*URGENT HELP*: ringworm

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
Hello everyone.

I adopted a cat (Persian) in August 2022, she is turning 10 months. When she came to me, I noticed she had a small bald spot on her stomach. I immediately took her to the vet, and he mentioned its just a regular fungal infection and gave me a topical ointment to apply twice daily. This cleared up pretty fast. Fast forward to around a month or two later, she started to lose fur on her ears. She had ear mites back then, so I assumed it was because of that and was in the process of treating her for her mites. However she kept losing her fur on the ears until it became red, inflamed and completely bald. Again, the vet said it was a mixed fungal + bacterial infection, gave me oral fluconazole and an ointment and it cleared up within 2 weeks.

Fast forward another 3 months, I bathed my cat and while blow drying noticed some red spots all over her body. I immediately took her to the vet, they clipped her fur and there were pale pink spots covering her entire body. Again, the vet said it is a fungal infection and gave me topical ointment and ketoconazole shampoo to use for a month. There was no progress and I changed my vet, and did a woods lamp test (this is of last week). Her lesions all lit up like a Christmas tree. The vet prescribed her oral fluconazole syrup (30 days), terbinafine tablet (1/3 tablet for 3 weeks), an omega-3 supplement, topical miconazole cream twice daily and a small vial of lime sulfur which she told me to dilute to 1:32 and apply twice weekly for 8 weeks. The issue is, I live in a country where we do not have developed vet facilities. We don't have facilities to do fungal cultures etc. They provided me a small vial of lime sulfur because its not available in the country, and it is brought by that particular vet from the States in small amounts. That small vial (approx 10 ml) is SO EXPENSIVE. So rather than a dip, as it is not feasible where I live, I can only mix 1 ml of the lime sulfur solution with 32 ml water and spray it my cat liberally and rub it on her fur. I wanted to order the lime sulfur solution myself, but it is ridiculously expensive to ship and most don't even ship to where I live!

The issue is, none of my family members have gotten ringworm. She is not itchy. She is not flaky. It literally just looks like her normal, bare skin. The lesions are not spreading and I have not noticed any new lesions the last one month, but the fur just won't grow! I also live in a single pet household. I have kept her quarantined in our balcony since the woods lamp test (it is completely covered. It only has tile floors, her litter box and food bowls as well as an A/C since we live in a very hot country and are experiencing a heat wave (up to 104 F). But she is absolutely DEVASTATED. She cries, howls, is exhibiting stress behaviour, not wanting to eat properly, etc. Prior to this mess, she used to roam around our apartment like a happy cat and eat like an absolute PIG.

I'm also losing my mind about cleaning, because the cleaning solutions mentioned in these threads (rescue, hepa vacuums, swiffers) are not available in my country and I live in a 5200 sqt apartment. I did everything I could. I wiped everything with 1:10 bleach solution and a general disinfectant. But there is not much else I am able to do because I dont have the resources here. However, we have a housekeeper (which is a cultural thing over here) who cleans our house on a DAILY basis, including sweeping, mopping, cleaning the glasses etc.

I'm just so confused because none of my family has gotten ringworm, from children to the elderly. I don't know whether keeping her isolated is the best idea because shes so stressed it absolutely breaks my heart. I also wanted to ask how do you know if the ringworm is actually healing? I am just absolutely distraught. I threw away so many of her toys, carriers, scratching posts that I had ordered from abroad because I just can't disinfect it.

Please help me.

*Note: They do not have facilities to do fungal cultures here. So I will never really know if she has been cleared of ringworm other than a woods lamp test. By the way, this is the ONLY vet in my entire country that has a woods lamp. I am absolutely defeated.
 
Last edited by a moderator:

silent meowlook

TCS Member
Staff Member
Forum Helper
Joined
Nov 10, 2014
Messages
3,646
Purraise
6,927
Hi. Some people are not susceptible to getting ringworm. If she has already been in the house, I don’t see the point of isolating her now. Especially if she is so upset. Keep using the medications prescribed by your vet. Unfortunately it can take a while to clear. I would not keep her isolated if I were you. It’s just not fair to stress her like that, or you.
There are no labs to send off a culture ?
 
  • Thread Starter Thread Starter
  • #3

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
No, not where I live sadly. We don't even have vet specialists here (dermatologists, radiologists), let alone labs that will do fungal cultures for cats. I was lucky enough to even find a clinic, which is the only one that has a wood lamp and lime sulfur solution (although not enough for a dip) where I live!

I do understand that many people are not susceptible to ringworm, but what has been confusing me is that she has probably had ringworm for at least 2-3 months with the amount of lesions she has. During that time, so many people have come to the house, has pet her, has rubbed up against her and even kissed her but yet no one has gotten any ringworm. Her lesions were also never itchy, scaly or inflamed. However, during the first month when I was only treating her with Miconazole cream, she did have a bit of dandruff which has stopped. I also wanted to know whether a woodslamp can pick up general fungal infections? (i.e. not just ringworm).

I attached a picture that was taken a month ago when the vet had clipped her after I noticed lesions during her bath. Currently, her fur has grown everywhere but those areas. However, those areas just look like bald spots. Not irritated, red, or itchy. Just... bald. I definitely don't want to isolate her seeing how miserable she is, but I am horrified she will have more lesions if allowed to roam from environmental spores (although the entire 1 month she was around the house when I thought she just had a normal fungal infection she didn't develop any new lesions).

I wouldn't say her appetite has declined, because she still goes crazy for treats or dry food (I normally keep her on a strict wet food diet, with occasional dry food as treats). But now I can't seem to feed her without adding dry food and/or treats into her food. Anyone has tips for that?

I have no clue what to do anymore. I am continuing with her medication, and according to everyone in the house she does look better. But to me, she looks the same. Maybe because I am always keeping an eye on her and can't tell a difference. I am so anxious I can barely sleep, eat, or function properly.
CCD5C845-EA5D-407E-B709-0488CACE3FD6.JPG
 
Last edited by a moderator:
  • Thread Starter Thread Starter
  • #4

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
This is last week (prior to starting her on line sulfur dips and isolating her)
E7F7C18E-ADE7-48B5-A495-8DD808522421.jpeg
 
Last edited by a moderator:

fionasmom

Moderator
Staff Member
Moderator
Joined
Jun 21, 2014
Messages
13,596
Purraise
17,975
Location
Los Angeles
This is all probably going to muddy the water, but a Woods Lamp can detect other skin conditions. Ringworm in a cat will usually be bright green in color under the lamp which will vary in color depending on what it is picking up. When you said that your cat lit up like a Christmas tree, do you recall a color?

Wood’s Lamp Examination: Skin Analysis Under UV Light.

https://ontariospca.ca/wp-content/uploads/2019/03/Woods-Lamp-Protocol-2019.pdf

We can't tell you for sure if your cat has ringworm or not, but certainly understand how upsetting and frustrating this is for you and your family.
 
  • Thread Starter Thread Starter
  • #6

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
It was an apple green color unfortunately. But from other threads I’ve seen, the color isn’t usually smooth/uniform throughout the cats coat. Usually the hair follicles light up in patches. In my cats case, the lamp showed a smooth border throughout her lesions. So I don’t know what to make out of that.
I feel like I’ll never really know and I’ll never win this battle. Super frustrating.
 
  • Thread Starter Thread Starter
  • #7

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
I also wanted to ask anyone who has dealt with ringworm - does this treatment regime sound okay? I am tackling this full force as ringworm
1. Fluconazole syrup (30 days)
2. Terbinafine 250mg 1/3 tablet (3 weeks) - she’s 3.3 kgs.
3. Twice weekly lime sulfur sprays all over her body (8 weeks)
4. Miconazole cream twice daily

I also purchased a miconazole + chlorahexadine shampoo. Should I use that on her off days from the lime sulfur sprays? Or is unnecessary, Im also in a dilemma about isolating her. As much as I hate to, im so worried she will be recontaminated from the environment as we don’t have many cleaning resources here. I practically tore my room apart and doing as much as I can in terms of mopping, sweeping, and disinfecting areas I can with 1:10 bleach.

Another question- the dilution my vet provided for the lime sulfur is 1:32. However I’ve seen that people mainly use a 1:16dilution. I guess it’s because the lime sulfur here isn’t brought in in big batches and I was only provided maybe a 6-10 ml vile of if.

Any advice would be highly appreciated. I’m torn.
 

silent meowlook

TCS Member
Staff Member
Forum Helper
Joined
Nov 10, 2014
Messages
3,646
Purraise
6,927
You should be photo journaling this because it is hard to be objective about any improvement.
The thing is, she has already been in the environment. So it will recontaminate her if you’re thinking in that way.
For dilution, I would follow your vets recommendations. The stuff is pretty toxic. The miconazole shampoo is good but I wouldn’t use it like you are describing because then you willwash off the Lyme sulfur that should be remaining on the cat. You aren’t toweling her after spraying, right?
The woods lamp is not 100% accurate. But, usually if it lights up light green it is positive. If it doesn’t light up then it doesn’t mean it is negative.
You can get a black light and use it to see if there are areas in your house that glow. I dont know if it will help or not.
 
  • Thread Starter Thread Starter
  • #10

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
You should be photo journaling this because it is hard to be objective about any improvement.
The thing is, she has already been in the environment. So it will recontaminate her if you’re thinking in that way.
For dilution, I would follow your vets recommendations. The stuff is pretty toxic. The miconazole shampoo is good but I wouldn’t use it like you are describing because then you willwash off the Lyme sulfur that should be remaining on the cat. You aren’t toweling her after spraying, right?
The woods lamp is not 100% accurate. But, usually if it lights up light green it is positive. If it doesn’t light up then it doesn’t mean it is negative.
You can get a black light and use it to see if there are areas in your house that glow. I dont know if it will help or not.
If it does recontaminate her, wouldn’t she keep getting new lesions? As for the shampoo, I was thinking the same. But I saw a lot of people shampooing before applying the lime sulfur, however there have been contradicting opinions. I’m quite sure she does have ringworm, but would like to know more about the stages of healing visually. I just want to know if she’s healing or getting better, to get some sort of piece of mind. Her fur isn’t growing in those spots for the last month (although it’s been just a week I’ve started aggressive treatment). Also no, I don’t towel dry or blow dry her. I let her air dry. I’ve noticed she always rolls around on her back, particularly after she’s dried off from her lime sulfur dip, does that mean she’s itchy in those areas?
 
  • Thread Starter Thread Starter
  • #11

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
Hi, here is a link to an article written for veterinarians. You may find some answers to questions in here. I read it. Skip to the end where ringworm is discussed.

Dermatophytoses in Dogs and Cats
Thank you for the article. I’ve read through it. I’m taking her to another vet today for a second opinion (I’m sure it’s ringworm, but I just would like to know how severe it is) but they dont usually have any equipment here so they eyeball it in most cases. From the pictures I’ve shown, does it look like a severe case of ringworm?
 

silent meowlook

TCS Member
Staff Member
Forum Helper
Joined
Nov 10, 2014
Messages
3,646
Purraise
6,927
Hi. In the article is states very high accuracy in the woods light method for positive. So, I am sure you are right that it is in fact ringworm.

For prevention of re infection, with the Lyme sulfur dip, it coats the hair follicles and skin so re infection won't happen. At least that is the way I understood it.

There isn't a way to see if something looks like ringworm because it can look like so many different things. As for severity, usually I have seen ringworm as a single or couple of lesions on the ear or the head, occasionally on the rest of the body. I do remember a couple of Persian kittens that had it all over them. It was a long time ago. Those kittens did recover from it and it seems like it takes a few weeks of treatment before they get better.

From what you wrote it sounds like the vets you are using are treating correctly. It always a good idea to get a second opinion though.

Please let us know what happens.
 
  • Thread Starter Thread Starter
  • #13

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
Will do, thank you. I wanted to ask about some nutritional related questions, which I guess has also been due to her ringworm and stress from being isolated. It seems as though my cat has become super picky about her normal food (she usually has no problem with it), but after starting her on medications, and isolating her, I can't get her to eat her regular food. I thought she had lost her appetite, as that seems to be a common side-effect of these antifungals. HOWEVER, she never refuses treats or dry foods. In fact, she INHALES them. I wanted to know whether this means she doesn't have an appetite, or whether she actually is fed up of eating her regular food and wants to indulge in treats and dry food. I want to mention that before and after giving her medication, I had to comfort and lure her in with a lot of treats. Prior to this, I barely ever gave her any treats. Has she had a taste of the good life and refuses to go back to her boring wet food? How can I fix that?

I normally feed her thrice daily, but then I reduced it to twice daily to see if she would still eat her wet food. But nope! She just turns her head and walks away.

I am getting married soon (in exactly 1 month), work full-time, and have a lot on my plate right now. Sometimes I need to sit and breathe and just say to myself its just a dang fungus. But when I see what that bugger has done to my cats luscious, beautiful fur it breaks my heart.

I think I may take her out of isolation after all. But that itself gives me anxiety. Any words of encouragement and success stories would definitely help ease my worries. Although I KNOW it is self-limiting and will just go away one day, I actually feel like its killing my cat.
 

silent meowlook

TCS Member
Staff Member
Forum Helper
Joined
Nov 10, 2014
Messages
3,646
Purraise
6,927
The lack of appetite is something you definitely ne toed to bring up to your vet. The medications can cause some issues as you have read. Your cat may need something for nausea.

Ringworm is just a fungus. I have seen hundreds of cats with it get over it and do fine. Old cats. young cats. kittens. I have never seen a cat die from ringworm. Stressing over it doesn't fix it. Just do the treatments as directed and give it some time. Do keep an eye on the appetite and mention this to your vet.
 
  • Thread Starter Thread Starter
  • #15

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
The lack of appetite is something you definitely ne toed to bring up to your vet. The medications can cause some issues as you have read. Your cat may need something for nausea.

Ringworm is just a fungus. I have seen hundreds of cats with it get over it and do fine. Old cats. young cats. kittens. I have never seen a cat die from ringworm. Stressing over it doesn't fix it. Just do the treatments as directed and give it some time. Do keep an eye on the appetite and mention this to your vet.
Agreed, but I'm not sure if its even a lack of appetite because she will inhale treats and dry food, but completely avoid wet food. If I mix A LOT of dry food into her wet food, she will eat it. She also isn't exhibiting any vomiting or abnormal GI effects whatsoever. I will still bring this up to my vet today and fingers crossed, its nothing serious.
 
  • Thread Starter Thread Starter
  • #16

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
Hi everyone, I just got back from the vet.

He saw the lesions and said that it isn’t ringworm and checked her with two different woods lamp (I was lucky they had one!) and it came out completely negative. Not a single green light. He asked if I applied any ointment when I went to the previous vet, which I did, and he said that may be why the woods lamp lit up. He mentioned that if it was ringworm, it would have spread everywhere by now (because it’s been around 2 months since she’s had these lesions, maybe even more) and at least someone who has had contact with her would have gotten it (I live in a large household, not everyone has a strong immune system). Also she would have lost all her fur from the surrounding lesions

He suspects a bacterial (staph) skin infection instead and gave me an antibiotic for 10 days and a topical ointment to see if there’s any progress. He also said the appetite issue is most likely stress from being isolated, because my cat was begging for pets by the vet. Fingers crossed, let’s hope this works out.
 

silent meowlook

TCS Member
Staff Member
Forum Helper
Joined
Nov 10, 2014
Messages
3,646
Purraise
6,927
Great news!! Good job advocating for your cat!!
No, a cat can’t get ringworm from a puddle.
 
  • Thread Starter Thread Starter
  • #19

yukino03

TCS Member
Thread starter
Kitten
Joined
May 1, 2023
Messages
11
Purraise
4
Thank you! Do keep her in your prayers, she’s suffered a lot the last 2 months.
She needs to have ointment put on her lesions 2/3 times daily till recovery, unfortunately it’s on places she can lick. Was wondering how anyone deals with that? I usually put a cone on her, but putting the cone of shame right after coming out of a week of isolation is making me so sad! She ran around the house enjoying her freedom and once the cone came out, I could literally tell she was thinking “Yep, this hell isn’t over”. Ugh, I feel like I’m absolutely making her life miserable.
 

fionasmom

Moderator
Staff Member
Moderator
Joined
Jun 21, 2014
Messages
13,596
Purraise
17,975
Location
Los Angeles
That is great news that this is not ringworm and you did a great job in trying to get to the bottom of this.

Would she allow a soft cone if you could get one? I don't know what is available where you are, but if you google "alternatives to cones for cats" you will find a lot of pictures and ideas. One is a recovery suit which you can make yourself from a baby T shirt or the like, but find out from the vet if the lesions and ointment are okay to cover.
 
Top