Feline Leukemia Virus (FeLV) Flashcards

1
Q

What type of virus causes FeLV?

A

RNA retrovirus (oncornavirus- cancer causing)

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2
Q

T or F. FeLV is the most pathogenic retrovirus in cats.

A

True, most cats with viremia will eventually die

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3
Q

What geographical distribution does FeLV have?

A

Worldwide

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4
Q

Who is the poster child for FeLV?

A

Outdoor (feral), male cats, 1-6 years old

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5
Q

How is FeLV transmitted?

A

Vertical & saliva/ nasal secretions (prolonged contact, especially grooming and same water source)

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6
Q

What are the 3 types of post-exposure infections?

A
  1. Abortive infection ( aka transient viremia, 1st viremia, 30%)
  2. Regressive infection (40%)
  3. Progressive infection (aka persistent viremia, 2nd viremia, 30%)
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7
Q

Which type of infection develops neutralizing antibodies and clears the infection in 4-6 weeks?

A

Abortive infection (transient viremia)- test for antigen, so if + you have virus

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8
Q

Which type of infection usually results in death at 2-3 years?

A

Progressive infection (persistent viremia)

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9
Q

Where does the virus go during regressive infection?

A

Bone marrow, spleen, and liver > into cell > provirus into cat’s genome/ DNA

No viremia, no transmission, no replication (hard to diagnose at this stage)

Rare to cause clinical signs

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10
Q

How can FeLV cause cancer?

A

If the virus can get close to a regulatory gene during regressive infection

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11
Q

How long does it take to clear the abortive infection compared to the regressive infection?

A

4-6 weeks (abortive) vs. 16 months (regressive)

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12
Q

What signs will you see with FeLV?

A

Non specific signs (problems making cells), secondary infections (immunosuppressive; cutaneous abscesses, oral inflammation), neoplasia (lymphoma, leukemia), V/D, icterus, rhinitis, pneumonia

Also glomerulonephritis, ocular signs, and neurologic abnormalities

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13
Q

What will you see in the lab work for FeLV?

A

Non-regenerative anemia (macrocytosis), thrombocytopenia, neutropenia, lymphopenia

Also, myelodysplasia or leukemia, proteinuria

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14
Q

Who are you going to test?

A

Sick cats, cats before adoption, and cats with known exposure (after 28 days)

At least once in the cat’s life

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15
Q

How are you going to diagnose FeLV?

A

ELISA (+ in abortive and progressive infection) and IFA (+ only after bone marrow infection, contagious)

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16
Q

What type of infection do you have if ELISA is + and IFA is -?

A

Abortive infection

17
Q

What type of infection do you have if ELISA is + and IFA is +?

A

Progressive infection

18
Q

What do you do if ELISA tests positive?

A

Isolate and retest in 4-6 weeks (because we’re not sure if they’re going to get 2nd viremia)

19
Q

How do you prevent FeLV?

A
  • House cats indoors
  • Test and separate seropositive cats
  • Vaccinate negative cats (kittens and cats at sustained risk)
  • Avoid sharing litter boxes and water bowls
  • Test new cats
  • Flea control (fleas can carry virus from one cat to another)
  • Disinfect and wash hands at the vet
  • PE every 6 months (CBC)
  • Spay and neuter
20
Q

What do you do in a positive cattery?

A

Test all cats (separate + and -)

However, neutralizing antibodies do not last for life; cats that were immune may get viremia

21
Q

How do you treat FeLV?

A

Always treat secondary diseases, chemotherapy (somewhat responds), and alpha-interferon (immunomodulatory effect; SQ then PO)

22
Q

How do you treat the hematologic disorders that come with FeLV?

  • IMA
  • Haemoplasmosis
  • Myelosuppression
  • Myeloproliferative disease
  • Myelophthisis
  • Leukemia
  • Neutropenia
  • Thrombocytopenia
  • Thrombocytosis
A

Regenerative anemia

  • IMHA: immunosuppressives (Pred)
  • Haemoplasmosis: Doxycycline

Non-regenerative anemia

  • Myelosuppression
    • Pancytopenia: poor response to therapy
    • Pure red cell aplasia: immunosuppressives (cyclosporine)
  • Myeloproliferative disease:
    • Erythroleukemia, anemia with macrocytosis: poor response to therapy
  • Myelophthisis
    • Lymphoma, CLL, granulocytic leukemia: cytotoxic chemotherapy

Leukemia: poor response to chemotherapy

Neutropenia: glucocorticoids

Thrombocytopenia: glucocorticoids

Thrombocytosis: poor response to chemotherapy (just an abnormal finding)