Table 2. Clinical characteristics, diagnosis, treatment and prognosis of cats with feline calicivirus-associated viral systemic disease in Korea.
Case No. | Onset of clinical symptoms | Clinical symptoms | Areas affected by limb edema | Calicivirus statusa | Sampling site (result) for RT-qPCR | Diagnosis of FCV-VSDb | rFeIFN-ω treatment | Outcome | |
---|---|---|---|---|---|---|---|---|---|
Outbreak 1 | |||||||||
1 | 04/Mar | Anorexia, lethargy, fever, limb edema, nasal discharge, sneezing, ocular discharge, ulcerative dermatitis | All four limbs | Unavailable | Suspected | X | Died | ||
2 | 23/Mar | Anorexia, lethargy, fever, limb edema, ulcerative dermatitis, nasal discharge, sneezing | All four limbs | Positive | Oral/laryngeal (+), blood (-) | Confirmed | X | Died | |
3 | 26/Mar | Anorexia, lethargy, fever, hypersalivation, jaundice | Unavailable | Suspected | X | Died | |||
4 | 26/Mar | Anorexia, lethargy, fever, limb edema, ulcerative dermatitis, hypersalivation, vomiting | Lt forelimb | Negative | Oral/laryngeal (-), blood (-) | Suspected | O | Survived | |
5 | 02/Apr | Anorexia, lethargy, fever, facial/limb edema, cough | Rt forelimb and Rt hindlimb | Positive | Oral/laryngeal (-), blood (-), liver tissue (+) | Confirmed | X | Died | |
6 | 29/Mar | Anorexia, lethargy, fever, limb edema, crusting skin lesions, delayed wound healing | All four limbs | Unavailable | Suspected | X | Died | ||
7 | 27/Mar | Anorexia, lethargy, fever, facial/limb edema | Lt forelimb and Lt hindlimb | Negative | Oral/laryngeal (-), blood (-) | Possible | X | Died | |
8 | 29/Mar | Lethargy, fever, oral ulceration, ulcerative keratitis, limb edema | All four limbs | Positive | Oral/laryngeal (+) | Confirmed | X | Died | |
9 | 04/Apr | Lethargy, oral ulceration, ulcerative keratitis, facial edema | Negative | Oral/laryngeal (-) | Possible | O | Survived | ||
10 | 17/Apr | Anorexia, lethargy, fever, facial/limb edema, ulcerative dermatitis | Forelimbs | Positive | Oral/laryngeal (+), skin (+) | Confirmed | X | Survived | |
11 | 09/May | Anorexia, lethargy, dull mental status, limb edema, jaundice | All four limbs | Positive | Oral/laryngeal (+), blood (-) | Confirmed | X | Died | |
12 | 11/May | Anorexia, lethargy, fever, limb edema | Rt forelimb and Rt hindlimb | Positive | Skin (+), liver tissue (+) | Confirmed | X | Died | |
Outbreak 2 | |||||||||
13 | 15/Aug | Anorexia, nausea, fever, nasal discharge | Positive | Oral/laryngeal (-), skin (+) | Confirmed | X | Died | ||
14 | 25/Aug | Anorexia, fever, limb edema, diarrhea | Forelimbs | Positive | Oral/laryngeal (-), skin (+) | Confirmed | O | Survived | |
15 | 29/Aug | Lethargy, facial/limb edema, delayed wound healing, nasal discharge, dyspnea, cough, pneumonia | All four limbs | Positive | Oral/laryngeal (+), blood (-) | Confirmed | X | Survived | |
16 | 28/Aug | Anorexia, fever, facial edema | Positive | Oral/laryngeal (+), skin (-), blood (-) | Confirmed | O | Died | ||
17 | 26/Aug | Anorexia, lethargy, fever, limb edema, delayed wound healing | Hindlimbs | Unavailable | Suspected | X | Died | ||
18 | 06/Sep | Anorexia, lethargy, jaundice, hindlimb limping without edema | Positive | Oral/laryngeal (+), blood (-) | Confirmed | O | Died |
FCV-VSD, feline calicivirus-associated viral systemic disease; RT-qPCR, reverse transcription quantitative real time polymerase chain reaction; rFeIFN-ω, recombinant-feline interferon-omega; Lt, left; Rt, right.
aDetection of callicivirus by RT-qPCR.
bAccording to exposure history, clinical signs, and RT-qPCR results, patients were classified as confirmed, suspected, or possible FCV-VSD.