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【Added on October 26, 2023】: Healing 14-Year-Old Black Female Cat with Feline Immunodeficiency Virus (FIV) Carrying Feline Chronic Gingivostomatitis (FCGS)
2023-10-27

【Added on October 26, 2023】: Healing 14-Year-Old Black Female Cat with Feline Immunodeficiency Virus (FIV) Carrying Feline Chronic Gingivostomatitis (FCGS)

This is a tricky case of Feline Chronic Gingivostomatitis (FCGS), hereinafter referred to as stomatitis, setting two records among all the FCGS cases we’ve perfectly treated: “longest treatment duration” and “furthest distance from our hospital”.

Mai-Mai, a spayed mixed-breed black female cat, lived with her owner in Hengchun, Pingtung. She suffered from severe FCGS and was also a carrier of Feline Immunodeficiency Virus (FIV). FCGS had significantly reduced Mai-Mai’s appetite and vitality. Prior to coming to our hospital, she had been on steroids for two years in another animal hospital, but she had developed drug tolerance. Consequently, her owner brought her to our hospital for Dr. Chung-Wei Chen’s innovative Mucogingival Replacement Surgery (MGRS) for FCGS treatment. At the beginning of her treatment, Mai-Mai was 12 years old, and at the end of the MGRS treatment, she was 14 years and 3 months old.

Since the cat was an FIV carrier, it affected the healing process post-surgery. Throughout the treatment, Dr. Chen adjusted Mai-Mai’s treatment plan multiple times, including the surgical approach and vitamin D dosage, to expedite her oral healing. Additionally, the owner was advised to limit Mai-Mai’s outdoor activities to prevent exposure to unknown pathogens that could affect the treatment’s effectiveness.

After 2 years and 3 months of MGRS treatment for stomatitis (FCGS), Mai-Mai finally made a full recovery. Her appetite returned, her energy was high, and she could lead a normal life without the need for symptom-controlling medication.

Despite the successful resolution of FCGS, Mai-Mai, being an FIV carrier with severe periodontal disease, still necessary to brush the teeth daily and have regular dental scaling to maintain good oral hygiene and ensure oral health.

The entire course was exceptionally long and challenging, and we’re grateful to the owner for trusting us and persevering until the end, successfully completing the treatment.

Feline chronic gingivostomatitis (FCGS) is one of the common oral diseases in cats. The main symptoms are:
1.     The gingiva and oral mucosa are red, swollen, ulcers or hyperplasia. All soft tissues in the mouth, including the gingiva and all parts of the oral mucosa (including buccal, lingual, sublingual and oropharynx, etc.), will have redness, ulceration or hyperplasia.
2.     Cats will lose their appetite or even refuse to eat because of mouth pain, or they will keep shaking their heads and scratching their mouths with their front feet when eating and drinking.
3.     The patient's saliva usually has a peculiar smell, even putrefactive odor, due to ulcers.

At present, the most common treatments are long-acting steroid injections or oral steroids, combined with antibiotics, and tooth extraction, etc. However, individual responses to these treatments vary, and steroids can lead to multiple side effects and drug tolerance. Tooth extraction can result in oral collapse and alveolar bone loss. Studies show that up to 78.9% of cats still need injections or medication even after tooth extraction, and even in cases with symptom improvement, 68.8% still require ongoing medication for treatment. For more information, you can refer to this article: https://reurl.cc/v6E6ON

Dr. Chung-Wei Chen's original Mucogingival Replacement Surgery (MGRS) aims to solve the above-mentioned sequelae and difficulties in the treatment of stomatitis, and make cats with FCGS no longer need to take medicine for a long time after recovery, and return to the normal life they had before the illness.

If you want to see more cat patients cured by MGRS in our hospital, please refer to our official website (www.hellopeter.com.tw/contents-4. html) or Facebook fan page album (https://reurl.cc/jlAQAZ).

HelloPeter Veterinary Hospital
Official Website: www.hellopeter.com.tw
Facebook: www.facebook.com/vet.dentistry.oral.medicine
Instagram: @hellopeter_ah
Hospital Hours: Monday to Friday 10:00~20:00 (by appointment only), 12:00 to the end of all appointments on Saturday, Closed on Sunday


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