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View Full Version : Tritrichomonas Foetus - "TF" in cats



sasvermont
06-07-2006, 03:33 PM
This was posted by my breeder of all three of my Abys. Miley is the only one so far who has had problems.

It may be of interest to all you cat owners. Something more/new to worry about. As if we don't have enough already!

......TF is an emerging parasite in the feline world. Surveys have suggested that approximately one third of all purebred cats are infected. It is rarely tested for and may be responsible for many of the cases of chronic diarrhea (e.g. IBD) in cats. If you are a cat owner please take some time to read this page and acquaint yourself with this 'new' parasite. If we can help answer any questions contact us

Our TF History: We first learned about TF in January 2006. The symptoms of this parasite matched some of the symptoms we were seeing in some of our Abys. We purchased the equipment and tests required to detect TF and began testing in February. We found TF in 10 of our Abys (8 adults and 2 kittens). Working with our vet we have treated our Abys and are now regularly testing to insure our Abys are TF free.

Current TF Status: Since our initial TF test we have performed 110 TF tests. All of our adult female have now repeatedly tested negative. None of our kittens in our current litters have tested positive. We do have one new problem. Two of our young intact male studs have failed treatment. A theory has been proposed by Dr Gookin (TF researcher) that intact males may be able to harbor TF in their sex organs which may be beyond the reach of the drug used to treat TF. We are now treating these males with a different drug. It will take about three weeks before we know how effective this treatment has been. These males have been isolated so they do not pose a threat of infection to our other Abys

Where did TF come from?:Tritrichomonas foetus (TF) is a protozoan that infects bovines (cattle). It is considered a venereal disease in that industry. It was first discovered in felines in 1996 but was not associated with diarrhea in felines at that time. As best as I can learn it appears that Dr Jody Gookin made (or suspected?) this association in 1999. The other researcher investigating TF is Dr Stan Marks at UC Davis. Why TF was not considered more widely as a cause of diarrhea in cats until very recently is a mystery to us.

What is TF?: A TF protozoan organism which looks very similar to Giardia so if viewed by in a fecal smear a misdiagnoses of Giardia is common. Fecal floats and Giardia snap tests are insensitive to TF. TF is a fragile organism whose life span out of the body is normally less than an hour. This lack of hardiness is due to the fact that TF cannot form a cyst (as can Giardia). If TF drys out, if it is refrigerated or if it experiences temperatures above 105F it will die. Obviously bleach will kill it too but it will probably be dead by the time you clean the surface. The primary infection path is probably the litter box where a well timed use by two cats can transfer the parasite fecal/orally. Dr Gookin has commented that TF can live for 3-4 days in a wet stool (wet is the key word).

Symptoms: TF lives in the intestinal lining of the large bowel. It causes cow pie like stool that is often gassy and malodorous. Several breeders have commented that in symptomatic cats that the smell of the stool is a significant clue of an infection. The health of an infected cat is not usually adversely affected. It is important to note that an infected cat may or may not have clinical signs of TF. We had a TF positive female that had good stools.

Testing: There are three testing methods. The least sensitive method is a microscopic examination of a fecal smear. The probability of detecting TF in an infected cat has been estimated to be less than 20%. Additionally two other organisms, Giardia and Pentatrichomonas hominis may confuse the diagnosis.

The gold standard of TF testing is a Polymerase Chain Reaction (PCR) test. A stool sample can be sent to Dr Gookin's vet college (http://www.cvm.ncsu.edu/mbs/gookin_file1.pdf) for a PCR test. This is a very sensitive but unfortunately very expensive ($100/ test) test.

Alternatively you or your vet can use the BioMed InPouchTF test (www.biomed1.com/). This test is about $5/test. This test is simple to perform and if multiple tests are required this is the only sensible economic approach.

Prognosis: Until Dr Gookin published her findings last year there was no effective drug treatment. Dr Gookin has stated that “Most cats have spontaneous resolution of diarrhea in two years. More than half the cats remained positive for presence of the organisms however, up to 4-years after diagnosis and possibly many can carry the infection for life." In a multiple cat environment this could mean an endless cycle of reinfection.

Treatment: The drug of choice is ronidazole (RDZ). The dosage is 30-50 mg/Kg twice a day for 14 days. Their are few suppliers of this drug but one source is Westlab Pharmacy (www.westlabpharmacy.com/). Westlab is a compound pharmacy, they will make up RDZ capsules of the correct dosage. Capsules are preferred as it is not advised to mix RDZ with food as it has a bitter taste. RDZ seems to be well tolerated by felines but there have been some incidences of temporary neurological problems, usually at higher dosages. Those treating with RDZ should also consider the effect of weight gains during this 14 day period, especially in kittens. Weight gains during the 14 day treatment period may cause the dose to go sub-therapeutic (i.e. below 30 mg/Kg). As for other side effects, I have received one email reporting that their cat experienced liver failure while on RDZ. Fortunately it was reversible and the cat returned to normal. It is not known if this cat was treated within the recommended dosage range. Their are some, not necessary the one who had the liver problem, who in an effort to save costs who are using RDZ formulated for pigeons which at a 10% concentration. Accurate measuring and dosing with this form of RDZ may be difficult. We have experienced no adverse side-effects nor has any others been reported to us. Westlab have said that they have had reported to them some temporary neurological symptoms in a few cases but in large side-effects are few.

Post Treatment Testing: We begin testing 10-14 days after RDZ treatment. We wait this time period to make sure that no residual RDZ is present to bias the test. We are repeating the test approximately every 14 days afterward. We expect to lengthen this period slowly until 20 weeks is reached. Since cats have sensitive guts diarrhea (and vomiting) are not unusual occurrences in cats. If we observe any loose stool we test it. So far these events have been transient and these tests have all been negative.
The information sources: Material published by Dr Jody Gookin (www.cvm.ncsu.edu/mbs/gookin_jody.htm) and email correspondences with her. Addition information was obtained from the folks at BioMed (www.biomed1.com) and Westlab Pharmacy (www.westlabpharmacy.com/). Also experiences and the experiences of other breeders who are corresponding with us were included. Neither I nor any breeder I know would suggest that anyone, in matters of feline health, treat there cats independently of their vet.

Additional TF information:
Dr Gookin's TF paper: www.cvm.ncsu.edu/mbs/gookin_file2.pdf

Dr Gookin's June 2005 RDZ treatment paper: www.cvm.ncsu.edu/mbs/gookin_file4.pdf

Tubby & Peanut's Mom
06-07-2006, 04:15 PM
Thanks SAS. I've printed out your post and I'm going to drop it by my Vet's office to see if he thinks this could be the reason for CJ's chronic diarrhea. It would be soooo wonderful if he did have this because it's treatable and maybe he could go back to regular food instead of the $30.00 for an 8 lb bag food he's getting now....that only works sometimes. :rolleyes: :(

AbbyMom
06-07-2006, 09:12 PM
Oh, thank you. We have a Siamese in our shelter with chronic diarrhea. He is such a sweet cat, but not really adoptable as he often fails to make it to the litter box in time.

I will pass on this info to our health coordinator and hope for the best!

Thanks!

moosmom
06-08-2006, 07:39 AM
SAS,

Thanks for the info. I have a friend who breeds abys. I'm going to send this along.

Barbara
06-10-2006, 10:36 AM
Sallyanne that is very good to know. It may be not just in Abys but sometimes I think Abys are not the most healthy of cats.
My friend Angie's Xeline had to be PTS last week. That poor girl had stomach cancer and was only about 6. She always had gas problems and smell problems so I wonder now.....

ClassicTabbiesRok
06-13-2006, 08:24 PM
Hi all,

New member here.

We have a 1 year old Maine Coon neuter who has been diagnosed with TF. We obtained our medication from a compounding pharmacy in Arizona. It is about 1/2 the price of other pharmacies. The name of the pharmacy is Roadrunner pharmacy in Phoenix. We just began treatment tonight, so it is reassuring to read some of the other success stories.

Best,
Kristi

ClassicTabbiesRok
06-15-2006, 08:26 PM
By the way, can any of you experienced TF treaters tell me how long it takes for the cat to start showing improvement? I gave our "Lance" a bath yesterday. That seemed to make him feel a bit better. But today (treatment day #2) he seemed very energetic.

Thanks!
Kristi :confused:

sasvermont
06-16-2006, 07:11 AM
Hi Kristi,

Sorry to hear you are having the problem. I am in the early stages of checking Miley girl for TF. I just sent for the kit to diagnose it - or not!

I am going to purchase a full text document about this topic and will get back to you when it arrives.

You may want to re-read the post at my breeders web site www.highgait.com They have been testing for it for months now.

SAS

Cataholic
06-16-2006, 08:12 PM
Interesting, SAS. Very interesting. I wonder how common this is in non-abys. And, like Debbie, I wonder if this could be the cause of Georgie's chronic diahrrea. Might have to ask the 'ole White Coat about this.

sasvermont
06-16-2006, 08:53 PM
The lab is sending a few test kits (free of charge) and I will let everyone know the details. It will be several days until the kits arrive, then I have to work with the Vet. The specimen needs to be incubated, I do believe, and so I am hoping my Vet will take charge from the collection process on. I want to drop off my Miley for the day, have them TAKE the specimen(s) and then pick her up at day's end. I don't want to be digging around in the litter hoping that Miley was the depositor!......

It is interesting.....that so many cats could be at risk. Oh well. I should know for sure if Miley has it or not, within a week or so.

My concern is that she is in the early stages of FIP, as she tested positive for it, although I am hoping she was exposed and thus produced antibodies....giving the result as the same as having it.

The plot thickens. Not the stool, just the plot.

Oh, I gave all the cats a little Medamucil (SP??) with their wet food and I do think it helped Miley a little. It will not, in the long run, help her if she does in deed have a parasite.

Later -

SAS

Barbara
06-17-2006, 09:42 AM
Sallyanne I keep all my fingers crossed for Miley girl- it would be so great if it was something treatable. {{{{{{Hugs}}}}} and nosekissies for Miley.

pixiebobfan
06-24-2006, 01:02 PM
I have a pixie bob who has had diarrhea since last fall. When I took him to the vet, they said he had crf and just months to live. I tried another traditional vet and got the same diagnosis. I then tried a holistic vet and he is doing very well 8 months later except for the diarrhea. (and we tried everything)

I will now do the tests and hope we can finally solve this problem. He has the symptoms, including the very smelly "stools." I will have to do it at home and I'm wondering if I can deal directly with a lab? Has anyone tried that?

Chris

sasvermont
06-24-2006, 07:01 PM
Chris, I dealt directly with Biolabs for the test kits. I have an appointment with my vet on Friday coming up, to have Miley the cat, tested at the vet. Since the test itself is rather lab oriented, I thought they should take the cat and all the poop their little hearts desire......thus a drop off for a day. If the test is not conclusive, I may opt for the $100 test where you send the sample to a lab....... If you want to PM for more information, let me know. In the mean time Medimucil is doing the trick for Miley. She has had some minor relief these past few days. According to the vet, the Medimucil will not impact on the testing.


Sas

sasvermont
06-27-2006, 12:24 PM
I thought you folks would like to know a little more about TF. It is really scarey to me, to think that this has been around for so long.....going undetected.....




Sallyanne Smith wrote:
Hey Dave,

Sallyanne Smith here. On Friday, I will be dropping Miley off at my vet's along with a few TF kits to be tested for TF. She has had stool issue for years now, off and on, but now mostly on! So, knowing that she was diagnosed with Girardia as a wee kitten, when I first brought Graemer and Miley home, I thought it would make sense to have her tested for TF. The other cats are fine, stool wise.

Dave's Answer:
How was Giardia diagnosed? If microscopically, it may have been TF as TF and Giardia look alike. If Giardia was diagnoses by a snap test then it was likely Giardia. We haven't had a instance or Giardia although TF may have been in our cattery for a while. No way to know for sure.

Cats can be asymptomatically infected, if one is positive test all


1. Is it better to spend the $100 for the first test? rather than do the $5 kit? or is there no difference? Did you go with the more expensive test first?

Dave's Answer:
The InPouch TF test is fine, more than capable. Don't spend the extra money.


2. Do you have any advice for my vet on how to collect the sample or view it? Since you are doing your own testing, I thought might have some advice. My vet is very nice and smart I just don't know if she will know what to look for. The instructions for the kit are included, so I think she will be fine.......

Dave's Answer:
Have your vet use Dr Gookin's technique. Use a fecal loop lubed with a sterile water soluble jelly. Also to guard against bacteria overgrowth I suggest you inoculate two pouches. One with the recommended amount (i.e. peppercorn) and the other with half that amount. The pouches can be incubated at room temperature but the TF doubling rate is slower. Keep and examine for the full 12 days. Alternatively I incubate at 37C. I get responses within 48 hrs but my risk of bacteria overgrowth is higher. I have one advantage though, I have the new feline pouches which I am field testing for BioMed. These will be released for sale July 7th. They have the same growth medium as the current pouches but a better mix of antibiotics for felines. This limits the risk of bacterial overgrowth


3. Miley weighs around 7 lbs. If she does test positive, what is your experience with the dosage? I would use the lab Westlabs in Fla. If Miley is positive, and since my vet is not familiar with this TF thang, may she call you? or call your vet?

Dave's Answer:
You can have your vet call in a scrip to Westlab which compounds ronidazole (RDZ) into capsules (#4 gel caps) or you can get RDZ compounded into a flavored liquid at Roadrunner (http://www.roadrunnerpharmacy.com/). I prefer capsules since you know the cat got all of the dose. Other pharmacies are carrying RDZ now also.

Your vet can call me. In a weird twist of fate I an one of the TF experts now. When I first found out about TF (Jan), tested and then announced our TF positive status I thought other breeders would post their experiences. They didn't. Currently breeders are reluctant to go public so instead they email me privately. I have hundreds of emails and I spend 2-3 hrs a days answering them. Two days ago I got an email from Israel, TF is everywhere. Besides working with BioMed I am now working with Dr Gookin. Our adult males are not responding to treatment like our females. Dr Gookin didn't use males in her RDZ test. I don't know if our situation is unique or common. Frustratingly almost no one performs post treatment tests and the 1 or 2 that have may have done them wrong. All I know now is that one other intact male (not ours) has also failed treatment. I've send cultures to Dr G and today I'm sending swabs and urine samples. I didn't think I would end up doing TF research in my retirement.

All the best, keep in touch,
Dave


Thanks so much.

Sallyanne

WhiteFlower
07-11-2006, 07:37 AM
Please help

I'm in South Africa and there is almost no information here on TF. Even my vet didn't know anything about it and resorted to the internet.

I am adopting an 8 year old male Devon Rex with a TF infection and chronic, persistant diarreah. If I don't, he'll be sent to a shelter and probably put down.

I can hardly find any information on how to live with a incontinent pet anywhere on the web. I found a website on pet diapers but I'm not sure whether they are for real. Besides, he is a tiny cat and I doubt whether they would fit him.

The owner suggested keeping him confined to one bedroom but I think that's really cruel towards the kitty. Apparently it's so bad that sometimes he can't make it anywhere near his litter box.

He has already had the TF for 18 months now and RDZ is not available anywhere in South Africa.

How do I make him comfortable and at the same time allow him to be part of the family? Unfortunately we have these beechwood laminated floors at home and my husband is worried they'll be stained by 'messes' everywhere.

I hope you can give me some advice.

sasvermont
07-11-2006, 07:45 AM
Whiteflower,

Please contact Biolabs via email, for test pouches. You must use a vet to administer the meds and tests.....unless you are a breeder with total knowledge.

If you get no satisfaction, please let me know. I will help with the testing kits and or the medication. Please re-read the post from [email protected] and email him too, if need be.

Also, try a product that adds fiber to the stool, such as Medimucal (spelling)...it has helped my cat in the mean time.

By the way folks, Miley the cats' first test results were negative. I am not sure if I am happy or sad. I may ask the vet if he can just go ahead and treat her with the meds to see if it helps. The drug is not harmful.

I have a vet appt. on Saturday for Chloe and Juni cats, and will discuss the TF thing with the vet, then.

:rolleyes:

AbbyMom
07-11-2006, 12:33 PM
WhiteFlower, another member of this forum uses diapers for her cat scooter. Here's a link to some pictures of her:

http://petoftheday.com/talk/showthread.php?t=102316&highlight=scooter

I understand Scooter has gotten used to them and the freedom that comes with the diapers.

Good luck

Pat

sasvermont
07-15-2006, 07:26 PM
When I spoke with the vet today, we decided to take a new approach to Miley and her problems with her stools. Miley has tested negative, had 10 days of flagyl to try to calm her colon down and now we have decided to change her diet yet again. She (and the others) will be on Science Diet ZD (hypo-allergetic)..... I am also going to try to give her some plain yogurt with Medimucil added. I think I will contact my breeder to see if more TF testing is realistic.

I am happy Miley does not have it, but unhappy that we are still searching for the answer.

:confused:

Barbara
07-18-2006, 02:05 PM
I was talking to my vet about the Tritricho thingie. She knew about it but she said to her opinion the problem was another one in most cases: you (and the cats) have most bacteria in their colon but if the colon flora is changed by meds or a certain diet it gets out of balance and then the bad bacteria can proliferate and become dangerous.
She said that in a case like this she would always check the diet first and work on that.
I just had asked her because I wanted to know and I always find her very well informed.

So I hope the new diet does good things to my sweet Miley girl. :)

snorkmaiden
07-22-2006, 09:53 AM
Please help

I'm in South Africa and there is almost no information here on TF. Even my vet didn't know anything about it and resorted to the internet.

I am adopting an 8 year old male Devon Rex with a TF infection and chronic, persistant diarreah. If I don't, he'll be sent to a shelter and probably put down.

I can hardly find any information on how to live with a incontinent pet anywhere on the web. I found a website on pet diapers but I'm not sure whether they are for real. Besides, he is a tiny cat and I doubt whether they would fit him.

The owner suggested keeping him confined to one bedroom but I think that's really cruel towards the kitty. Apparently it's so bad that sometimes he can't make it anywhere near his litter box.

He has already had the TF for 18 months now and RDZ is not available anywhere in South Africa.

How do I make him comfortable and at the same time allow him to be part of the family? Unfortunately we have these beechwood laminated floors at home and my husband is worried they'll be stained by 'messes' everywhere.

I hope you can give me some advice.

Whiteflower, my cat had TF for 18 months before he was diagnosed. While you are working on getting the test kits and treatment, you might want to try switching to a raw food diet. If you don't want to go raw and you have grainless canned foods available to you in South Africa you could try those instead. My TF boy managed three months without diarrhea on grainless canned cat food before his symptoms returned. The symptoms will often return with diet change or stress.

After finding Dave's (Highgait Paws Cattery)wonderful site I decided to create my own to try and help owners with TF cats, or owners who suspect their cats may have TF find the information they need a little more quickly.

www.tffelines.com the links are there for Biomed Diagnostics and for Dr. Gookin's articles along with some more info on the test kits. Hope this helps.

Elaine Brown
10-15-2006, 04:27 AM
Hi,

Don't know if people are still visting this forum, but I have recently found out about this because my Siamese boy is infected - the vets here in the UK have been unable to diagnose it, but everything I've read about it fits with his symptoms. According to a UK paper there is every chance he will throw it off between 9 months and 2 years. Meantime it is hard going.

I'm concerned that I have been advised to feed him an expensive pet food which can only be purchased through a vet and which did not do any good anyway. Not everyone can do this and may think the only solution is to have the cat put to sleep. I've achieved "control" results with white fish, baby rice and 1 capsule of biffidus a day. As soon as he touches the cat food we go right back to dribbling and faecal matter on the soft furnishings.

The drug mentioned, which apparently can help, is not licenced for use in the UK, so we will have to keep going and hope he does kick it off.

Hope my reply helps someone and if anyone has any suggestions for me I would be glad to hear from them

sasvermont
10-15-2006, 07:00 AM
Dear Elaine,

After the test results came back negative (not sure about the results) my vet decided to put Miley, the cat with the stool problems, on a natural and new? nutritional supplement called FortiFlora which is a powder to be put on her food that contains live active cultures hoping to promote intestinal health and balance. I give her one packet a day. The problem is that I need to put it on wet food. I have seen a slight improvement. Miley is on a very, very expensive diet / vet supplied dry food. $44.50 per 10 pounds. The supplement is $18 per month.

The last resort for Miley is sterriods. (sp?) I will consider it as she is thin, frail and could use a little more weight on her. She also tested positive for having been exposed to FIP, so my vet keeps thinking that she is exhibiting some early symptoms of FIP - I think not. But then I am her MOM! I have to think positively!

Keep us posted on your little one.

Sallyanne

snorkmaiden
10-15-2006, 09:40 AM
Sallyanne, which test did you have done? I am wondering if there is a chance you got a false negative?

For chronic diarrhea, following advice for IBD cats seems to work for a lot of people, that was how I achieved control with my cat Indigo before I knew it was TF.

There is a great IBD forum on Yahoo http://pets.groups.yahoo.com/group/FelineIBD/ They will have lots of suggestions for you try before you are forced into taking the steroid route.

Also, what prescription diet are you using?

http://www.catinfo.org/commercialcannedfoods.htm has a great list of commercially available grainless canned cat foods, these work for a lot of IBD cats and certainly helped in our case.

I am interested to know which dry food the vet has your cat on, I know a friend of mine was paying a fortune for a prescription diet (I think it was a venison and pea or duck and pea formula), and we then found out that Natural Balance Venison and Pea http://www.naturalbalanceinc.com/catformulas/VenCat.html worked just as well and was far cheaper and available without prescription. It gets great reviews on Petco's site. http://www.petco.com/Shop/Product.aspx?familyid=13792

Of course it would depend on which type of formula your vet has your cat on, if it is an allergy formula then the Natural Balance might at least work in it's place.

snorkmaiden
10-15-2006, 09:43 AM
Elaine, I replied to the email you sent me, I know people have been able to do both the test and get the RDZ in the UK so I hope your vets are able to provide that for you if your cat tests positive.

You could also check out the Yahoo FelineIBD forum, there are UK members on there and they will hopefully be able to advise you on non prescription foods that will help while you have your vet get the testing information for you.