Physical symptoms
Body type
Explore how Feline Infectious Peritonitis (FIP) can lead to significant changes in a cat’s body shape, including weight loss and abdominal distension, and learn how to identify and manage these symptoms
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Pathogeny
1.Increased Metabolic Rate
Pathophysiology: FIP can induce a chronic inflammatory response, which can accelerate the metabolic rate.
Mechanism: The persistent inflammation associated with FIP results in increased energy expenditure. The cat’s body burns calories faster than they can be replenished through food intake, leading to progressive weight loss despite normal or increased appetite. This hypermetabolic state can be driven by systemic inflammation and the cat’s ongoing immune response.
2.Anorexia and Reduced Food Intake
Pathophysiology: Systemic illness and discomfort from FIP often lead to reduced food intake (anorexia).
Mechanism: Cats with FIP may experience nausea, gastrointestinal discomfort, or a general feeling of malaise, which can suppress appetite. The physical discomfort or pain caused by the disease can deter the cat from eating, contributing to significant weight loss. Gastrointestinal symptoms, such as nausea and vomiting, can also directly affect the cat’s ability to maintain normal food consumption.
3.Gastrointestinal Disturbances
Pathophysiology: FIP frequently causes gastrointestinal disturbances, including enteritis and malabsorption.
Mechanism: Inflammation of the gastrointestinal tract can impair nutrient absorption, leading to malnutrition. Fluid accumulation in the abdomen (ascites) or changes in gut motility can further exacerbate gastrointestinal symptoms. This malabsorption results in decreased efficiency of nutrient uptake, contributing to weight loss and muscle wasting.
4.Protein-Losing Enteropathy
Pathophysiology: In certain cases, FIP can cause protein-losing enteropathy, leading to significant protein loss through the gut.
Mechanism: The damage to the intestinal lining due to FIP can lead to the loss of proteins into the gastrointestinal tract, reducing the levels of essential proteins in the bloodstream. This condition can result in hypoproteinemia and further exacerbate weight loss, as the body lacks the necessary proteins to maintain muscle mass and overall health.
5.Fluid Accumulation and Ascites
Pathophysiology: FIP, particularly in its effusive form, can cause fluid accumulation in the abdominal cavity (ascites).
Mechanism: Ascites can cause abdominal distension, which may reduce the cat’s effective appetite and food intake. The presence of excess fluid exerts pressure on the gastrointestinal organs, potentially causing discomfort and leading to reduced food consumption. This fluid buildup can also contribute to overall body wasting as the cat’s body reallocates energy and resources.
6.Systemic Inflammation and Organ Dysfunction
Pathophysiology: FIP can lead to systemic inflammation affecting multiple organs.
Mechanism: The widespread inflammation can affect the liver and pancreas, impairing their functions and disrupting normal metabolic processes. Liver dysfunction may lead to inadequate protein synthesis and altered metabolism, compounding weight loss. Organ dysfunction can also cause generalized malaise, further decreasing the cat’s appetite and contributing to weight loss.
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Ascites
Pathogeny
1.Immune-Mediated Inflammation
Pathophysiology: FIP triggers a robust immune response that can lead to chronic inflammation in the abdominal cavity.
Mechanism: The inflammation caused by the immune response results in increased permeability of blood vessels, leading to leakage of fluid into the peritoneal cavity. This accumulation of fluid, or ascites, is a direct consequence of the inflammatory process affecting the serous membranes lining the abdominal cavity.
2.Vascular Leakage
Pathophysiology: FIP can cause vasculitis, an inflammation of the blood vessels.
Mechanism: The inflammatory response in FIP can damage the endothelial cells of blood vessels, increasing vascular permeability. This leakage of plasma proteins and fluids into the abdominal cavity contributes to the development of ascites. The damaged vessels fail to effectively manage fluid balance, leading to fluid accumulation.
3.Hypoproteinemia
Pathophysiology: The disease can result in low levels of plasma proteins, particularly albumin.
Mechanism: FIP-induced protein-losing enteropathy or hepatic dysfunction can lead to hypoproteinemia (low protein levels in the blood). Proteins, especially albumin, play a critical role in maintaining oncotic pressure. Reduced oncotic pressure allows fluid to escape from the vascular compartment into the abdominal cavity, causing ascites.
4.Liver Dysfunction
Pathophysiology: FIP can affect the liver, leading to hepatic dysfunction.
Mechanism: Liver involvement in FIP may impair normal hepatic function, including protein synthesis and regulation of blood flow. Hepatic dysfunction can contribute to decreased production of plasma proteins and altered fluid dynamics, resulting in fluid leakage into the peritoneal cavity and ascites.
5.Renal Complications
Pathophysiology: FIP may cause secondary renal issues, impacting fluid regulation.
Mechanism: Kidney dysfunction related to FIP can affect fluid and electrolyte balance, potentially leading to fluid retention and ascites. Impaired renal function can disrupt the body’s ability to regulate fluid levels, contributing to fluid accumulation in the abdominal cavity.
- Peritoneal Effusion
Pathophysiology: FIP, particularly the effusive form, directly causes fluid accumulation in the peritoneal space.
Mechanism: The effusive form of FIP leads to significant fluid buildup in the abdominal cavity due to the direct impact of the virus on the peritoneal membranes. This effusion results from the combination of inflammatory fluid leakage and decreased fluid reabsorption by the lymphatic system.
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