| comprehensive website on fip |
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Tests for FIP
In all cases, a tissue biopsy is the only way to absolutely confirm a diagnosis of FIP. The handy tests result may be WRONG! Are there any laboratory tests that can detect the FIP virus? The KELA, ELISA, IFA, and virus-neutralization tests detect the presence of coronavirus antibodies in a cat. A positive test result only means the cat has had a prior exposure to a coronavirus -- not necessarily one that causes FIP -- and has developed antibodies against that virus. If the test is negative, it means the cat has not been exposed to a coronavirus. The number, or titer, that is reported is the highest serum dilution that still produced a positive reaction. Low titers indicate a small amount of coronavirus antibodies in the serum, while high titers indicate greater amounts of antibodies. A healthy cat with a high titer is not necessarily more likely to develop FIP or be a carrier of an FIP-causing coronavirus than a cat with a low titer. It also is not necessarily protected against future FIP virus infection. Recently, two new tests have been developed that can detect parts of the virus itself. The immunoperoxidase test can diagnose FIP more accurately than traditional histopathologic examination because it detects virus-infected cells in the tissue. A biopsy of affected tissue is necessary for evaluation. Another antigen test utilizes polymerase chain reaction (PCR) to detect viral genetic material in tissue or body fluid. Although this test shows promise, PCR is presently only capable of detecting coronaviruses in general, not necessarily those that cause FIP. Should I have an FIP test done on my cat? There are two primary situations where the determination of coronavirus-antibody titers can be useful to the cat owner or breeder and the veterinarian: As a screening test, to determine the presence or absence of antibodies in a previously untested household and to detect potential virus carriers or shedders when introducing new cats into households or catteries that are negative for coronavirus antibodies As an aid (and nothing more than an aid) in the clinical diagnosis of a diseased cat that has signs suggestive of FIP. Why did I get two different test results from two different laboratories? Unfortunately, many laboratories use different antigens prepared in different ways, and their interpretation of the assay can differ. False results can occur from nonspecific reactions unless the tests are meticulously controlled. The test can be difficult to interpret, since it usually depends on a subjective decision made by the person reading the test. How is a positive diagnosis made? A presumptive diagnosis of FIP can usually be made on the basis of clinical signs, routine laboratory tests, and evaluation of abdominal or chest fluid. Some cases, however, present a diagnostic challenge, since the signs of illness are not distinct for FIP. In all cases, a tissue biopsy is the only way to absolutely confirm a diagnosis of FIP. What is Primucell? Primucell, made by Pfizer, is the only commercially available FIP vaccine in the world. Primucell is a temperature-sensitive mutant feline coronavirus which is instilled intra-nasally and gives rise to local IgA immunity and cell-mediated immunity. Primucell prevents FIP in 50-75% of cats who would have otherwise developed it, but is ineffective in cats previously exposed to FCoV. Thus, in households where FCoV is endemic (most cat breeder's households) Primucell has to be used in kittens which have already undergone the special management procedure known as early weaning and isolation, so that they are FCoV free when vaccinated.
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