Eye problem (warning graphic pictures)

stephenq

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@Dolphinmedan

I was reminded by @GoHolistic that Blue has had this for about 8 months (since September, correct?) so based on that I'm going to adjust what i said in my last post. Without advanced medical care given the amount of time Blue has been ill and not responding to treatment, and given that she is probably in pain, unless you seek out advanced medical care I think you should at least consider euthansia.  @cocheezie gave a list of Vet schools in Indonesia, these would be the obvious and best places to start. 

From what I've read, i don't see what point there really is to any further treatment unless you rule in or out MRSA or cancer.  This requires tissue biopsies or cultures.  Can you contact any of the vet schools mentioned and are any of them close enough for you to bring her to them?  For me this is her best and only real chance.   You still don't have a diagnosis.

I'm sorry for the tough tone to this post, but I'm not convinced that prolonging this cat's life is in her interest, as much as you clearly love and care for her, in the end, its about her.

As i say to people who have cat's who are in very bad shape, our animals don't think about the future, only about today. And so when the future is bleak and today isn't good, our reason for prolonging life and their reason for living it is collectively no longer there.

I'm not suggesting you euthanize her.  What I'm suggesting is that you adopt a new mindset: "I as the owner will either take extraordinary action to try and fix my cat, or if that is not possible due to my particular circumstances, then I will give up the idea that sprays and lotions are going to give me a miracle."
 
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dolphinmedan

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@Dolphinmedan

I was reminded by @GoHolistic that Blue has had this for about 8 months (since September, correct?) so based on that I'm going to adjust what i said in my last post. Without advanced medical care given the amount of time Blue has been ill and not responding to treatment, and given that she is probably in pain, unless you seek out advanced medical care I think you should at least consider euthansia.  @cocheezie gave a list of Vet schools in Indonesia, these would be the obvious and best places to start. 

From what I've read, i don't see what point there really is to any further treatment unless you rule in or out MRSA or cancer.  This requires tissue biopsies or cultures.  Can you contact any of the vet schools mentioned and are any of them close enough for you to bring her to them?  For me this is her best and only real chance.   You still don't have a diagnosis.

I'm sorry for the tough tone to this post, but I'm not convinced that prolonging this cat's life is in her interest, as much as you clearly love and care for her, in the end, its about her.

As i say to people who have cat's who are in very bad shape, our animals don't think about the future, only about today. And so when the future is bleak and today isn't good, our reason for prolonging life and their reason for living it is collectively no longer there.

I'm not suggesting you euthanize her.  What I'm suggesting is that you adopt a new mindset: "I as the owner will either take extraordinary action to try and fix my cat, or if that is not possible due to my particular circumstances, then I will give up the idea that sprays and lotions are going to give me a miracle."
Thank you Stephen. I'll try to understand your words here. I plan to take her again tomorrow to the Vet. And I'll try to contact those Vet Uni that Cocheezie recommended me to do. It's depend on Vet tomorrow whether she can examine MRSA or not. I hope she can do it. I really do my best to cure her. 
 
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dolphinmedan

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Thank you Stephen. Sometimes Google translator doesn't make sense. I'm waiting my brother in NZ to translate your words to me. Still early morning over there. And midnight 00.30 in my hometown. I really thanked you a lot.
 

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Adding my two cents here.

It seems to me that, despite the length of time being 8 months, and in the photos how her eyes were not as extreme as they have become now, that the vets who have seen her and attempted to diagnose her without any testing for the correct medications to help, now that she has a much clearer idea of just what is going on with the cat, perhaps she will be able to search out where she can take the cat for the correct testing and treatments.

In my opinion, but then again simply going by the pictures, this really doesn't appear to be cancer to me, but much more likely to be MRSA. Of course the vets used prior are unable to get her healed because they haven't treated her for MRSA, which is quite specific in what will work and what will not.

So it has grown and spread generously. 

It does seem to be coming out from her eye drainage, which is why my opinion says MRSA infection. 

This is an indoor cat too, who displays no signs of sun exposure anywhere else, most commonly would be ear tips and nose.

The infection is in her eye drainage, eating away at her fur and skin where it touches.

It needs to be specifically tested for type infection, staph/strep (likely staph)  then treated aggressively.

@cocheezie  's list is a perfect place to start, find the location of which are the closest to you and contact them asap. Veterinary teaching schools are always very interested in taking unusual cases and it will not cost you either.

I hope you understand clearly, I know it's not easy!

Good luck!
 

catwoman707

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Menambahkan dua sen di sini.
 
Sepertinya saya bahwa, meskipun jangka waktu yang 8 bulan , dan di foto bagaimana matanya tidak seekstrim mereka telah menjadi sekarang , bahwa dokter hewan yang telah melihat dan berusaha untuk mendiagnosa dia tanpa pengujian untuk benar obat untuk membantu , sekarang dia memiliki ide yang lebih jelas tentang apa yang terjadi dengan kucing , mungkin dia akan dapat mencari tahu di mana dia bisa mengambil kucing untuk pengujian yang benar dan perawatan .
 
Menurut pendapat saya , tapi sekali lagi hanya akan oleh gambar , ini benar-benar tidak muncul untuk menjadi kanker bagi saya , tetapi jauh lebih mungkin MRSA . Tentu saja dokter hewan yang digunakan sebelumnya tidak dapat mendapatkan dia sembuh karena mereka tidak memperlakukan dia untuk MRSA , yang cukup spesifik dalam apa yang akan bekerja dan apa yang tidak akan .
 
Jadi itu telah tumbuh dan menyebar dengan murah hati .
Itu tampaknya akan keluar dari drainase matanya , itulah sebabnya menurut saya mengatakan infeksi MRSA .
Ini adalah kucing indoor juga, yang menampilkan ada tanda-tanda paparan sinar matahari di tempat lain , paling sering akan menjadi tips telinga dan hidung .
 
Infeksi ini di drainase matanya , menggerogoti bulu dan kulit di mana ia menyentuh nya .
 
Perlu diuji secara khusus untuk infeksi jenis , Staph / strep ( mungkin Staph ) kemudian ditangani secara agresif .
 
@ Daftar cocheezie ' s adalah tempat yang sempurna untuk memulai , menemukan lokasi yang paling dekat dengan Anda dan menghubungi mereka asap. Sekolah mengajar hewan selalu sangat tertarik untuk mengambil kasus yang tidak biasa dan tidak akan dikenakan biaya baik .
 
Saya harap Anda mengerti dengan jelas , aku tahu itu tidak mudah !
Good luck !
 
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dolphinmedan

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Menambahkan dua sen di sini.
 
Sepertinya saya bahwa, meskipun jangka waktu yang 8 bulan , dan di foto bagaimana matanya tidak seekstrim mereka telah menjadi sekarang , bahwa dokter hewan yang telah melihat dan berusaha untuk mendiagnosa dia tanpa pengujian untuk benar obat untuk membantu , sekarang dia memiliki ide yang lebih jelas tentang apa yang terjadi dengan kucing , mungkin dia akan dapat mencari tahu di mana dia bisa mengambil kucing untuk pengujian yang benar dan perawatan .
 
Menurut pendapat saya , tapi sekali lagi hanya akan oleh gambar , ini benar-benar tidak muncul untuk menjadi kanker bagi saya , tetapi jauh lebih mungkin MRSA . Tentu saja dokter hewan yang digunakan sebelumnya tidak dapat mendapatkan dia sembuh karena mereka tidak memperlakukan dia untuk MRSA , yang cukup spesifik dalam apa yang akan bekerja dan apa yang tidak akan .
 
Jadi itu telah tumbuh dan menyebar dengan murah hati .
Itu tampaknya akan keluar dari drainase matanya , itulah sebabnya menurut saya mengatakan infeksi MRSA .
Ini adalah kucing indoor juga, yang menampilkan ada tanda-tanda paparan sinar matahari di tempat lain , paling sering akan menjadi tips telinga dan hidung .
 
Infeksi ini di drainase matanya , menggerogoti bulu dan kulit di mana ia menyentuh nya .
 
Perlu diuji secara khusus untuk infeksi jenis , Staph / strep ( mungkin Staph ) kemudian ditangani secara agresif .
 
@ Daftar cocheezie ' s adalah tempat yang sempurna untuk memulai , menemukan lokasi yang paling dekat dengan Anda dan menghubungi mereka asap. Sekolah mengajar hewan selalu sangat tertarik untuk mengambil kasus yang tidak biasa dan tidak akan dikenakan biaya baik .
 
Saya harap Anda mengerti dengan jelas , aku tahu itu tidak mudah !
Good luck !
@catwoman707

Thank you for help to translate your message in Indonesian. Very kind of you. I really appreciated your help. 

Yesterday I went to the Vet. She told me, she does understand with the biopsy and cultrure. But for now she doesn't have facility to examine Blue with this biopsy and culture. She does plan to provide this facility in her clinic as skin infections issues are very common disease. 

As I went to her yesterday, she was strongly believe that Blue was infected by SPOROTRICHOSIS. Have you heard of this before? But she does try read more on MRSA as you told me the other day. 

Do you think in any chance that she might be infected by Sporotrichosis? 
 
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dolphinmedan

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@Dr Kris  

Hi Dr Kris, I went back to the Vet yesterday. She told me that she understand that my cat needs to be examine with biopsy and culture. Unfortunately, she doesn't have this yet in her clinic. She does plan to do so. Her clinic also under renovation. For meanwhile, she told me that Blue and strongly believe that she's infected by SPOROTRICHOSIS. She does understand MRSA. 

It's kind a confused me know, is there any chance that you can tell me the differences between this diseases? Thank you @Dr Kris  
 

stephenq

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@catwoman707

Thank you for help to translate your message in Indonesian. Very kind of you. I really appreciated your help. 

Yesterday I went to the Vet. She told me, she does understand with the biopsy and cultrure. But for now she doesn't have facility to examine Blue with this biopsy and culture. She does plan to provide this facility in her clinic as skin infections issues are very common disease. 

As I went to her yesterday, she was strongly believe that Blue was infected by SPOROTRICHOSIS. Have you heard of this before? But she does try read more on MRSA as you told me the other day. 

Do you think in any chance that she might be infected by Sporotrichosis? 
I did some research for you and it is possible it could be Sporotrichosis.  Visually they look similar and it is a slowly progressing illness but note that it is very hard to accurately diagnose, and because its a fungus, it can be caught by people.  You can google it for more info and for images, but they are graphic.  You can also google "Sporotrichosis in cats"

Some links include:

http://www.petmd.com/cat/conditions/skin/c_ct_fungal_disease_skin

and

https://www.google.com/search?q=SPO...tGtyATyv4E4&ved=0CAgQ_AUoAQ&biw=1260&bih=1063

Thanks to @catwoman707 for the direct translation idea.

---

Saya melakukan riset untuk Anda dan mungkin bisa Sporotrichosis. Secara visual mereka terlihat sama dan itu adalah penyakit perlahan-lahan maju tetapi perhatikan bahwa sangat sulit untuk secara akurat mendiagnosis, dan karena yang jamur, itu bisa ditangkap oleh orang-orang. Anda bisa google untuk info lebih lanjut dan untuk gambar, tetapi mereka grafis. Anda juga bisa google "Sporotrichosis pada kucing"

Beberapa link meliputi:

http://www.petmd.com/cat/conditions/skin/c_ct_fungal_disease_skin

dan

https://www.google.com/search?q=SPO...tGtyATyv4E4&ved=0CAgQ_AUoAQ&biw=1260&bih=1063

Terima kasih kepada @ catwoman707 untuk ide terjemahan langsung.
 

cocheezie

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I wouldn't wait for renovations to be done in order to have tests done. Ask your vet to recommend you to (1) a university clinic or (2) another vet clinic that can do the test right away.

Google translate: Saya tidak akan menunggu untuk renovasi yang harus dilakukan dalam rangka untuk memiliki tes yang dilakukan. Tanyakan dokter hewan Anda untuk merekomendasikan Anda untuk (1) klinik universitas atau (2) klinik dokter hewan lain yang dapat melakukan tes segera.
 
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dolphinmedan

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I wouldn't wait for renovations to be done in order to have tests done. Ask your vet to recommend you to (1) a university clinic or (2) another vet clinic that can do the test right away.

Google translate: Saya tidak akan menunggu untuk renovasi yang harus dilakukan dalam rangka untuk memiliki tes yang dilakukan. Tanyakan dokter hewan Anda untuk merekomendasikan Anda untuk (1) klinik universitas atau (2) klinik dokter hewan lain yang dapat melakukan tes segera.
@cocheezie  

Thank you for your reply. She is the only Vet that can tell her disease. The other 2 Vets I went to, kept inject her without giving me any idea what's her disease. I did some search it seems it's the answers for my cat. 

As I seen from this blog and the pictures shown, the eye of the cat it's  really matched with my cat's eye. 

http://myanimalcare.blogspot.com/2011/08/ginger-has-crptococcosis.html

Please be aware with the nasty pictures in this blog. 

Thank you 
 

stephenq

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I don't think any vet can look at your cat and visually make a diagnosis. Even with sophisticated tests Sporotrichosis is hard to diagnose.

Blue needs more sophisticated help like at one of those vet schools.
 
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dolphinmedan

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I don't think any vet can look at your cat and visually make a diagnosis. Even with sophisticated tests Sporotrichosis is hard to diagnose.

Blue needs more sophisticated help like at one of those vet schools.
@StephenQ  

Can I share a blog here? I tried to send it to you, but it keep fails. 
 

catwoman707

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@cocheezie  

Thank you for your reply. She is the only Vet that can tell her disease. The other 2 Vets I went to, kept inject her without giving me any idea what's her disease. I did some search it seems it's the answers for my cat. 

As I seen from this blog and the pictures shown, the eye of the cat it's  really matched with my cat's eye. 

http://myanimalcare.blogspot.com/2011/08/ginger-has-crptococcosis.html

Please be aware with the nasty pictures in this blog. 

Thank you 
Regardless of whether it is sporococcosis or cryptococcosis they are both treated with Fluconazole or Itraconazole, which are antifungal medications.

The cat Ginger in the link regarding cryptococcosis, it looks just like your cat's eye. Incredible. From what I have read the cryptococcosis is much more common in cats.

I don't know the correct answer to this, but I'm wondering if it would not harm your cat to go ahead and be put on Fluconazole as soon as possible or if testing is required first. Of course her being tested for an accurate diagnosis is best, but I also don't think she should wait for the renovations to be done at the vet either.

I know the options there are very limited.

I also want to mention that in fungal infections, it can get into your cat's internal system causing neurological issues and trouble, and you don't want that. Just another reason why she needs treatment started as soon as possible.

If there is a veterinary teaching school the vet can refer you to, this is the very best option. If not, you may want to discuss with her starting treatment now with Fluconazole.  

I also want to be sure you understand that fungal infections are contagious to you. From now on it is critical that you protect yourself with disposable latex gloves anytime you are handling her, as well as  some type of mask to cover your mouth and nose, as fungus puts spores into the air and if you are inhaling breath it is possible for you to get a fungal infection as well. Not like hers necessarily, but perhaps an itchy irritated looking, maybe like a rash on your skin.

As far as the difference between Itraconazole and Fluconazole, from what I am reading, Fluconazole is the best choice because it has much better absorption into her system, and less side effects. 

Fluconazole is more lipophilic and has better bioavailability than itraconazole. It also penetrates the CNS better (60–80% of serum levels) and causes fewer side effects than itraconazole. The dosage for cats and dogs is 5–15 mg/kg, PO, sid-bid for 6–10 mo

I realize this is a bit technical to understand.
 

catwoman707

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Terlepas dari apakah itu sporococcosis atau kriptokokosis mereka berdua diobati dengan Fluconazole atau Itraconazole , yang merupakan obat antijamur .
Kucing Ginger di link mengenai kriptokokosis , terlihat seperti mata kucing Anda . Luar biasa . Dari apa yang saya baca kriptokokosis adalah jauh lebih umum pada kucing .
 
Saya tidak tahu jawaban yang benar untuk ini, tapi aku bertanya-tanya jika tidak akan membahayakan kucing Anda untuk terus maju dan diletakkan pada Flukonazol secepat mungkin atau jika pengujian diperlukan terlebih dahulu . Tentu saja dia sedang diuji untuk diagnosis yang akurat adalah yang terbaik, tapi saya juga tidak berpikir dia harus menunggu renovasi harus dilakukan di dokter hewan baik .
Saya tahu pilihan ada sangat terbatas .
Saya juga ingin menyebutkan bahwa pada infeksi jamur , dapat masuk ke sistem internal yang kucing Anda menyebabkan masalah neurologis dan masalah , dan Anda tidak menginginkan hal itu. Hanya alasan lain mengapa dia perlu pengobatan dimulai sesegera mungkin .
Jika ada sekolah pengajaran hewan dokter hewan dapat merujuk Anda ke , ini adalah pilihan yang terbaik . Jika tidak, Anda mungkin ingin mendiskusikan dengan pengobatan awal dia sekarang dengan Fluconazole .
 
Saya juga ingin memastikan bahwa Anda memahami bahwa infeksi jamur yang menular kepada Anda . Mulai sekarang sangat penting bahwa Anda melindungi diri dengan sarung tangan lateks sekali pakai kapan saja Anda menangani dirinya , serta beberapa jenis masker untuk menutup mulut dan hidung , seperti jamur menempatkan spora ke udara dan jika Anda menghirup napas adalah mungkin bagi Anda untuk mendapatkan infeksi jamur juga. Tidak seperti miliknya tentu , tapi mungkin gatal jengkel melihat, mungkin seperti ruam pada kulit Anda .
 
 
Sejauh perbedaan antara Itrakonazol dan Flukonazol , dari apa yang saya baca , Fluconazole adalah pilihan terbaik karena memiliki daya serap yang lebih baik ke dalam sistem , dan efek samping yang lebih sedikit .
 
Flukonazol lebih lipofilik dan memiliki bioavailabilitas yang lebih baik daripada itraconazole . Hal ini juga menembus SSP yang lebih baik ( 60-80 % dari kadar serum ) dan menyebabkan efek samping yang lebih sedikit daripada itraconazole . Dosis untuk kucing dan anjing adalah 5-15 mg / kg , PO , sid - tawaran untuk 6-10 mo
Saya menyadari ini adalah sedikit teknis untuk memahami 
 

catwoman707

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Saya juga ingin mengatakan bahwa, saya percaya kita pasti membuat kemajuan besar dalam mendiagnosis gadis Anda secara akurat sekarang, terutama setelah melihat Ginger kucing dengan mata yang sama seperti gadis Anda memiliki. 
Saya sangat senang Anda datang ke situs ini untuk membantu! 
 
Saya berharap dia akan segera di obat dan dalam perjalanan menuju pemulihan. 
 
Ketika dia sembuh, dia mungkin memerlukan satu mata dihapus, tapi tidak apa-apa, setidaknya Anda akan terus memiliki dan menikmati dengan Anda, jauh lebih baik daripada saran lain untuk menidurkan dia
 
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pinkdagger

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Have there been any changes with Blue or success with testing/seeing another vet or vet school? This post has been on my mind lately. Sending vibes
 

catwoman707

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Have there been any changes with Blue or success with testing/seeing another vet or vet school? This post has been on my mind lately. Sending vibes
Mine too, I am hoping the info we gave helped alot, get the right help and meds for this poor sweet kitty!
 
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dolphinmedan

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Have there been any changes with Blue or success with testing/seeing another vet or vet school? This post has been on my mind lately. Sending vibes
@pinkdagger

Thank you for your concern in my cat, Blue. Until today, it's seems getting worse in her eye. Kept bleeding a lot. I did found some drugs. I did chat with a Pharmacy in Malaysia, and they able to send to Indonesia. Hopefully this will help her. Vet Universities doesn't reply my enquiry.

So yep, hopefully medicines I've found will help my cat.

Thank you again for your concern. I'll updated the good news to you guys..
 
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dolphinmedan

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Mine too, I am hoping the info we gave helped alot, get the right help and meds for this poor sweet kitty!
@catwoman707

Hi, Thanks again for nice thought for thinking on my baby Blue. I did found a Pharmacy in Malaysia. They also have a Animal Hospital.  www.kmvetpharm.com.my

I did found some drugs for my cat. They will send to Indonesia. Hopefully these drugs help her. Thanked you again for your helpful info and help me understand on my cat disease.

I'll updated to you the good news. 

Thanks again @catwoman707
 
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