ecallenFeline Refractory Gingivostomatitis: A Case Study on Innovative Treatment
Study completed by: Daniel T. Carmichael DVM, Diplomate AVDC Wendy LaBella Ardolina, DVM Veterinary Medical Center of Long Island, West Islip, NY.
Feline gingivostomatitis is a challenging condition that often frustrates both veterinarians and pet owners. This case study presents an 11-year-old male neutered Domestic Long Hair cat named Charlie, whose journey with refractory gingivostomatitis took an unexpected turn for the better with an innovative treatment approach.
Stomatitis Case Presentation
Charlie was initially presented on April 11, 2018, for treatment of previously diagnosed Feline Gingivostomatitis. A full mouth extraction was performed, with radiographic confirmation of complete root removal. However, despite this aggressive intervention, Charlie’s condition persisted.
Clinical Course for Charlie's Stomatitis Recovery
Over the next two years, Charlie’s condition worsened. He exhibited:
- Persistent and worsening inflammation and proliferation in his caudal mouth
- Poor appetite and occasional vomiting
- Cessation of grooming
- Cachexia
- Greasy and unkempt haircoat
Charlie’s diagnosis was revised to refractory gingivostomatitis.
Innovative Intervention
On January 16, 2020, a new treatment was introduced: the Assisi Loop Lounge, used for 15 minutes, four times daily. This non-invasive, targeted pulsed electromagnetic field therapy was added to Charlie’s existing medical regimen.
Charlie's Remarkable Improvement
Within two weeks of starting the Assisi Loop Lounge therapy, Charlie showed signs of improvement. Over the next eight months, his progress was significant:
- Reduction in oral inflammation
- Weight gain
- Improved grooming habits
- Increased social behavior with family and other pets
- Gradual reduction in medication doses
Conclusion
Charlie’s case demonstrates the potential of combining traditional medical management with innovative therapies like the Assisi Loop Lounge in treating refractory feline gingivostomatitis. This approach not only improved Charlie’s quality of life but also allowed for a reduction in medication, potentially minimizing long-term side effects.
As veterinary professionals, it’s crucial to remain open to novel treatment modalities, especially in cases that prove refractory to standard protocols. Charlie’s journey offers hope for similar cases and underscores the importance of persistence and creativity in veterinary medicine.