Tuesday, October 6, 2015

Dr. EHUD SELA: CASE REVIEW: TRANSITORY DIABETES IN AN OBESE CAT WITH SEVERE URINARY TRACT INFECTION



A male obese cat--weighing 21 Lbs--become suddenly ill with anorexia, low grade fever, and changes in his behavior, becoming less social and hiding a lot. In the past the cat had slightly elevated liver enzymes and on ultrasound examination his liver had the appearance of early Lipidosis--Fatty Liver. The cat was asymptomatic at the time and prescription liver supplements returned his liver enzymes to normal.

Tests revealed that the cat had a severe urinary tract infection, but also due to the stress of his Illness developed early Diabetes. The cause of the Diabetes was due most likely to his obesity and early liver Lipidosis diagnosed during the screening ultrasound.

The good news are that Mr. Pussycat has returned to normal, feeling great, eating well, with antibiotic injections and supportive fluid care. I treated the cat as an outpatient with exams every 24 hours. An outpatient approach is my preferred approach whenever feasible as I find it to be much less stressful to the pet.
In addition the cat's Diabetes was transitory and all parameters have returned to normal.

This case illustrates the inherent risks of obesity in our patients as causing secondary complications in case of Illness.

Mr. Pussycat was informed by me that he won’t have to start on Insulin, and that he'll have to become more active and eat less.

Mr. Pussycat gave me a "High-Five-Paw" with a nice purring promising that he will follow my advice.

Dr. Ehud Sela

Gentle Vet Animal Hospital

www.thegentlevet.com

Margate, Florida.

Phone: 954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

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