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               Feline Parvovirus
               Margaret C. Barr, DVM, PhD

               College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA, USA



               Feline parvovirus (FPV) is the causative agent of feline     Epidemiology
               panleukopenia, a disease that has also been called feline
               infectious enteritis, feline plague or feline distemper.  Domestic and wild felids are susceptible to FPV infection,
                                                                  along with some nonfelid species like mink, raccoons, and
                                                                  foxes. Although canids are resistant to FPV infection, only
                 Etiology/Pathophysiology                         a few mutations in the VP2 capsid protein gene led to the
                                                                  emergence of CPV‐2. Feline parvovirus‐associated disease
               Feline parvovirus is so closely related to canine parvovi-  is most often seen in multicat housing situations like animal
               rus type 2 (CPV‐2), mink enteritis virus, and raccoon   shelters and breeding catteries, especially if rigorous sanita-
               parvovirus that all these viruses are now classified as a   tion, isolation, and vaccination protocols are not followed.
               single species, feline panleukopenia virus. The genome of   Parvoviruses are shed at high titer in the feces of infected
               this small single‐stranded DNA virus is packaged tightly   animals for several days after infection. Transmission is
               in an icosohedral, nonenveloped capsid that is very   through the fecal–oral route, either directly or indirectly on
               resistant to environmental conditions. The feline trans-  fomites such as shoes, clothing, or feeding dishes.
               ferrin receptor allows FPV access to a broad range of   Extensive prevalence data are lacking. The prevalence
               host cells, where it replicates in actively dividing cells   of anti‐FPV antibodies in cats entering a Florida animal
               including lymphocytes, enteric crypt epithelial cells, and   shelter, indicating either past exposure or vaccination,
               bone marrow myeloid progenitor cells. Similar to the   was just under 40%. If other cat populations in the US are
               pathology seen with CPV‐2 infection in dogs, intestinal   similar, about 60% of cats are at risk for FPV infection.
               villi are severely blunted, absorptive capacity is impaired,   Anecdotal reports also suggest a recent resurgence of
               and gastrointestinal integrity is compromised in FPV‐  feline panleukopenia outbreaks, possibly associated with
               infected cats. The interruption of myeloid cell prolifera-  antigenic variation in FPV variants and the associated
               tion along with lymphocytolysis and redistribution of   decreased efficacy of commercial vaccines.
               circulating white blood cells to inflamed tissues results
               in the characteristic and severe panleukopenia seen with     Signalment
               this disease.
                 Perinatal infection (approximately three weeks before   Susceptible cats of all ages can be infected, but young kit-
               birth to three weeks after birth) of kittens results in   tens experience a higher mortality rate (up to 90%) than
               infection of the central nervous system and impacts   older animals if not treated. There are no breed or sex
               development of the cerebellum. The virus replicates in   predispositions reported for FPV.
               the dividing neuroblasts of the external granule cell
               layer, causing cerebellar hypoplasia in kittens that sur-
               vive the infection. There is also evidence of FPV replica-    History and Clinical Signs
               tion in Purkinje cells of the cerebellum but it is unclear
               how the virus replicates in these presumably postmi-  The typical FPV patient will have a history of exposure to
               totic cells.                                       other cats in a high‐density multicat environment and


               Clinical Small Animal Internal Medicine Volume II, First Edition. Edited by David S. Bruyette.
               © 2020 John Wiley & Sons, Inc. Published 2020 by John Wiley & Sons, Inc.
               Companion website: www.wiley.com/go/bruyette/clinical
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