896d5ae82f478824b8dcbcd5d8cf8595 VIR_a2023v15p1847.pdf 2981d4df08ae2dd76b9f8282009978e2dc854415 VIR_a2023v15p1847.pdf b92bd733927c40dbb93338ec6bf36f62db41c6ea192c179cd2552ef54f7956e0 VIR_a2023v15p1847.pdf Title: Feline Infectious Peritonitis: European Advisory Board on Cat Diseases Guidelines Subject: Feline coronavirus (FCoV) is a ubiquitous RNA virus of cats, which is transmitted faeco-orally. In these guidelines, the European Advisory Board on Cat Diseases (ABCD) presents a comprehensive review of feline infectious peritonitis (FIP). FCoV is primarily an enteric virus and most infections do not cause clinical signs, or result in only enteritis, but a small proportion of FCoV-infected cats develop FIP. The pathology in FIP comprises a perivascular phlebitis that can affect any organ. Cats under two years old are most frequently affected by FIP. Most cats present with fever, anorexia, and weight loss; many have effusions, and some have ocular and/or neurological signs. Making a diagnosis is complex and ABCD FIP Diagnostic Approach Tools are available to aid veterinarians. Sampling an effusion, when present, for cytology, biochemistry, and FCoV RNA or FCoV antigen detection is very useful diagnostically. In the absence of an effusion, fine-needle aspirates from affected organs for cytology and FCoV RNA or FCoV antigen detection are helpful. Definitive diagnosis usually requires histopathology with FCoV antigen detection. Antiviral treatments now enable recovery in many cases from this previously fatal disease; nucleoside analogues (e.g., oral GS-441524) are very effective, although they are not available in all countries.50pt Keywords: feline coronavirus; FIP; FCoV; mutation; diagnosis; treatment; antiviral Author: Séverine Tasker, Diane D. Addie, Herman Egberink, Regina Hofmann-Lehmann, Margaret J. 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application/pdf PDFMetadata: Objects: 3438 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Agent Properties Destination: section.2 Children: Item: Title: Virus Classification Destination: subsection.2.1 Item: Title: Virus Genome and Structure Destination: subsection.2.2 Item: Title: FCoV Types I and II and Replication Destination: subsection.2.3 Item: Title: FCoV Pathotypes and Genome Mutations Destination: subsection.2.4 Item: Title: Epidemiology Destination: section.3 Children: Item: Title: Transmission of FCoV Destination: subsection.3.1 Item: Title: Prevalence of FCoV Destination: subsection.3.2 Item: Title: Prevalence and Risk Factors for FIP Destination: subsection.3.3 Item: Title: Pathogenesis Destination: section.4 Item: Title: Immunity Destination: section.5 Item: Title: Clinical Signs Destination: section.6 Children: Item: Title: Clinical Signs Associated with FCoV Infection Destination: subsection.6.1 Item: Title: Clinical Signs Associated with FIP Destination: subsection.6.2 Children: Item: Title: General Clinical Signs of FIP Destination: subsubsection.6.2.1 Item: Title: Clinical Signs of FIP Associated with the Intestinal Tract Destination: subsubsection.6.2.2 Item: Title: Clinical Signs of FIP Associated with the Skin Destination: subsubsection.6.2.3 Item: Title: Clinical Signs of FIP Associated with the Nervous System Destination: subsubsection.6.2.4 Item: Title: Clinical Signs of FIP Associated with the Eye Destination: subsubsection.6.2.5 Item: Title: Miscellaneous Clinical Signs of FIP Destination: subsubsection.6.2.6 Item: Title: Diagnosis of FIP Destination: section.7 Children: Item: Title: Signalment and History for FIP Destination: subsection.7.1 Item: Title: Approach to the Diagnosis of FIP Destination: subsection.7.2 Item: Title: Laboratory Changes in FIP Destination: subsection.7.3 Children: Item: Title: Routine Haematology Destination: subsubsection.7.3.1 Item: Title: Serum Biochemistry Destination: subsubsection.7.3.2 Item: Title: Cytology and Biochemistry on Effusions Destination: subsubsection.7.3.3 Item: Title: Rivalta’s Point-of-Care Test on Effusions Destination: subsubsection.7.3.4 Item: Title: FNA Cytology Destination: subsubsection.7.3.5 Item: Title: CSF Analysis Destination: subsubsection.7.3.6 Item: Title: Aqueous Humour Analysis Destination: subsubsection.7.3.7 Item: Title: Diagnostic Imaging in FIP Destination: subsection.7.4 Children: Item: Title: Routine Imaging: Ultrasonographic and Radiographic Findings Destination: subsubsection.7.4.1 Item: Title: Advanced Imaging of the CNS: MRI and CT Destination: subsubsection.7.4.2 Item: Title: Direct Detection of FCoV Destination: subsection.7.5 Children: Item: Title: Detection of FCoV Antigen Destination: subsubsection.7.5.1 Item: Title: Detection of FCoV RNA by RT-PCR Destination: subsubsection.7.5.2 Item: Title: Molecular Techniques Characterising FCoV Spike (S) Gene Mutations following Positive RT-PCR for FCoV RNA Destination: subsubsection.7.5.3 Item: Title: Detection of FCoV RNA by In-Situ Hybridisation (ISH) Destination: subsubsection.7.5.4 Item: Title: Indirect Detection of FCoV Destination: subsection.7.6 Children: Item: Title: FCoV Antibody Testing Destination: subsubsection.7.6.1 Item: Title: Epidemiological Considerations in the Management of Cats following a Diagnosis of FIP Destination: section.8 Children: Item: Title: Does a Cat with FIP Pose a Threat to Other Cats in Its Household? Destination: subsection.8.1 Item: Title: Management of Cats with FIP in the Veterinary Practice Destination: subsection.8.2 Item: Title: General Prognosis for FIP Destination: section.9 Item: Title: Treatment of FIP Destination: section.10 Children: Item: Title: Antiviral Treatments for FIP Destination: subsection.10.1 Children: Item: Title: GS-441524, a Nucleoside Analogue Destination: subsubsection.10.1.1 Item: Title: Remdesivir, a Nucleoside Analogue Destination: subsubsection.10.1.2 Item: Title: Molnupiravir, a Nucleoside Analogue Destination: subsubsection.10.1.3 Item: Title: GC376, a Protease Inhibitor Destination: subsubsection.10.1.4 Item: Title: General Considerations for Use of Nucleoside Analogues and Protease Inhibitors Destination: subsubsection.10.1.5 Item: Title: Interferons Destination: subsubsection.10.1.6 Item: Title: Anti-Malarial Compounds Destination: subsubsection.10.1.7 Item: Title: Cyclosporine A Destination: subsubsection.10.1.8 Item: Title: Curcumin Destination: subsubsection.10.1.9 Item: Title: Miscellaneous Antiviral Treatments Destination: subsubsection.10.1.10 Item: Title: Immunomodulatory Drugs for FIP Destination: subsection.10.2 Item: Title: Supportive Treatments for FIP, including Anti-Inflammatories and Drainage Destination: subsection.10.3 Item: Title: Vaccination Destination: section.11 Children: Item: Title: Efficacy of FIP Vaccines Destination: subsection.11.1 Item: Title: Use of FIP Vaccines Destination: subsection.11.2 Children: Item: Title: Primary Course Destination: subsubsection.11.2.1 Item: Title: Booster Vaccinations Destination: subsubsection.11.2.2 Item: Title: Control of FCoV Infection and FIP Destination: section.12 Children: Item: Title: Reducing FCoV Transmission Destination: subsection.12.1 Item: Title: Managing FCoV Shedders Destination: subsection.12.2 Item: Title: Elimination of FCoV Shedding Destination: subsection.12.3 Item: Title: Further Considerations in Breeding Catteries Destination: subsection.12.4 Item: Title: Further Considerations in Rescue Facilities, Shelters and Boarding Catteries Destination: subsection.12.5 Item: Title: Management of FCoV-Infected Cats without Clinical Signs Destination: subsection.12.6 Item: Title: Maintaining a FCoV-Negative Status Destination: subsection.12.7 Item: Title: Conclusions Destination: section.13 Item: Title: References Destination: section.14 Info: Title: Feline Infectious Peritonitis: European Advisory Board on Cat Diseases Guidelines Author: Séverine Tasker, Diane D. Addie, Herman Egberink, Regina Hofmann-Lehmann, Margaret J. Hosie, Uwe Truyen, Sándor Belák, Corine Boucraut-Baralon, Tadeusz Frymus, Albert Lloret, Fulvio Marsilio, Maria Grazia Pennisi, Etienne Thiry, Karin Möstl and Katrin Hartmann Subject: Feline coronavirus (FCoV) is a ubiquitous RNA virus of cats, which is transmitted faeco-orally. In these guidelines, the European Advisory Board on Cat Diseases (ABCD) presents a comprehensive review of feline infectious peritonitis (FIP). FCoV is primarily an enteric virus and most infections do not cause clinical signs, or result in only enteritis, but a small proportion of FCoV-infected cats develop FIP. The pathology in FIP comprises a perivascular phlebitis that can affect any organ. Cats under two years old are most frequently affected by FIP. Most cats present with fever, anorexia, and weight loss; many have effusions, and some have ocular and/or neurological signs. Making a diagnosis is complex and ABCD FIP Diagnostic Approach Tools are available to aid veterinarians. Sampling an effusion, when present, for cytology, biochemistry, and FCoV RNA or FCoV antigen detection is very useful diagnostically. In the absence of an effusion, fine-needle aspirates from affected organs for cytology and FCoV RNA or FCoV antigen detection are helpful. Definitive diagnosis usually requires histopathology with FCoV antigen detection. Antiviral treatments now enable recovery in many cases from this previously fatal disease; nucleoside analogues (e.g., oral GS-441524) are very effective, although they are not available in all countries.50pt Keywords: feline coronavirus; FIP; FCoV; mutation; diagnosis; treatment; antiviral Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Sep 13 05:33:23 CEST 2023 ModDate: Wed Sep 13 06:06:58 CEST 2023 ID: 0x4e88d1506af09d21bd8328a0a50ce411, 0x4e88d1506af09d21bd8328a0a50ce411 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: THOQCB+URWPalladioL-Roma FontSubset: true FirstChar: 1 LastChar: 252 FontDescriptor: FontName: THOQCB+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: NLOZXA+EURB10 FontSubset: true FirstChar: 11 LastChar: 33 FontDescriptor: FontName: NLOZXA+EURB10 Flags: Symbolic FontBBox: -30, -247, 1178, 723 FontFile: true Font: BaseFont: UPZVUV+CMSY10 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Checksum: 896d5ae82f478824b8dcbcd5d8cf8595 Type: MD5 Checksum: 2981d4df08ae2dd76b9f8282009978e2dc854415 Type: SHA-1 Checksum: b92bd733927c40dbb93338ec6bf36f62db41c6ea192c179cd2552ef54f7956e0 Type: SHA-256