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Author Topic: Hyper-t cat has high WBC  (Read 417 times)
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ranger
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« on: March 19, 2019, 05:45:18 AM »

So Sam 15 has been on methimazole for less than a year but on January bloodwork had wbc and in March  again high. He paces, he pees on stuff and vet suggested putting him back on prozac. He was on before for peeing.

I am torn because it's hard to keep weight up even though the hyper-t is in the normal range. And this still does not address the wbc. She did suggest x-rays and/or ultra sound but he would to be put under for those. She did suggest antibiotics.

Anyone ever have anything like this?
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Mandycat
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« Reply #1 on: March 19, 2019, 12:21:55 PM »

A high WBC usually indicates an infection.  Has a urine culture been done for a UTI?  If there is no UTI, there could be an infection somewhere else.  Perhaps something in the GI system?  Do what testing you can do to rule out a specific source of an infection, starting with the urine culture (which is the most obvious possibility), then try an antibiotic to get anything that has not been discovered and maybe the WBC levels will decrease with the infection being resolved. 
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mikken
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« Reply #2 on: March 30, 2019, 10:25:20 PM »

I had a cat who compulsively paced and peed on stuff.  Like, at the same time.  He would circle the room, stop to pee on the wall, then circle the room, stop to pee on the wall... he once did 15 circuits of the room with half of those peeing (I think he eventually just ran out of pee).  Then he would have completely normal periods of behavior - for days at a time.  Then he would start his pacing/circuits, again.

In the end, we went to a neurologist.  A spinal tap revealed infection in his spinal fluid.  Neurologist said he'd only seen that once before.  We tried antibiotics, but his immune system seemed to just not be responding at all.  In the end, he became physically compromised to the point where we decided that he had no quality of life.  His MRI came back as mostly normal, with some meningeal inflammation (from the infection). 

I suspect that there was more going on with this cat (because of the apparent lack of immune response) than we ever knew.

While I doubt that what you're seeing is related to what we experienced (our situation was pretty extreme), I would second the vote for urine culture with sensitivity.  It's a well-known fact that in elderly people, a UTI can lead to behavior changes (sometimes extreme) and it's an easy fix as long as you have the right antibiotic and use it for long enough (might be a good idea to run a second culture after the antibiotics to be sure he's clear).

Is he very fractious at the vet?  I ask because it's unusual in my experience to need sedation for x-rays or ultrasound.  Maybe just some Gabapentin would help chill him out enough?
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ranger
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« Reply #3 on: April 04, 2019, 05:55:04 AM »

He did have culture done and nothing there.

I am having the ultrasound next week (had to postpone because both the vet and I were sick).

He is a pita at the vet but he is scared. I think if I could stay with him he would be ok but no.
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mikken
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« Reply #4 on: April 08, 2019, 02:27:26 PM »

Ask  your vet about gabapentin for the vet visit.  Makes all the difference for my girl!
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