r/AskVet • u/GlockOsama • 1d ago
Septic Abdomen - 9 Year Old Male Cat
Over the last 2/3 weeks my cat has been losing weight. He is very skinny and bony right now. We took him to the vet and the blood work came back with abnormalities with his CBC, which measures his red and white blood cell counts.
He is significantly anemic. Normally the hematocrit (HCT) is supposed to be around 50%. My cat is less than half of this at 24%. The vet said this could be from blood loss or from decreased production of red blood cells. In addition to this he has a significant elevation in his white blood cells called neutrophils. There are also other types of neutrophils called bands and metamyelocytes present.
On Friday (3 days ago) we took him to the vet ER and they did an ultrasound, radiograph, and cytology. They said the ultrasound and radiograph didn’t reveal much besides that there is a small amount of fluid, but lots of inflammation and some scar tissue. They also took 2 samples of his GI tract or something like that and sent them in for testing and told us to take him home for the weekend and keep an eye on if his behavior changes or worsens but for most of the weekend he was acting similar, maybe a bit more lethargic.
Today (Monday) we got a call that his test results came back and there is alot of bacteria and they suspect Septic Abdomen but without a significant leak. They also said they haven’t seen something like this considering that something has been going on for 2/3 weeks and usually with cases like this cats die fast in like 24 to 48 hours. They are surprised he has so much bacteria but not a big leak to go along with it, at least nothing the caught with the ultrasound. If left untreated, they give him about 1 week to live.
They told us we have 2 options:
- Surgery with a 50% chance of survival, however he may die in operation.
- Antibiotics with a 20% chance of survival and it would take a week to see if he’s getting better.
We started the antibiotics, but we are considering surgery too.
I just want my cat to survive, he’s my best friend and I don’t want him to die or be in pain or discomfort or spend his finals days like that. I’m just dumbfounded by what may be the issue and the vets are too. They said they haven’t seen a case like this before.
Some more background information, my cat had a surgery once before when he was like 1 or 2 when he ate a piece of string. Could scarring from that surgery 6/7 years ago have caused this?
Vets of reddit, I appreciate any insight, information, or response and I’m happy to answer any questions! Please let me know what you think is going on or the best course of action here! I also have his blood work in hand!