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FIV (Feline AIDS) in Cats – Transmission Routes, Symptoms and Long-Term Management Guide

  • Writer: VetSağlıkUzmanı
    VetSağlıkUzmanı
  • Nov 23
  • 20 min read

What is FIV (Feline AIDS) in Cats?

Feline Immunodeficiency Virus (FIV) in cats is a slowly progressing, chronic viral infection that targets the immune system of cats. While it works through mechanisms similar to HIV in humans, it is not transmissible to humans or other animal species ; it is specific to cats. FIV infection targets T-lymphocytes, the immune cells, and over time, weakens their function, making cats more vulnerable to infection.

FIV belongs to the retrovirus family and has a long incubation period. Therefore, an FIV-positive cat may not show any symptoms for years . The disease generally progresses in three stages:

  • Acute phase: A mild fever, enlarged lymph nodes, and temporary weakness may occur, but most owners do not notice this phase.

  • Asymptomatic phase: Symptoms are absent for months or years. The virus silently weakens the immune system.

  • Clinical phase: Opportunistic infections, chronic inflammations, oral diseases, skin infections and weight loss occur due to severe weakening of immunity.

Although FIV is considered a fatal disease, with current clinical approaches , FIV-positive cats can live long and healthy lives . Regular care, early treatment of infections, a sterile living environment, and a quality diet significantly prolong this lifespan.

While the virus itself isn't fatal, it weakens the immune system, making the cat vulnerable to secondaryinfections . Therefore, management of FIV is centered around supporting the immune system and catching infections early.

Most FIV-positive cats can remain stable and completely asymptomatic throughout their lives. However, the disease progresses at different rates for each cat, so regular clinical monitoring is crucial.

FIV in cats

Types of FIV in Cats

Although FIV appears to be a single virus, it is a complex virus, with different subtypes and genetic variants, just like HIV. These differences can influence its interaction with the cat's immune system, the rate of infection progression, and the severity of clinical signs. There are five main FIV subtypes identified worldwide:

1. Subtype A

It is one of the most common variants. This group includes low- to moderate-pathogenicity forms of the virus.

  • It is the most common type in the USA and Europe.

  • The progression of the disease is slow.

  • Some cats may remain asymptomatic for extended periods.

2. Subtype B

It is generally one of the more aggressive variants.

  • It is common in Japan and some parts of Europe.

  • Oral infections, stomatitis and chronic inflammations are more common.

  • The immune system can be suppressed relatively quickly.

3. Subtype C

It is a very rare variant, but immunosuppression can be more dramatic.

  • Anemia, fever, and neurological symptoms may be more pronounced.

  • Clinical course is not always predictable because field data are limited.

4. Subtype D

It has been reported mainly in the Asian region.

  • Not as aggressive as B and C.

  • Slowly progressing chronic infections may occur.

5. Subtype E

It has been reported in Africa and some tropical areas.

  • Clinical effects vary.

  • Because of its high genetic diversity, its effect on the immune system may vary.

Recombinant Strains

Different FIV subtypes can combine in a cat to form recombinant virus . This makes the virus's behavior difficult to predict and can accelerate immune suppression.

What Does It Mean Clinically?

  • Each subtype progresses at a different pace.

  • While some may remain asymptomatic for a long time, others may progress to the clinical phase more quickly.

  • Although diagnostic tests do not distinguish between subtypes, the veterinarian makes an estimate based on the cat's geography and symptoms.

Knowing the type of FIV provides better clinical prediction of disease progression and possible complications.

FIV in cats

How is FIV Transmitted in Cats?

FIV (Feline Immunodeficiency Virus) is a retrovirus transmitted primarily through blood and saliva among cats, particularly through bite wounds . It is not transmissible to humans, dogs, or other species; it is specific to cats. The virus's transmission patterns are well defined, and this information is critical to preventing the spread of the disease.

1. Deep Bite Wounds – Main Route of Transmission

The most common transmission mechanism for FIV is when cats bite each other deeply during a fight.

  • The virus is found in the saliva of an infected cat.

  • The deep bite allows the virus to pass directly into the bloodstream.

  • For this reason, non-neutered male cats that go outside are the highest risk group.

  • Light scratching or superficial contact is usually not contagious.

2. Mother-Offspring Transmission (Vertical Transmission)

Transmission of FIV from mother to offspring is possible, but not as common as FeLV.

  • With blood contact during birth,

  • Placental route during pregnancy,

  • Rarely, it can be transmitted to puppies during the breastfeeding period.

Puppies of FIV-positive mothers may test falsely positive after birth due to antibody; therefore, puppies should be retested after 4–6 months.

3. Sexual Transmission

FIV can be found at low levels in semen and vaginal secretions, but sexual transmission is very rare .

  • The risk may be slightly increased in dense populations where sterilization levels are low.

4. Transmission through Blood Transfusion

If an FIV-positive donor is used during a blood transfusion, the virus is transmitted directly.

  • Therefore, routine FIV testing is mandatory in clinical protocols.

  • It is extremely rare in modern veterinary medicine.

5. Can it be transmitted through shared food and water bowls?

No.

  • FIV dies very quickly in environmental conditions.

  • Contamination does not occur if saliva remains on the surface.

  • Sharing the same food bowl, water bowl or litter box does not cause contamination .

6. Is it transmitted through common living spaces / social contact?

No.

  • Licking each other

  • Sleeping side by side

  • Rubbing together does not transmit FIV. Cats living in the same household are not at high risk unless they fight.

7. Environmental Durability

The virus is rapidly inactivated when it comes into contact with oxygen.

  • It loses its contagiousness within 10-15 minutes on average.

  • Therefore, the risk of contamination via surfaces is almost non-existent.

The Most Risky Scenario in Terms of Contamination:

Male cats that go outside, fight, are territorial, and are not neutered.

FIV in cats

Breeds at Risk for FIV in Cats (Table)

FIV is not a breed-specific disease; however, some breeds may be at higher risk due to behavioral characteristics , socioeconomic backgrounds , genetic immune susceptibility , and outdoor tendencies . The table below presents risk levels according to our standard (“High – Moderate – Low”).

Race

Explanation

Level of Predisposition

Domestic Shorthair (Tabby / House Cat)

Most outdoor cats are in this group. FIV is most common in the stray population.

A lot

It is a cat breed that generally lives indoors and the risk is low; however, territorial behavior is more pronounced in male individuals.

Little

Siamese (Siamese Cat)

Due to some behavioral characteristics, their tendency to go out and their curiosity levels may be high; the risk of fighting may increase.

Middle

Maine Coon

Due to their strong and large structure, they can act more aggressively during a fight, and the risk increases especially in non-sterile males.

Middle

Bengal

Because they are energetic and curious about the outside world, they have a high tendency to go out or escape.

Middle

Persian (Persian Cat)

They are calm cats that prefer indoor living; since they are less likely to go outside, the risk of FIV transmission is low.

Little

Due to their sensitive skin structure and their need for indoor living, they generally have little contact with the outside environment.

Little

Norwegian Forest Cat

It is one of the breeds that love the outdoors and have high hunting instincts; the risk is at a medium level due to their tendency to go outside.

Middle

Note: No breed is inherently predisposed to developing FIV; the risk is entirely related to the cat's lifestyle, outdoor behavior, and likelihood of fighting.


FIV Symptoms in Cats

Because FIV (Feline Immunodeficiency Virus) in cats slowly and gradually suppresses the immune system, symptoms can be quite wide-ranging. The disease progresses in three phases, similar to HIV: acute phase , asymptomatic phase , and clinical phase . An FIV-positive cat may not show any symptoms for years, making it difficult to detect. All clinical, behavioral, and systemic signs of FIV are detailed below.

1. Acute Phase Symptoms

There are rarely any obvious clinical findings in the first weeks after contracting the virus.

  • mild fever

  • Enlargement of lymph nodes (neck, under the jaw, groin)

  • Mild loss of appetite

  • Temporary weaknessThis phase often goes unnoticed by the owner.

2. Asymptomatic (Silent) Period Symptoms

This phase can last for months or even years. The cat appears healthy, but its immune system gradually becomes suppressed.

  • There may be no symptoms

  • Occasional mild weight loss

  • Occasional watering of the eyes

  • Mild skin problems

FIV tests performed during this period are positive, but the clinical picture is not clear.

Clinical Phase 3 — Onset of Symptoms

When the immune system is significantly suppressed, disease symptoms become much more pronounced.

A. Immune System-Related Symptoms

  • Chronic or recurring infections

  • Long-lasting non-healing wounds and abscesses

  • Frequent bacterial, viral, or fungal infections

  • Predisposition to urinary tract infections

  • Resistant upper respiratory tract infections

B. Oral and Dental Symptoms

It is one of the most common progressive findings of FIV.

  • Inflammation in the mouth (stomatitis)

  • Gingivitis

  • Bad breath

  • Whining and pain while eating

  • Excessive salivation

C. Weight Loss and Poor Condition

As the immune system slows down, metabolism and appetite are affected.

  • Chronic weight loss

  • Muscle loss

  • Decreased appetite

D. Skin and Fur Symptoms

Because FIV weakens the immune system, skin infections are common.

  • Recurrent skin infections

  • Dandruff, dull hair structure

  • Slow-healing wounds

  • Increase in ear infections

E. Respiratory System Symptoms

  • Chronic runny nose

  • Eye discharge

  • Constant sneezing

  • Silent bronchial infections

F. Digestive System Symptoms

  • Chronic diarrhea

  • Stomach ache

  • Post-meal discomfort

  • Intestinal inflammation

G. Lymph Node and Organ Enlargement

  • Generalized lymphadenopathy

  • Enlargement of the spleen or liver

H. Neurological Symptoms

It can be seen in the advanced stages of FIV.

  • Behavioral changes

  • Coordination problems

  • Poor hindlimb function

  • Seizure-like movements, although rare

I. Reproductive System Symptoms

  • Testicular shrinkage in men

  • Decreased fertility in female cats

The symptoms of FIV are very wide-ranging and can be confused with many other illnesses. Therefore, definitive diagnosis is made through laboratory testing.

How Is FIV Diagnosed in Cats?

Diagnosis of FIV is made using several different tests and clinical evaluation methods. A single symptom or single test may not always be sufficient. The diagnostic process must be careful, systematic, and laboratory-supported.

1. Clinical Examination

The veterinarian first evaluates the cat's general health:

  • Oral and dental check-up

  • Palpation of lymph nodes

  • Hair and skin condition

  • Weight and muscle structure

  • Respiratory and circulatory findings

Suspicion of FIV is often increased in the presence of recurrent infections and chronic inflammation.

2. Rapid ELISA Test (Screening Test)

It is the most commonly used test in the diagnosis of FIV.

  • It is done with a small sample of cat blood.

  • The result is available within 10–15 minutes.

  • It detects antibodies against FIV.

Advantage: Fast and practical Disadvantage: False positives and false negatives may occur.

3. Western Blot (Confirmatory Test)

When ELISA is positive, it is used as a confirmatory test.

  • It is more specific and gives more accurate results.

  • Analyzes the antibody level in detail.

This test is the “gold standard confirmatory test.”

4. PCR Test (Viral RNA / DNA Detection)

It directly measures the genetic material of the virus.

  • It can detect early stage infections.

  • It may be positive even in asymptomatic cats.

PCR tests are technically more sensitive but are not widely available in all countries.

5. Testing Protocols for Kittens

Puppies born to FIV-positive mothers may give false positives due to antibodies passed from the mother. Therefore, the test is performed as follows:

  • 8–12 weeks: First test

  • 16 weeks: Retest

  • New testing may be required up to 6 months later

True infection becomes apparent after maternal antibodies disappear.

6. Supportive Diagnosis with Routine Blood Tests

Although FIV alone does not cause specific changes in complete blood count, some findings strengthen the suspicion:

  • Leukopenia (low white blood cell count)

  • Anemia

  • Lymphocyte decrease

  • Increased neutrophils due to infection

These findings do not directly diagnose FIV but support the clinical picture.

7. Differential Diagnosis

FIV symptoms can be confused with FeLV, chronic stomatitis, kidney diseases, autoimmune diseases, and fungal infections. Therefore:

  • FeLV test

  • Biochemistry

  • Urine tests

  • Skin and oral cytology

added to the diagnostic process.

8. A Single Test Cannot Make a Decision

The most accurate diagnosis of FIV is:

  • Clinical symptoms

  • ELISA

  • Western Blot or PCR

is to evaluate the trio together.


FIV Treatment Methods in Cats

There is currently no complete cure for FIV (Feline Immunodeficiency Virus); however, with comprehensive care, supportive treatments, and infection control protocols, FIV-positive cats can live healthy, quality lives for many years . The primary goal of FIV treatment is not to eliminate the virus, but to maintain a strong immune system and prevent secondary infections.

The following treatment methods include all current approaches used in modern veterinary medicine to manage FIV.

1. Treatments to Strengthen the Immune System

The immune system is the structure most targeted by FIV, so supportive treatment is of fundamental importance.

A. Immunomodulatory Therapies

  • Human interferon-alpha low-dose protocols

  • Feline interferon treatments (licensed in some countries) can modulate the immune response and reduce the risk of secondary infection.

B. Antioxidant Supplements

  • Omega-3 fatty acids

  • Vitamin E

  • Taurine: These supplements reduce inflammation and contribute to cell regeneration.

2. Treatment of Secondary Infections

The most dangerous part of FIV is the recurring infections that occur when the immune system is weakened.

  • Bacterial infections: Treated with broad-spectrum antibiotics.

  • Respiratory tract infections: Nasal treatments, antibiotics, steam inhalations can be used.

  • Skin infections: Antibacterial and antifungal protocols are applied.

  • Infections in the mouth (stomatitis): Anti-inflammatory treatment, dental cleaning, and sometimes tooth extraction may be necessary.

In FIV-positive cats, every infection should be treated early; delay may worsen the condition.

3. Nutritional Management and Diet Therapy

The metabolism of FIV-positive cats is under stress. Nutrition is one of the most critical parts of treatment.

  • Foods containing high-quality protein

  • Easy-to-digest carbohydrate sources

  • Antioxidant-rich diets

  • Increasing wet food consumption

  • High-calorie supplements for cats experiencing weight loss

Additionally, water consumption should be supported and kidney functions should be monitored.

4. Antiviral Therapies (Limited Use)

Although some antiviral medications have been tried in cats, they are not in routine use.

  • AZT (Zidovudine): May be beneficial, especially in cases of stomatitis, but carries the risk of anemia.

  • L-Lysine: There is limited evidence that it reduces viral load.

These medications should only be used under veterinary supervision.

5. Pain Management and Symptomatic Treatments

FIV can cause pain and chronic discomfort in later stages.

  • Painkillers

  • Appetizers

  • Fluid therapy

  • Intestinal supports

This approach preserves quality of life.

6. Lifestyle Adjustments

The home environment is an integral part of treatment.

  • The cat should be kept completely away from the outside environment.

  • The risk of fighting must be eliminated.

  • A low-stress living space should be created.

  • Clean sand environment and hygienic food and water bowls should be used.

7. Regular Veterinary Checkups

Routine evaluation for FIV-positive cats is critical.

  • Complete blood count every 3–6 months

  • Oral and dental check-up

  • Kidney function tests

  • Eye and skin examination

  • Lymph node check

A complication caught early can often be easily managed.

Complications and Prognosis of Untreated FIV in Cats

Untreated FIV can lead to serious and life-threatening complications as the immune system gradually weakens. The virus itself is not directly lethal; it is the secondary infections that are fatal. Therefore, early intervention is lifesaving.

1. Chronic and Recurrent Infections

It is the most common complication.

  • Respiratory tract infections

  • Skin and ear infections

  • Eye infections

  • Oral infectionsAs immunity decreases, infections begin to recur more frequently and more severely.

2. Oral Disorders and Stomatitis

It is one of the most difficult complications of FIV.

  • Chronic gingivitis

  • Severe bad breath

  • Difficulty eating

  • Intraoral ulcerations: This condition directly impairs both nutrition and quality of life.

3. Weight Loss and Cachexia

The combination of immune suppression, anorexia, and chronic infections can lead to significant weight loss.

4. Anemia

The virus can indirectly affect the bone marrow. The development of severe anemia rapidly worsens the patient's general condition.

5. Immune System Deficiency

In the final stage of FIV , the immune system's defense line collapses.

  • Even simple infections can be severe.

  • The body cannot respond even to weak infections.

  • The cat shows low energy, depression and fatigue.

6. Neurological Problems

In some cats in advanced stages:

  • Behavioral changes

  • Loss of balance

  • Difficulty in coordination

  • Symptoms such as poor hindlimb movement may occur.

7. Tumor Development

FIV-positive cats have an increased risk of certain types of cancer:

  • Lymphoma

  • Plasmacytoma

  • Mast cell tumors

Because the virus suppresses the immune system, the body's ability to detect tumor cells is reduced.

8. Prognosis (Prognosis)

The lifespan of FIV-positive cats varies widely :

  • Some cats can live completely normal lives for 10–15 years.

  • Some may reach the clinical stage within 3–5 years.

Factors determining prognosis:

  • Cat's living conditions

  • Indoor/outdoor environment

  • Early treatment of infections

  • Regular veterinary check-ups

  • Nutritional quality

  • Stress level

Given the right care, an FIV-positive cat can live a long and healthy life.


Home Care and Prevention Methods for FIV Positive Cats

With proper home care, FIV-positive cats can live healthy and comfortable lives for years. This care focuses on reducing the risk of infection, supporting the immune system, preventing stress, and maintaining the cat's quality of life. The home environment for FIV-positive cats should be clean, safe, hygienic, and free from stressors and outside influences.

1. Strictly Living at Home

It is very risky for FIV positive cats to go out of the house.

  • The possibility of getting an infection is very high.

  • The risk of fighting increases; this not only harms the cat's health but also can transmit the virus to other cats.

  • Hot and cold stress reduces immunity.

FIV-positive cats living indoors have a significantly longer lifespan when they have no contact with the outside environment.

2. Hygienic and Sterile Living Area

  • Food and water bowls should be cleaned every day.

  • The litter box should be cleaned regularly and waste should be removed at least once a day.

  • The house should be ventilated and cleaned regularly to prevent dust and mold accumulation.

A clean environment dramatically reduces the risk of infection in cats with weakened immune systems.

3. Minimizing Stress

Stress is one of the factors that weakens immunity the most.

  • Noise, crowds and sudden changes should be avoided.

  • A separate, quiet rest area should be created at home.

  • Pheromone diffusers (e.g. Feliway) can help maintain behavioral balance.

4. Quality Nutrition Program

FIV positive cats have a sensitive metabolism, so an optimal diet is required.

  • Foods containing high-quality protein are preferred.

  • Wet food provides moisture and calorie support.

  • Omega-3 fatty acids support immunity.

  • Antioxidants (vitamin E, vitamin C) reduce disease burden.

  • Vitamin and mineral supplements should be used under veterinary supervision.

If the cat has a poor appetite, increasing meal times or using more aromatic wet food may help.

5. Regular Water Consumption

Kidney problems may be more common in FIV-positive cats.

  • Fresh water should always be available.

  • Water fountains (pet fountains) can increase water consumption.

  • Wet food helps balance water needs.

6. Dental and Oral Care

The most common complication of FIV is chronic oral diseases (stomatitis, gingivitis).

  • If there is bad breath or increased salivation, it should be checked quickly.

  • Oral care products recommended by the veterinarian can be used.

  • It is very important to go for regular dental checkups.

Maintaining oral health makes it easier for the cat to eat and reduces pain.

7. Pay Attention to the Vaccination Schedule

FIV positive cats are not completely exempt from vaccination, but the vaccination schedule should be adjusted according to the veterinarian.

  • The necessity of vaccinations is determined by the cat's lifestyle.

  • Unnecessary vaccination is avoided.

  • FeLV vaccination is not always recommended in FIV-positive cats; the decision rests entirely with the veterinarian.

8. Shared Bowl Use and Other Cats

FIV is not easily transmitted to cats in the same household, but caution is still necessary.

  • If there is a tendency to fight, cats should be kept separate.

  • Food and water bowls can be separate but are not required; transmission does not occur through surfaces from saliva.

  • If a new cat is to be brought home, it should definitely be tested beforehand.

9. Regularly Monitor Body Weight

Weakness and muscle loss may indicate progression of FIV. Weekly weighing allows early detection of this change.

10. Regular Health Tracking Book

The owner of the cat:

  • their behavior,

  • appetite,

  • activity level,

  • feather condition,

  • It contributes to veterinary evaluation by recording water consumption.

Owner Responsibilities for FIV Positive Cats

The most important factor in caring for an FIV-positive cat is the owner's regularity, awareness, attentiveness, and responsibility. These cats are sensitive individuals with special needs, and their owner's behavior directly determines their lifespan and quality of life.

1. Never Skip Regular Veterinary Checkups

Veterinary checks are mandatory for FIV positive cats.

  • General examination every 3–6 months

  • Annual blood tests (CBC, biochemistry)

  • Dental and oral examination

  • Lymph node evaluation

  • Kidney and liver function tests

Early diagnosis is the greatest advantage for FIV-positive cats.

2. Recognize Signs of Infection Quickly

The owner should take the slightest signs of infection in the cat seriously:

  • Increased sneezing

  • Bad breath

  • Diarrhea

  • Loss of appetite

  • Skin lesions

  • Eye discharge: These symptoms may worsen more rapidly in FIV-positive cats.

3. Maintaining a Stress-Reducing Home Organization

FIV positive cats are more susceptible to the effects of stress.

  • Avoiding noise and crowds

  • Maintaining a fixed daily routine at home

  • Creating safe hiding spots

  • Providing a living space free from excessive stimulation

Stress is one of the strongest factors that suppresses the immune system.

4. Monitor Your Nutrition Closely

The owner should monitor the cat's food consumption and water intake daily.

  • If the food bowl returns empty, attention should be paid.

  • If water consumption decreases, the risk of kidney disease may increase.

  • New food changes should not be made without veterinary approval.

5. Managing Contact with Other Cats and Animals

FIV positive cats:

  • Do not engage in quarrelsome behavior

  • Should not come into contact with stray cats

  • Cats should be introduced to the new home beforehand.

The owner must manage this process well.

6. Practice Regular Parasite Control

Parasites pose a major threat to cats with weak immune systems.

7. Be Extremely Careful and Affectionate with Your Cat

FIV-positive cats are often more affectionate, more loyal, and more sensitive. Owner support is critical to their psychological and physical well-being.


FIV in Cats: Differences Between Cats and Dogs

FIV is a retrovirus unique to cats and progresses in a manner entirely different from autoimmune diseases seen in dogs. Therefore, FIV exhibits significant differences between cats and dogs in both its transmission routes and clinical course. There is no HIV-like disease in dogs, so this comparison is important for understanding the physiologically specific behaviors of FIV in cats.

1. Species Specificity

  • FIV only infects cats .

  • It is not possible to infect dogs, humans or other species.

  • There are no similar virus types that cause immunodeficiency in dogs.

Therefore, the progression, immune target, and clinical impact of FIV follow a distinctly feline-specific pattern.

2. Immune System Response

  • The cat's immune system experiences a slow but steady process of suppression against FIV.

  • The clinical course is different in comparison to dogs, as no similar immunodeficiency model exists.

  • Lymphocyte depletion, stomatitis, and chronic infections are common in cats; in dogs, these findings are not associated with an FIV-like disease.

3. Contagion Dynamics

FIV transmission in cats:

  • Deep bite wounds

  • Blood contact

  • It is based on mother-offspring transmission.

Since dogs do not have an immune virus model that functions in this way, transmission dynamics are entirely species-based.

4. Clinical Sign Differences

Since FIV is only seen in cats, the symptoms of the disease are completely compatible with cat physiology:

  • Oral diseases (chronic stomatitis)

  • Chronic skin infections

  • Prolonged respiratory tract infections

  • Lymph node enlargements

  • Weight loss due to immune suppression

In dogs, stomatitis or lymphocyte suppression is not as pronounced.

5. Differences Between Disease Stages Based on Species

FIV in cats progresses in three stages:

  • Acute phase

  • Asymptomatic long term

  • Clinical immunodeficiency

There are no such stages of retroviral immunosuppression in dogs, so the "progression pattern" is unique to cats.

6. Differences in Impact on Life Expectancy

  • FIV-positive cats can live 10–15 years with proper home care.

  • There is no such lifespan association because there is no FIV-like disease in dogs.

This indicates that FIV induces a species-specific immunity model.

7. Diagnostic and Management Approaches

Diagnostic tools for FIV (ELISA, Western Blot, PCR) are designed only for cats . These tests are meaningless in dogs. Similarly:

  • FeLV vaccines

  • FIV management protocols

  • Stomatitis treatment schemes are entirely geared towards cats.

In conclusion, FIV is a species-specific viral infection that is only significant in cats due to its biological structure, transmission methods, clinical effects, and treatment modality.


Frequently Asked Questions (FAQ)

What is FIV in cats and why is it called “feline AIDS”?

FIV is a retrovirus that gradually weakens the immune system of cats. It's often referred to as "feline AIDS" because it operates on a mechanism similar to HIV in humans; however, FIV is specific to cats and cannot be transmitted to humans. Because it targets T-lymphocytes, which are immune cells, cats become more susceptible to infection over time. The virus can lie dormant for years, and symptoms only appear when the immune system is sufficiently weakened.

How is FIV transmitted between cats?

FIV is most commonly transmitted between cats through deep bites. The virus in the saliva of an infected cat is transmitted to the bloodstream of another cat through the bite. Rarely, mother-to-kitten transmission can occur during birth. It is not transmitted through food bowls, water bowls, licking feathers, or direct contact. FIV transmission requires blood-borne transmission.

Can an FIV-positive cat infect humans or dogs?

No. FIV is entirely specific to cats. It cannot be transmitted to humans, dogs, birds, or any other animal species. The virus's biological structure can only interact with cats' immune systems. Therefore, living with an FIV-positive cat poses no health risk to humans.

How long do FIV positive cats live?

The lifespan of FIV-positive cats varies widely, but most can live 10–15 years with proper care, a quality diet, and regular veterinary checkups. Some cats may live asymptomatic for life, while others may develop the disease earlier due to weakened immune systems. Lifespan depends entirely on quality of care, stress levels, and management of secondary infections.

Can other cats live in the same house as FIV-positive cats?

Yes, it can. Because FIV is not transmitted through social contact, the risk is quite low as long as cats living in the same household don't fight. Sharing food and water bowls doesn't cause transmission. However, caution should be exercised when aggressive cats are together or have a history of fighting. If a new cat is brought into the home, the introduction process should be controlled.

At what stages do symptoms of FIV appear in cats?

FIV progresses in three phases: the acute phase, a long asymptomatic phase, and the clinical phase. During the acute phase, a mild fever and lymph node enlargement may occur. During the asymptomatic phase, the cat appears completely healthy. During the clinical phase, stomatitis, chronic infections, weight loss, skin and ear infections, respiratory illnesses, diarrhea, and behavioral changes occur.

How can I tell if my cat has FIV?

FIV can only be definitively diagnosed through laboratory testing. Following a veterinary examination, an ELISA test is usually performed; if positive, confirmation can be made with a Western blot or PCR. Symptoms alone do not confirm a diagnosis of FIV, as many different illnesses can exhibit similar symptoms.

Is there a definitive treatment for FIV-positive cats?

There is currently no cure for FIV that completely eradicates the virus. Treatment is based on supporting immunity, treating infections early, and reducing stress factors. With proper care, FIV-positive cats live healthy lives for many years. Antioxidants, immunomodulators, dietary modification, and regular checkups are key components of treatment.

What are the most common complications in FIV-positive cats?

The most common complications include stomatitis (inflammation of the mouth), chronic skin infections, eye and respiratory infections, weight loss, anemia, kidney problems, and sometimes tumor development. These complications are often related to a weakened immune system and can be controlled with early intervention.

Why might the FIV test be false positive in kittens?

Puppies born to FIV-positive mothers may test falsely positive until 4–6 months of age due to passively acquired antibodies from the mother. Therefore, if the puppies are tested early, they should be retested after 4–6 months.

Should an FIV-positive cat be neutered?

Absolutely yes. Neutering reduces the risk of fighting and prevents the virus from spreading to other cats. It also reduces stress levels and makes FIV easier to manage. After neutering, FIV-positive cats tend to live calmer and healthier lives.

Is there a FIV vaccine?

An FIV vaccine is available in some countries, but its widespread use is limited. Its effectiveness is variable, and vaccinated cats may experience false positives in ELISA tests. Therefore, many countries and clinics do not routinely recommend the FIV vaccine. The decision to vaccinate depends entirely on the veterinarian's judgment.

Why is stomatitis so common in FIV-positive cats?

Because FIV suppresses the immune system, the defenses against oral bacteria are reduced. This leads to chronic gingivitis, oral ulcers, difficulty eating, and bad breath. Stomatitis is one of the most common and challenging complications of FIV, making regular oral hygiene essential.

How long can FIV survive in the external environment?

The FIV virus is very fragile in the environment. It inactivates within minutes upon contact with oxygen and a dry surface. Therefore, it is not possible to transmit FIV from surfaces such as bedding, food bowls, carpets, or floors. A deep bite into living tissue is essential for transmission.

Can FIV positive cats eat normally?

Yes, but eating can be painful due to inflammation in the mouth. Therefore, soft, wet food is more suitable. If your cat has difficulty eating, anti-inflammatory or analgesic treatments may be necessary under the supervision of a veterinarian.

What does weight loss mean in FIV positive cats?

Metabolic stress occurs due to chronic infections, stomatitis, and immune suppression. Weight loss is a significant indicator of FIV progression. If detected early, the diet can be strengthened, supplemental nutrition can be provided, and the underlying infection can be treated.

Is it safe to bathe an FIV positive cat?

Frequent bathing is not recommended for cats with weakened immune systems, but if there is an infection or oily skin, they can be bathed with antiseptic or hypoallergenic shampoos recommended by your veterinarian. Weekly or biweekly schedules should be avoided, as frequent bathing dries out the skin.

Can FIV cause anemia in cats?

Yes. FIV can indirectly suppress bone marrow, or chronic infections can lead to anemia. If your cat is pale, listless, breathing rapidly, or has discoloration in the nail beds, a blood count should be performed.

Are there any behavioral changes in FIV positive cats?

It can be seen. Especially in advanced stages, immune suppression can have neurological effects. The cat may become quieter, more withdrawn, or, conversely, restless. These changes could also be a sign of underlying infection or pain, so veterinary attention is essential.

Can FIV positive cats travel?

Yes, but the stress of travel can pose a risk for cats with FIV. Water, food, and rest should be provided on long trips. Because vaccinations and health documents are required for international travel, approval and guidance from a veterinarian are essential.

Is it safe to play with FIV positive cats?

Yes, it's completely safe. FIV is not contagious to humans and isn't transmitted through social contact. Activities such as toys, petting, carrying, and cuddling are completely safe. The only thing to keep your cat from going outside and fighting is to avoid it.

Why are ear and eye infections common in FIV-positive cats?

When the immune system weakens, resistance to yeast and bacteria in the ear decreases. Similarly, the eye's surface response to bacteria and viruses is reduced. Therefore, any discharge, redness, or odor noticed requires prompt treatment.

What hygiene rules should be applied at home for FIV-positive cats?

Food bowls should be washed daily, water should be changed daily, litter boxes should be kept clean, the house should be regularly ventilated, and dust and mold accumulation should be prevented. Surface cleaners should be suitable for cats and should not leave chemical residue.

How to improve the quality of life of an FIV-positive cat?

  • Stress-free environment

  • Quality nutrition

  • Regular veterinary check-ups

  • Not neglecting oral and dental care

  • No disruption of parasite control

  • Clean and safe living space: These steps significantly increase both the lifespan and quality of life of FIV-positive cats.

Sources

  • Cat Fanciers' Association (CFA)

  • The International Cat Association (TICA)

  • American Veterinary Medical Association (AVMA)

  • Mersin Vetlife Veterinary Clinic – Open on Map: https://share.google/XPP6L1V6c1EnGP3Oc

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