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Hi All,

We adopted a small kitten from a house with some hair missing on its right ear, we were told by the owners that it was from the mum licking them too hard (we didnt know better).

Then after a visit to the vet we were told it was a case of ringworm, we started to apply topical cream (Nizoral 2%) and not much had changed, then the hair loss started to spread across its face after 2 weeks.

We were desperate to get rid of it so we purchased more anti-fungal topical creams (Terbinafine, Miconazole, Clotrimazole etc) and we have also been applying them.. We started to get deseprate so we got some Grisovin tablets to feed it also, the tablets are 125mg each and we are breaking them into 1/4 = 31mg, we are making them small doses as we have read it could be harmful to the kitten, as it is only 0.6g (a small kitten).

The ringworm has gotten worse and it has spread across her whole head (whole head missing hair) and a lot of her face, she has also lost all the hair on her left ear now (with some hair growing back on the right ear).

As we still got more desperate we read some threads and also purchased some Collodial Silver and started also using that everyday with no effect at all.

We wash it twice a week with antifungal shampoo and the lyme sulfar dip.

We also wash the house twice a week heavily with bleach and anti-fungal disinfectant, a mixture of mopping and spraying the cat tree and play area down.

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In terms of topical we are using
- Nizoral 2% cream - daily
- Terbinafine cream - daily
- Miconazole cream - daily
- Clotrimazole cream - daily
- Collodial Silver spray - daily
- Maleseb Shampoo (Miconazole) - twice a week
- Lyme Sulfar Dips - twice a week

In terms of oral we are using
- Grisovin tablets - twice a day
- Healthy expensive cat food - daily

We feel are doing everything possible and this has continued now for nearly 3 months !! how do we get rid of it, has anyone ever gotten rid of successfully ?

She seems overall healthy and is very playful, healthy and active.

The first photo below is when we first got it and it was on just the left ear... once that started to heal, it spread to the other ear and across its face (2nd picture) from a few weeks ago,.. now that is healing slowly, its spread to its scalp as shown in my last post... and now we think its spread to the feet !!

after its face healed a little it had spread to its scalp.... and now its spread to its feet that it uses to scratch its ear !!! Its almost like it has a life of its own and once we kill it from one area it just jumps to another.
Attached Files:

We have also got it tested for FIV and FELV as we were worried its immune system may be the cause, it all came back negative. We really want to get rid of the ringworm, please help !
 

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Here's some good advice:

To start off I just want to reassure you that it is possible to get rid of ringworm. I have done it 2 times in my life. And yes I cried a lot and it is A LOT of work.

The first time one of my cat got ringworm was from a new plant I brought in the house. Ringworm can be found in the soil. The second time I got it was when I imported a kitten from Russia. I have 6 cats so dealing with ringworm was a nightmare. Even with 6 cats I was able to get rid of it two times with NO recontamination.

Firstly are you sure your cat has ringworm? Was it positive to a culture or a PCR. Cat skin problem can sometime look like ringworm but it isn't. The best way to diagnose ringworm is the PCR as it doesn't take 21 days as a culture to get the result.

So if it is really ringworm the best medical treatment that worked for my cats is Itraconazole and Lime sulfur. My vet doesn't believe in the cream topical treatment. Lime sulfur stink but it does really work. But you also need a very good systemic medication like the Itraconazole. The dose will be calculated according to the cat weight. For the lime sulfur I would dip the cat entire body (full bath) in it twice a week and put lime sulfur directly on the lesions everyday (morning and evening) You have to mix the lime sulfur with water according to the direction. I would keep the same mix in a spray bottle only for a couple days (less than a week). If you have other pets, they also need to be dip in lime sulfur once or twice a week.


The other part of getting rid of ringworm is the environmental decontamination. This is VERY IMPORTANT. The cat with the lesion need to be in a restricted area (a small room) with almost nothing in that room. No furniture. Basically only a blanket, litter box, food and water bowl. You will want to desinfect completely this room every 2-3 days. At least 2 times per week. You will want to desinfect everything including the floor, walls, light switch, blankets, bowls, litter box... Just everything in that room. For all the hard surface I was using accelerated hydrogen peroxide. It has to be the accelerated one. I even wash the floor with it. It was proven to be more effective against ringworm than bleach!! For everything that goes into the washing machine I would wash in warm water with soap and Borax. The thing that is important here is to not over filed the washing machine. It will wash better with only a little bit of clothes, blanket in it. Does your house has carpet? Or carpet toy like cat tree? You need to get ride of those as carpet can contain ringworm spores for around 18 months. That is how the cat will get reinfected. Vaccuming the floor with a good HEPA filter vaccum is also necessary before moping the floor with accelerated hydrogen peroxide. Don't forget to desinfect the vaccum afterwards. The air exchanger filter also need to be change or desinfected. I was very crazy about my ringworm situation and EVERYTHING that I own was desinfected multiple time with accelerated hydrogen peroxyde or washed in the washing machine. All my clothes, curtains... EVERYTHING!! Every object! I also did a big clean up and threw thing out. Don't forget that when entering the kitten room you need to change clothes after. If not you are bringing spores into your whole house.

I hope this help. This is the way I successfully did it two times with 6 cats cohabiting together. It takes a lot of time and a lot of work but it is possible!
 

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Marie, could you also post your reference for that piece please ? (the link or the source, that is)

Ringworm is universally recognized as a real scourge.

Thanks !
 

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You have my sympathy as a new kitten came down with ringworm shortly after I bought him. It spread to my other cat after a month or so and to myself on my neck and cheek. It was nasty to get rid of. I used the Clotrimazole cream on the lesions, and washed floors, wiped down all surfaces, baseboards, etc. every week, with a hospital-grade anti-virus, anti-fungal liquid called simple green d Pro3 that was mixed with water (maybe only available in Canada?) I finally got rid of the ringworm after three to four months of treatment. I had also got the Lime Sulphur stuff from the vet but never used it. Wish you luck, it's a tremendous amount of work that you really have to do diligently to eliminate it from your environment.
 

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Hi ray_oz !

Just a note to start....there must be a typo in your posting about her weight - it can't be 0.6g !

I have to say that your efforts and commitment have been outstanding in all of this. Truly commendable !

If this was properly/accurately diagnosed at the outset, it isn't a staph infection. That's not to say a secondary infection isn't impossible....however, my opinion is that it's more likely an issue of the fungus not having been adequately treated and therefore spreading.

Diagnosis isn't simple. Here a reliable reference about accurately diagnosing ringworm:
Diagnosis of ringworm in pets

If you suspect your pet has ringworm, it’s important to go straight to your vet, as diagnosis often requires a thorough clinical examination and testing. Your vet will use a combination of the following diagnostic tests:

  • Observation. Your vet will first examine your pet for any of the skin lesions and scaling that typically occur with ringworm.
  • Wood’s Lamp. This special ultraviolet lamp is designed to show up a yellow-green fluorescence. The fluorescent material is not actually the fungi themselves, but an excretion that sticks to the hair shaft. While this quick and non-invasive test will help diagnose some cases, it only picks up a percentage of Microsporum canis infections so a negative result does not rule out a ringworm infection.
  • Microscope. Your vet may gently pluck a small sample of hair surrounding the lesion and view the hair shafts under the microscope. This may allow the visualisation of fungal spores attached to the hair shafts.
  • Fungal culture. If your vet needs to confirm the diagnosis, they may send a hair sample to a lab for testing. While it can take up to four weeks for a conclusive diagnosis from the lab, early signs of the infection can be detected within a few days. A fungal culture can be necessary if results of other tests are inconclusive or if the particular species of ringworm needs to be identified.
Your vet may also perform additional testing to rule out other causes of the hair loss and skin lesions (eg. allergic skin disease, sarcoptes or demodex mites).

https://www.vetwest.com.au/pet-library/ringworm-signs-diagnosis-and-treatment
A well-known feline Veterinarian provides a comprehensive coverage of ringworm infection, diagnosis and treatment here: Ringworm for Cats | Manhattan Cat Specialists | Articles

These days, all of us, I think, are finding it increasingly difficult to read and absorb lengthy, detailed scripts...like that article. We tend to skim through as quickly as possible....that's not going to work in this case, IMO....the section on treatment there is chock-full of nitty-gritty info. The better you can absorb all that, the better will be the chance of success, I think.

A point of note in there:
Local topical therapy with ointments and creams is generally not recommended for treatment....
I can't tell from your post just how the diagnosis was made and whether/not there's been veterinary prescribing and monitoring throughout the past three months. I hope the references I offered will help. Meticulous attention to detail in every aspect makes for success in eradicating ringworm.
 
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