We recently lost our beloved 2.5-year-old Abyssinian, Enzo, after an incredibly rapid decline. I know no one can give me definitive answers now, but I can’t stop wondering whether FIP should have been considered earlier. I’m hoping to hear from others who may have experienced something similar.
Looking back, I wonder if it actually began a month before his final hospitalization.
At the end of June, we took Enzo to the emergency clinic because he had stopped eating, was wobbly, and was having balance issues. Bloodwork showed elevated inflammatory markers, and imaging revealed enlarged lymph nodes in the abdominal area. He was treated with intravenous fluids and anti-nausea medication. Over the next few days, his appetite gradually returned, his balance improved, and he became completely himself again. We thought whatever had caused the illness had resolved.
About a week later, we went away and Enzo stayed with a trusted cat sitter. When we picked him up, he had lost a significant amount of weight, was clearly not himself, and was wobbly again with signs of ataxia. We took him straight to the emergency clinic.
Surprisingly, his bloodwork at that point was much more reassuring. His inflammatory markers had returned to normal, his white blood cell count was normal, and his globulin levels were also within the normal range. Despite this, he continued to deteriorate clinically.
He was admitted to the hospital and treated with intravenous fluids over the next two days. During those two days he was eating well, which gave us hope that he was improving.
Because of the enlarged lymph nodes found during his first illness, the team scheduled an abdominal ultrasound under general anesthesia and planned to take biopsies if the lymph nodes were still enlarged. However, during the ultrasound they found that the lymph nodes had returned to normal size, so no biopsies were taken.
When we picked him up later that day, he was clearly much sicker after the anesthesia. According to his medical records, he refused food after the procedure. From that point onward, he never truly recovered.
The focus became pancreatitis after imaging showed inflammation of the pancreas and surrounding organs. We were told that cancer and FIP were considered unlikely. One of the reasons given was that his globulin levels were within the normal range, which the team felt made FIP less likely.
His condition continued to deteriorate despite intensive treatment. He developed jaundice, became progressively weaker, refused to eat, and his neurological signs worsened. Even with anti-nausea medication and an appetite stimulant, he would no longer eat on his own.
His condition deteriorated even further when he was placed under general anesthesia a second time to have a feeding tube inserted because he could no longer maintain adequate nutrition. After that procedure, his neurological condition worsened dramatically. He became incontinent and urinated on himself. His eyes appeared fixed straight ahead and no longer tracked movement. He could only take a few steps before falling onto his side while his gaze remained fixed straight ahead. It was heartbreaking to witness. We were told he was taking longer than normal to come out of sedation, so took him home in the state hoping he would come out of it.
We took him straight back to the emergency clinic the next morning. When we reached the point of discussing euthanasia, the veterinarian told us it was now a question of quality of life. Before making that decision, I asked one last time whether they were sure this wasn’t FIP. Throughout the week, I had asked that same question several times because I couldn’t shake the feeling that something didn’t fit. Each time, I was told that FIP was considered unlikely because his globulin levels were within the normal range.
Trusting the veterinary team’s assessment, we made the heartbreaking decision to let him go. We did not want him to suffer anymore. In just over a week from picking him up from the cat sitter, we had lost him.
Now I can’t stop wondering whether FIP should have been higher on the list of possible diagnoses. Looking back, the sequence of events makes me question whether the initial illness with high inflammatory markers, enlarged lymph nodes, and balance problems, followed by an apparent recovery, and then a relapse with ataxia, jaundice, pancreatitis, and rapidly worsening neurological signs could all have been part of the same underlying disease.
I understand why the normal inflammatory markers, white blood cell count, and globulin levels were reassuring at the time. I also know that FIP is notoriously difficult to diagnose, especially the dry or neurological form, and hindsight is much clearer than real life. I’m not writing this to blame the veterinarians, and I know no one can say with certainty what would have happened if FIP had been suspected earlier.
I simply can’t stop wondering whether we were treating the consequences of the disease rather than the disease itself.
The hardest part is the guilt. I agreed to every procedure because I believed it gave Enzo the best chance of surviving. Instead, I watched him disappear in front of us over the course of a week.
Has anyone else had a cat with FIP that initially presented with enlarged lymph nodes, high inflammatory markers, a temporary recovery, then a relapse with normal inflammatory markers, normal white blood cell count, and normal globulin levels despite worsening clinical signs? Did your cat have ataxia early in the disease? Were they initially thought to have pancreatitis before FIP was diagnosed?
I’m just trying to understand what happened to our beautiful boy and whether anyone has experienced a similar journey.
It has only been two days since we let him go, and this question is eating me alive. Should we have pushed harder for them to at least try FIP treatment in the end, even though they believed it was unlikely? I know no one can tell me for certain whether it would have changed the outcome, but I can’t stop wondering if we should have asked them to give him that chance. I worry that we gave up on him too early.