Etiology
The FIV is a retrovirus first isolated in 1986 and is in the
same subfamily of viruses as human immune deficiency virus (HIV).
There are criteria used for classification that clearly distinguish
this virus from FeLV (feline leukemia), which is in a different
subfamily altogether. FIV is a lentivirus that is isolated from
peripheral blood leukocytes.
Epidemiology
Based on experimental studies, the major mode of transmission
among cats appears to be inoculation by bite wounds. Research
shows that neither close physical contact or sexual contact alone
are effective modes of transmission. Other modes of transmission
may be possible, but occur infrequently such as placental or
colostral.
The highest risk cats are outdoor, free-roaming intact males
with an infection rate three times higher than in females. Those
cats infected with both FIV and FeLV tend to have a shorter life
span, however combined infections are uncommon.
Clinical Findings
Three stages of FIV infection are thought to exist: initial acute
stage, a prolonged asymptomatic latent period and a chronic terminal
stage with clinical disease. Clinical disorders commonly seen
include lymph node enlargement, fever, gingivitis and oral cavity
disease, persistent upper respiratory infection, chronic wasting
diseases, increased susceptibility to opportunistic infections,
anemia, and neurologic symptoms.
Since FIV infection is a relatively newly recognized entity,
the clinical picture of the stages is still incomplete. Symptoms
related to the disease most commonly are seen involving the oral
cavity, respiratory and intestinal tracts, skin, and lymph tissues.
Diagnosis
Diagnosis is done using serologic testing available by several
readily available methods.
Therapy and Prevention
There is no known therapy to eliminate or cure this viral infection
at this time. Antiviral agents are of questionable value due
to lack of efficacy and toxic side effects. However, AZT may
reduce viral replication and improve quality of life. Until alternative
therapies are found, symptomatic therapies are all that is available
for a symptomatic infected cat.
Long term prognosis for FIV infection is very poor. There
is no vaccine currently available to protect against FIV, and
since the transmission of the virus is not thoroughly understood,
isolation of infected cats from uninfected cats is recommended.
There is no current evidence that FIV will infect people or
any other nonfeline species. This family of viruses appears to
be species-specific. However, immunocomprised patients are more
likely to contract other diseases that potentially could have
zoonotic potential such as fungal infections, parasites, protozoan
infections, and others.
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