My cat appears to have serous fluid coming from the bridge of her nose

[Laurie Gee]

Princess has chronic upper respiratory issues. She had several strokes about 2-1/2 years ago so tests that require sedation are not an option.
She tested positive for mycoplasmosis but I don’t know if these symptoms are related to it.
I posted on previous threads about the bump that appeared on her forehead a couple of months ago. It moves and moves into the bridge area of her nose.
A couple of weeks ago the pressure was great enough that it created a small hole on the bridge of her nose. Blood came out from that area and I saw the bump go down. It opened up a couple more times and then appeared to be gone.
The bump started to appear on the bridge of her nose again and the “fur” on her nose in that spot has not grown back yet. I watched the bump grow. Last night it created a hole in her nose and this time serous fluid came out.
I hesitate going back to the vet because I haven’t really gotten answers on what may have caused the original bump.
I’m even considering creating a Facebook page for her in hopes that I can find someone who can help me get some answers.
Posting photos of the latest bump and fluid that came out yesterday. If someone can help I would appreciate it.

 

[FeebysOwner]

Hi. Poor baby Princess! She looks like such a sweetie! How old is she? How is she doing otherwise? What meds is she on?

All of her issues, short of the strokes, appear to be connected, IMO, coming from a layperson's perspective. Because there is inflammation and that impacts tissue, I can see in specific cases that might cause these bumps to grow and then burst. And, while that drainage is partly serous, there is blood in it as well. That can normally mean healing, but I am not sure what it could lead to since the hole just re-emerged. It is possible that she needs to be on antibiotics - perhaps different than what she has had - for a longer period of time.

Have you looked to see if you could find other internal med vets - one that is part of a larger specialty group whereby they can confer with other specialists in their practice - other than just the ER internist you mentioned in your previous thread? Did you look into a vet university who might also be able to recommend other internal med groups in your area? Your regular vet should have also been able to help in your search, btw. Where are you located - perhaps, we could help in your search? I only suggest continuing down this path because you are not getting the help you need from your vet.

There are other forms of 'sedation' besides anesthesia that can be used on cats, who are at risk with typical anesthesia. That is another thing to consider and might allow some additional tests as deemed necessary.

I wish I had more to offer. She is such a darling.

 

[Laurie Gee]

Hi. Poor baby Princess! She looks like such a sweetie! How old is she? How is she doing otherwise? What meds is she on?

All of her issues, short of the strokes, appear to be connected, IMO, coming from a layperson's perspective. Because there is inflammation and that impacts tissue, I can see in specific cases that might cause these bumps to grow and then burst. And, while that drainage is partly serous, there is blood in it as well. That can normally mean healing, but I am not sure what it could lead to since the hole just re-emerged. It is possible that she needs to be on antibiotics - perhaps different than what she has had - for a longer period of time.

Have you looked to see if you could find other internal med vets - one that is part of a larger specialty group whereby they can confer with other specialists in their practice - other than just the ER internist you mentioned in your previous thread? Did you look into a vet university who might also be able to recommend other internal med groups in your area? Your regular vet should have also been able to help in your search, btw. Where are you located - perhaps, we could help in your search? I only suggest continuing down this path because you are not getting the help you need from your vet.

There are other forms of 'sedation' besides anesthesia that can be used on cats, who are at risk with typical anesthesia. That is another thing to consider and might allow some additional tests as deemed necessary.

I wish I had more to offer. She is such a darling.

Hi. Poor baby Princess! She looks like such a sweetie! How old is she? How is she doing otherwise? What meds is she on?

All of her issues, short of the strokes, appear to be connected, IMO, coming from a layperson's perspective. Because there is inflammation and that impacts tissue, I can see in specific cases that might cause these bumps to grow and then burst. And, while that drainage is partly serous, there is blood in it as well. That can normally mean healing, but I am not sure what it could lead to since the hole just re-emerged. It is possible that she needs to be on antibiotics - perhaps different than what she has had - for a longer period of time.

Have you looked to see if you could find other internal med vets - one that is part of a larger specialty group whereby they can confer with other specialists in their practice - other than just the ER internist you mentioned in your previous thread? Did you look into a vet university who might also be able to recommend other internal med groups in your area? Your regular vet should have also been able to help in your search, btw. Where are you located - perhaps, we could help in your search? I only suggest continuing down this path because you are not getting the help you need from your vet.

There are other forms of 'sedation' besides anesthesia that can be used on cats, who are at risk with typical anesthesia. That is another thing to consider and might allow some additional tests as deemed necessary.

I wish I had more to offer. She is such a darling.

She is the sweetest girl ever! We can only estimate her age as we adopted each other almost 10 years ago. She was estimated then to be 3-5 years old. Has always had congestion. Initially tested negative on the PCR test years ago.
Several months later the upper respiratory issues became more serious and requires antibiotics. The PCR test was done again and came back positive for mycoplasma. She has been on a few rounds of doxy for that (but never for more than 2 weeks at a time). She started responding less to the doxy and was given zeniquin, which didn’t work well. Her last round of antibiotics was azythromycin and that didn’t work well. If this is all mycoplasma-induced, she needs a different antibiotic though that is more effective.
I have taken her to 2 different vets. Both have not mentioned any alternative types of sedation. They have not offered referrals, which I think they should do if they are stumped. These vets are cat only vets and IMO are the best ones in town.
I live in Las Vegas. We do not have a university that has a vet school.
The only internal specialist is affiliated with one of the pet ERs here. They are only interested in your money so I will not take her there.
One thing I haven’t mentioned in previous posts are the mobility issues that appeared grew worse earlier this year. She already had some weakness in her left legs from the strokes. Just over a year ago I realized that she wasn’t peeing and pooping as often as she should. She was holding it until she couldn’t hold it any longer. Then I saw she was having difficulty getting over a low lip on the litter box. At that point I ordered some 3ft square adult incontinence pads and have those on our bed. That was a good decision because she began to do her thing regularly as she should and I think that helped the UTIs go away. Earlier this year the weakness increased. She flat foots on her rear legs and the front paws fold over frequently.
She is not currently taking any antibiotics. We ended the azithromycin about a week ago. She has Cerenia nose drops to give as needed. They don’t help much.

 

[silent meowlook]

Have they run a Cryptococcus titer on her? It is a blood test looking for the fungal infection Cryptococcus. I have seen many cats with it over the years in Southern California. It may be something to look into in your area or at least talk to your vet about.

Cryptococcus can present in many different ways but is often seen as a lump on the bridge of a cats nose or forehead. It can grow slowly and cause neurological issues.

 

[silent meowlook]

I am also curious if she was retested for the mycroplasma and if that was negative after treatment. I know you mentioned a PCR but what was that for? When was she last seen and what did the vets think about her neuropathy or whatever is going on with the flat footed stance? Also when was last bloodwork run? Low potassium and other electrolyte abnormalities can cause muscle weakness.

Has she ever been given Prednisolone with the Doxycycline?

 

[Laurie Gee]

Have they run a Cryptococcus titer on her? It is a blood test looking for the fungal infection Cryptococcus. I have seen many cats with it over the years in Southern California. It may be something to look into in your area or at least talk to your vet about.

Cryptococcus can present in many different ways but is often seen as a lump on the bridge of a cats nose or forehead. It can grow slowly and cause neurological issues.

She was tested for cryptococcus and tested negative.

 

[FeebysOwner]

I am guessing one of these groups listed below is the practice you don't trust, but at least that would offer you a couple of others to look into. Most specialty groups do require a vet referral, but that is something you can ask one of the vets to do for you since they didn't bother to suggest it themselves.

Test results and records for Princess can be shared at no expense to you and will help to reduce redundant testing. Most specialty groups will do second opinion/consultations to start off with, and when they are in groups like these, they can confer with other colleagues that specialize in various disciplines.
Internal Medicine - Las Vegas Veterinarian | Las Vegas Veterinary Specialty Center (lvvsc.com)
Internal Medicine Vet in Las Vegas | Veterinary Internal Medicine (islandpethospital.com)
Internal Medicine Services in Las Vegas, NV | VCA Desert Inn Animal Hospital VCA Animal Hospitals (vcahospitals.com)

I hope one of these practices can help shed some light on what is going on with Princess.

 

[fionasmom]

VetSpecialists.com | Home
I don't know if this directory would help depending on where other vets are located.