Bacterial Meningitis and other Nervous System Infections in Cats
The system of membranes which envelops the cat's central nervous system is called the meninges. If this system becomes inflamed, it is referred to as meningitis. Meningoencephalitis, meanwhile, is the inflammation of the meninges and brain, and meningomyelitis is the inflammation of the meninges and spinal cord.
Inflammation of meninges commonly leads to secondary inflammation of the brain and/or spinal cord, resulting in various neurological complications. Long-term inflammation can also obstruct the flow of cerebrospinal fluid (CSF) -- the protective and nourishing fluid that circulates around the brain and spinal cord -- which leads to accumulation of CSF in the brain and thus severe complications such as seizures and paresis.
Symptoms and Types
Neurological symptoms often associated with meningitis, meningoencephalitis, and meningomyelitis such as impaired movement, altered mental state, and seizures, may be profound and progressive. Other symptoms generally seen in cats suffering from one of these conditions include:
- Low blood pressure
- Abnormal increase in sensitivity to various stimuli (hyperesthesia)
The most common cause of meningitis is a bacterial infection in the brain and/or spinal cord originating from elsewhere in the body. Meningoencephalitis, meanwhile, is usually due to infections of the ears, eyes, or nasal cavity. And meningomyelitis generally proceeds following diskospondylitis and osteomyelitis. In kittens and cats with compromised immune system, such infections are commonly reach the brain and spinal cord via the blood.
You will need to give a thorough history of your cat’s health, including the onset and nature of the symptoms. The veterinarian will then conduct a complete physical examination and several laboratory tests -- such as complete blood count (CBC), blood culture biochemistry profile, and urinalysis -- to help identify and isolate the type of infection.
Biochemistry profile, for example, may indicate liver and kidney involvement, while blood testing may reveal an increased number of white blood cells, which is evidence of an ongoing infection. Urinalysis may also reveal pus and bacteria in the cat's urine, an indication of urinary tract infections.
Other tools often used to identify the infectious agent involved include magnetic resonance imaging (MRI), abdominal ultrasounds, thoracic and abdominal X-rays, and samples from the skin, eyes, nasal discharge, and sputum.
One of the most important diagnostic tests, however, is CSF (or cerebrospinal fluid) analysis. A sample of your cat's CSF will be collected and sent to a laboratory for culturing and further evaluation.