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Clinical and laboratory basis for the comprehensive diagnosis of infectious peritonitis in cats
The aim of this study was to provide a clinical and laboratory rationale for the comprehensive diagnosis of feline infectious peritonitis (FIP) in the context of domestic veterinary practice. The paper presents data from a survey of practicing veterinarians, evaluates the diagnostic value of routine blood and exudate parameters, describes the results of PCR-based diagnosis verification, and assesses the effectiveness of confirmatory diagnosis through trial treatment (ex juvantibus). The research methodology included a retrospective analysis of 3,294 laboratory samples tested for coronavirus at the Bald Laboratory (Kyiv), a survey of 41 practicing veterinarians from various regions of Ukraine (with a predominance of Kyiv-based specialists) regarding their FIP diagnostic algorithms, and a retrospective review of 85 confi rmed clinical cases of FIP (22 cats with the eff usive form and 63 animals with the non-eff usive or mixed form). Clinical case analysis covered medical history, complete blood count and biochemical blood parameters, effusion characteristics, PCR test results, and clinical response to antiviral therapy with GS-441524. The survey revealed that 97,5 % of veterinarians use the correct basic diagnostic panel; however, a diagnostic gap was identifi ed: 46.3% of specialists still order non-specific serum antibody tests, and 34,1 % rely on fecal antigen testing, which has no confirmatory value for FIP. Analysis of clinical cases showed that group housing is the primary risk factor, accounting for over 80 % of patients, and that disease onset most commonly occurs between 5 and 12 months of age. Jaundice with a marked elevation in bilirubin was recorded in 45,4 % of cases. The findings confi rm the high sensitivity of a reduced albumin-to-globulin ratio and the specifi city of eff u sion PCR in the positive cohort. In cases of the dry form, where tissue biopsy is frequently unavailable, the most justified approach is multimodal assessment combined with trial therapy. The results are consistent with current understanding of a comprehensive approach to FIP diagnosis. The use of GS-441524 as an ex juvantibus diagnostic tool demonstrates high practical applicability, particularly in the non-eff usive form of FIP, and supports initiating therapy before definitive results of complex tests are available. Implementation of a diagnostic algorithm emphasizing effusion PCR and early antiviral therapy is a promising strategy for improving in vivo FIP diagnosis in Ukraine.
Keywords: cats, feline infectious peritonitis, FIP, effusion, Rivalta test, polymerase chain reaction, mRNA, GS-441524, ex juvantibus diagnostics.
- Kotsyumbas, G.I., Khalania, M.R. (2019). Pa tomorfologija kory golovnogo mozku kotiv za infekcijnogo perytonitu [Pathomorphology of the cerebral cortex of cats with infectious peritonitis]. Naukovyj visnyk LNUVMB imeni S. Z. G'zhyc'kogo [Scientific Bulletin of the S.Z. Gzhytskyi Lviv National University of Veterinary Medicine]. Serija: Veterynarni nauky [Series: Veterinary Sciences], Vol. 21, no. 93, pp. 3–9. DOI:10.32718/nvlvet9301. (In Ukrainian).
- Murashko, T.V. (2024). Svitovyj dosvid liku vannja infekcijnogo perytonitu kotiv [World experience in the treatment of infectious peritonitis in cats]. Naukovyj visnyk veterynarnoi' medycyny [Scientific Bulletin of Veterinary Medicine], no. 2, pp. 43–55. DOI:10.33245/2310-4902-2024-192-2-43-55. (In Ukrainian).
- Murashko, T.V. (2023). Stan doslidzhenosti infekcijnogo perytonitu kotiv v Ukrai'ni za period 2012–2022 rokiv: systematychnyj ogljad [The state of research on infectious peritonitis in cats in Ukraine for the period 2012–2022: a systematic re view]. Naukovyj visnyk veterynarnoi' medycyny [Scientific Bulletin of Veterinary Medicine], no. 2, pp. 75–92. DOI:10.33245/2310-4902-2023-184-275-92. (In Ukrainian).
- Radzikhovsky, M., Dyskhant, O., Tolokevych, O., Moshkivsky, V. Epizootologichni osoblyvosti koronavirusnoi' infekcii' u kotiv [Epizootological features of coronavirus infection in cats]. Scientific and Technical Bulletin оf State Scientifi c Research Control Institute of Veterinary Medical Products and Fodder Additives аnd Institute of Animal Biology. Vol. 22, no. 2, pp. 317–322. DOI:10.36359/scivp.2021-22-2.37 (In Ukrainian).
- Dickinson, P.J., Bannasch, M., Thomasy, S.M. (2020). Antiviral treatment using the adenosine nucleoside analogue GS-441524 in cats with clinically diagnosed neurological feline infectious peritonitis. Journal of Veterinary Internal Medicine, Vol. 34, no. 4, pp. 1587–1593. DOI:10.1111/ jvim.15780
- Felten, S., Hartmann, K. (2019). Diagnosis of Feline Infectious Peritonitis: A Review of the Current Literature. Viruses, Vol. 11, no. 11, 1068 p. DOI:10.3390/v11111068
- Felten, S., Weider, K., Doenges, S. (2017). Detection of feline coronavirus spike gene mutations as a tool to diagnose feline infectious peritonitis. Journal of Feline Medicine and Surgery, Vol. 19, no. 4, pp. 321–335. DOI:10.1177/1098612X15623824
- Fischer, Y., Rohrer, C.R., Weber, K. (2012). Diagnostic accuracy of the Rivalta test for feline infectious peritonitis. Veterinary Microbiology, Vol. 155, no. 2–4, pp. 262–269. DOI:10.1016/j.vetmic.2011.09.016
- Hedderich, J., Sachs, L. (2024). Applied Statistics: Methods Using R. 3rd ed. Springer-Verlag GmbH. 1023 p. DOI:10.1007/978-3-662-70074-7
- Hora, A.S., Asano, K.M., Silva, R.P.G. (2016). Feline Coronavirus 3c Protein: A Candidate for a Virulence Marker. BioMed Research International. Vol. 2016, 8560691 p. DOI:10.1155/2016/8560691
- Hughes, D., Brady, R.A. (2021). Feline infectious peritonitis treatment protocol. Control and Therapy Series. pp. 7–12. Available at:http://www.cve.edu.au/Common/Uploaded% 20files/CT/FIP all-3.pdf
- Jones, S., Novicoff , W., Nadeau, J. (2021). Unlicensed GS-441524-Like Antiviral Therapy Can Be Effective for at-Home Treatment of Feline Infectious Peritonitis. Animals, Vol. 11, no. 8, 2257 p. DOI:10.3390/ani11082257
- Krentz, D., Zenger, K., Alberer, M. (2021). Curing Cats with Feline Infectious Peritonitis with an Oral Multi-Component Drug Containing GS-441524. Viruses, Vol. 13, no. 11, 2228 p. DOI:10.3390/v13112228
- Pedersen, N.C. (2014). An update on feline infectious peritonitis: Diagnostics and therapeutics. The Veterinary Journal, Vol. 201, no. 2, pp. 133–141. DOI:10.1016/j.tvjl.2014.04.016
- Pedersen, N.C., Perron, M., Bannasch, M. (2019). Efficacy and safety of the nucleoside analog GS-441524 for treatment of cats with naturally occurring feline infectious peritonitis. Journal of Feline Medicine and Surgery, Vol. 21, no. 4, pp. 271–281. DOI:10.1177/1098612X19825701
- Roy, M., Jacque, N., Novicoff , W. (2022). Unlicensed Molnupiravir is an Effective Rescue Treatment Following Failure of Unlicensed GS 441524-like Therapy for Cats with Suspected Feline Infectious Peritonitis. Pathogens, Vol. 11, no. 10, 1209 p. DOI:10.3390/pathogens11101209
- Soma, T. (2015). Feline Coronavirus RT-PCR Assays for Feline Infectious Peritonitis Diagnosis. Animal Coronaviruses. pp. 161–170. DOI:10.1007/9781-4939-3414-0_15. PMCID: PMC7121893.
- Tasker, S., Addie, D.D., Egberink, H. (2023). Feline Infectious Peritonitis: European Advisory Board on Cat Diseases Guidelines. Viruses, Vol. 15, no. 9, 1847 p. DOI:10.3390/v15091847
- Taylor, S.S., Gallagher, A., Gow, A. (2023). Retrospective study and outcome of 307 cats with feline infectious peritonitis treated with legally sourced veterinary compounded preparations of remdesivir and GS-441524 (2020–2022). Journal of Feline Medicine and Surgery, Vol. 25, no. 9. DOI:10.1177/1098612X231194460
- Thayer, V., Gogolski, S., Estep, S. (2022). 2022 AAFP/EveryCat Feline Infectious Peritoni tis Diagnosis Guidelines. Journal of Feline Medicine and Surgery, Vol. 24, no. 9, pp. 905–933. DOI:10.1177/1098612X221118761
- Zwicklbauer, K., Wess, G., Bergmann, M. (2023). Long-term follow-up of cats in complete remission after treatment of feline infectious peritonitis with oral GS-441524. Journal of Feline Medicine and Surgery, Vol. 25, no. 8. DOI:10.1177/1098612X231189912
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https://orcid.org/0009-0000-3728-2003