Feline Infectious Anaemia

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What is FIA?

Feline Infectious Anaemia (FIA) is caused by a single celled organism called Haemobartonella felis (H. felis, previously known as Eperythrozoon felis). This organism attaches itself to red blood cells, and is neither a bacteria, virus or protozoa (a protozoa is a single celled animal).

What are the Symptoms of FIA?

This is a disease whose symptoms are largely as a result of a shortened life span of the red blood cell, which in turn leads to a fall in the number of red cells circulating. This is called anaemia, and if severe enough will result in a noticeable paleness to the mouth and conjunctiva. (The conjunctiva is the pink membrane that surrounds the eye). H. felis attaches loosely to the membrane of a red blood cell, but does not penetrate it. However, on passing through the liver and spleen, the infected red cell is removed from the circulation and destroyed.

The classical symptoms of this disease are:

  • Raised body temperature
  • Loss of appetite
  • Anaemia
  • Lethargy

Over time these symptoms progress to weight loss, and in the more severe cases, the cat can become jaundiced...

How is FIA Transmitted?

There is a lot still to be discovered about the transmission of H. felis. The current theory is that it may be transmitted by biting insects, especially fleas...

How is FIA Diagnosed?

The definitive diagnosis of this condition is quite important as it has serious implications for the long-term health of the cat...

A high proportion of cats infected with H. felis will show no symptoms. It is vital, where this organism has been detected, to look for some other contributory cause to the anaemia, such as FeLV and FIV.

How is FIA Treated?

Antibiotics

Doxycycline (Ronaxan®) – the standard treatment...

Oxytetracycline – cheaper, but generally less effective...

Enrofloxacin (Baytril®) – alternative treatment, but not for kittens under 8 weeks...

Immunosuppressants – in some cases, prednisolone is also used...

How can FIA be Prevented?

The exact mode of transmission of H. felis is not known. Fleas are strongly suspected as being the main method of transmission, and it is therefore essential that all cats that may come into contact with fleas are treated with an effective preparation. Flea prevention is discussed fully here. Flea collars are not effective.

Outlook for Affected Cats

Cats co-infected with FeLV/FIV and H. felis often have a poor outlook. In cats with H. felis alone, the prognosis is much better, though relapse is possible.

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Roxana A.
20:10 06 Sep 25
Fantastic people. Very careful and empathetic. Decent prices too! The clinic is very clean.
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John N.
11:24 05 Sep 25
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Louise C.
16:05 27 Apr 25
Our womderful cat became unwell very rapidly, and the vets here were so kind and explained everything clearly. We unfortunately had to say goodbye to our fur-baby. The vet didn't rush the process. She explained exactly what was going to happen and gave us time to be with him before and after he was put to sleep. She then took a beautiful print of his paw and put some of his fur in a wee bottle. This means a lot to us. Everyone was very sympathetic and understanding of what was a very difficult time for us. I would highly recommend this veterinary practice.
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Gareth D.
09:24 08 Apr 25
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Paul M.
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I cannot tell you how much the staff of vetrica do, above and beyond, looking after your pet. The separate cat n dog kennels is amazing, the personal touch makes you feel your dog is being given the best. Fifes' premier for sure.
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Lynne B.
17:49 15 Nov 24
Fantastic vet, lovely staff, had the same vet both times visited. Going to register all my dogs here