A 14yo DSH neutered male. He has been a stabilized diabetic (mellitus) with very compliant owners that are able to do glucose curves at home.
Recently the cat needed a canine tooth to be extracted and had a full dental.
At the time it was discovered that he was FIV positive, but pre-anaesthetic blood work was normal. Cat recovered well, but developed diarrhoea a week after surgery. He now gets diarrhoea on and off, particularly after finishing antibiotics and despite the owner giving probiotics.
He is described as "unwell" by his owners, is less active and his appetite decreased. His glucose levels have been running high as well.
On examination the cat was lethargic (suspect glucose was elevated into 20's at the time of visit), had pronounced gingivitis and ears and head felt hot. His third eyelids were drawn across and his femoral pulses were very weak. The cat is overweight, but only slightly (6kg).
What would you suggest to start him on?
What is the significance of the new FIV diagnosis and what is the best way to address this?
Thank you