Abstract. Infection with feline calicivirus (FCV) is a common cause of upper respiratory and oral disease in cats. FCV infection is rarely fatal, however, virulent, systemic strains of FCV (VS-FCV) that cause alopecia, cutaneous ulcers, subcutaneous edema, and high mortality in affected cats have recently been described. Seven cats with natural VS-FCV infection all had subcutaneous edema and ulceration of the oral cavity, with variable ulceration of the pinnae, pawpads, nares, and skin. Other lesions that were present in some affected cats included bronchointerstitial pneumonia, and pancreatic, hepatic, and splenic necrosis. Viral antigen was present within endothelial and epithelial cells in affected tissues as determined by immunohistochemical staining with a monoclonal antibody to FCV. Mature intranuclear and intracytoplasmic virions in necrotic epithelial cells were identified by transmission electron microscopy. VS-FCV infection causes epithelial cell cytolysis and systemic vascular compromise in susceptible cats, leading to cutaneous ulceration, severe edema, and high mortality.Key words: Cats; dermatosis; edema; electron microscopy; feline calicivirus; immunohistochemistry; pancreatitis; pneumonia.Caliciviruses are nonenveloped, positive-sense, and single-stranded RNA viruses and include RVHDV, European brown hare syndrome virus (EBHV), and vesicular exanthema of swine viruses. Feline calicivirus (FCV) is a common pathogen of cats. Multiple strains of FCV exist and infection can cause a variety of manifestations, including fever, rhinitis, pneumonia, and oral ulcers. 1,4,10 Although morbidity is high, mortality is usually low except in kittens as a consequence of pneumonia. In 1998 an outbreak of severe disease in cats caused by an unusually virulent strain of FCV was described and reproduced in SPF cats. 7 At least six different outbreaks of similar disease characterized by high mortality have since been recognized in the United States, but the lesions have not previously been described in detail. 5 .In contrast to the relatively mild symptoms that characterize infection of cats with the usual field strains of FCV, infection with virulent systemic FCV (VS-FCV) is devastating, with mortality rates ranging between 33% and 60%. 5 Adult cats that were previously vaccinated against calicivirus infection were prominently affected in these outbreaks, and adult cats were at higher risk for severe disease and death as compared with kittens. In addition to ulceration and nasal or ocular discharge, signs characteristic of VS-FCV infection include profound fever, anorexia, marked subcutaneous edema (especially of the limbs and face), icterus, alopecia, crusting, and ulceration of the nose, lips, pinnae, and feet. The basis of enhanced pathogenicity of VS-FCV is not known. The gross and histologic lesions, antigen distribution, and ultrastructural characteristics of fatal VS-FCV infection in seven cats are described.
Materials and Methods
Animals and case inclusion criteriaSeven cats from two VS-FCV outbreaks are inc...