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- Bacterial Infection of the Uterus in Cats
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- Swollen abdomen
- Foul-smelling discharge from the vulva
- Dark green- or dark brown-colored discharge or discharge that is mixed with pus and/or blood from the vulva
- Lethargy
- Fever
- Vomiting
- Diarrhea
- Dark red gums
- Dehydration
- Reduced milk production
- Depression
- Loss of appetite
- Neglecting kittens
- Artificial insemination
- Difficult birth
- Long birth from a large litter
- Obstetric manipulation
- Natural or medical abortion
- Miscarriage
- Retained placentas or fetuses
- Fluid Therapy: The cat will be hospitalized upon diagnosis of metritis. Fluids will be administered via an IV in order to help the cat recover from fluid loss and dehydration. The fluids will also help to correct the electrolyte imbalances that can result in reduced kidney function.
- Antibiotics: The bacterial culture and sensitivity tests on the cat's discharge require that the bacteria grow in order to be examined. Until the bacteria and proper antibiotic can be identified, broad-spectrum antibiotics will be administered to the cat in order to kill the bacteria. Once the tests are back, the antibiotic best suited for killing the specific bacteria that caused the metritis will be administered.
- Treatment for Septic Shock: If the bacterial infection has reached the bloodstream and the cat is in septic shock, the cat will be treated to prevent it from becoming lethal. Large amounts of fluid will be administered via an IV to raise the cat's blood pressure and medications will be given to increase the flow of blood to the heart, brain, and other organs. Oxygen will also be administered.
- Surgery: Cats who do not respond to medical treatment risk uterine rupture and abdominal infection. This risk is increased if retained fetuses or placentas are in the uterus. Spaying the cat is often the best solution to prevent complications. Cleaning of the uterus to remove any retained fetuses or placentas is an option if future breeding is planned. In severe cases, an ovariohysterectomy may need to occur where the ovaries and uterus are removed.
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