eye while in his ear?

My dog, Max, was recently diagnosed with diabetes. We are still trying to find the right dose of insulin and were making progress until yesterday. His sugar was back up to 471 yesterday when 2 weeks ago it was 275. We know cataracts are already forming but this morning before 4am he woke me up. I thought he had to go outside but when I got him, realized he wasn’t opening his left eye. When he does open it, it seems rolled back and is red. His third eyelid is also visible. The right one is better but also seems like it might be bothering him. I contacted the vet for walk in hours today but wanted to see if anyone else has had this issue and what it might be.
Thanks!

My cat was taken in to the vet in May to treat allergies, difficulty breathing (snoring sounds) and a head tilt. Was given an anti inflammatory, antibiotic (convenia), vitamin b-12, ear drops, and an X-ray. Diagnosed with asthma brought on by allergies. Lungs ok. Three weeks later breathing and itching had improved, but third eyelid started showing.
Vet would not see him and said to go to a specialist.
Took the cat for a second opinion. That vet said we should check for nasal polyps. Was sedated and had an exam of ears and throat. No polyps were visible. Vet felt a small enlarged area under the soft palate, but could not confirm this was a polyp. Head tilting stopped after first visit. Recurred a few days ago. Not present now. Second vet recommended going to a specialist for ct scan. It is cost prohibitive and I’m not sure it is necessary. Third opinion from an online site recommended we try antibiotics for the respiratory issues. Started on one antibiotic today for ten days. And started on purina fortiflora.
Looking for any other advice or experience with issues like this. I’ve never had a cat with these problems.
Thanks.
#cats #nasal #headtilt #respiratory #polyps

My little dog had a biopsy 10 days ago on her eyelid. The result is that it is Necratic. I know this means dead tissue. May this be because she suffered from immune system illness and had to be transfused. Is it likely she may have cancer as my vet did hint at this. He has told me to keep a very close eye on her and not hesitate to call if she shows any signs of being unwell. Quite concerning.

My cat has lost weight and hes still eating and drinking. His third eyelid is visible and his urine in an orange color and foamy.