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Lungworm in cats

Written by Mara |

Lungworm is a worm that we are seeing increasingly often in cats in the Netherlands. Cats that enjoy hunting are particularly at risk of becoming infected with this worm. What is lungworm? And what can you do to treat your cat? Find out here!

Lungworm in cats

Which lungworm occurs in cats?

The lungworm that mainly makes cats ill is the feline lungworm Aelurostrongylus abstrusus. This worm does not always cause symptoms in cats. The following symptoms may only appear in a severe infection:

  • Coughing
  • Difficulty breathing
  • Fever
  • Poor appetite and weight loss

This lungworm can even occur in cats without producing larvae. A cat may therefore have been infected for a very long time but only develop symptoms years later. If your cat is stressed or becomes ill for another reason, the worm can become active again and start producing eggs. As a result, a seemingly healthy cat may even die suddenly.

How does your cat become infected with lungworm?

Your cat can become infected with lungworm by eating snails, frogs, mice, birds or reptiles.

Lungworm larvae need snails to become infectious. A cat can therefore become infected by eating snails or other animals that eat snails, such as mice, birds and reptiles. The larvae travel from the intestines through the liver to the lungs, where they develop into adult worms within 5 weeks. These adult worms lay eggs. Larvae at the L1 stage hatch from these eggs and crawl upwards through the windpipe. The cat coughs up and swallows these larvae. The larvae then pass back into the environment through the faeces. Snails ingest the larvae, completing the cycle.

What are the symptoms of a lungworm infection in cats?

The symptoms of a lungworm infection are caused in part by the eggs that are laid. These cause small areas of inflammation in the lung tissue. Larvae hatch from the eggs, crawl upwards through the windpipe and are coughed up. The eggs and the migration of the larvae cause the respiratory symptoms that a cat may display. A fever may also develop. Asymptomatic lungworm infections can also occur.

How is lungworm diagnosed in your cat?

Your cat’s symptoms often already provide an indication of a lungworm infection, especially if your cat frequently goes outdoors and hunts.

A faecal examination is needed to confirm the infection. Eggs and worm larvae can be detected in the faeces. The worms do not lay the same number of eggs every day. It is therefore advisable to examine faecal samples collected over 3 days. An X-ray of the lungs will also often show changes.

Can lungworm be prevented?

Ideally, you would prevent your cat from becoming infected with lungworm. Cats can ingest infectious larvae through snails, for example, or by eating prey such as mice and frogs. In practice, this is difficult to prevent in an outdoor cat that hunts.

For cats at increased risk, you can try to prevent lungworm disease and the associated respiratory symptoms by worming them regularly with a product that also works against lungworm larvae. The infectious L3 larvae take approximately five weeks to mature and then produce eggs and L1 larvae. By administering a suitable product every four weeks, for example, the L3 larvae can be treated before they mature. Depending on the product, treatments containing macrocyclic lactones or emodepside can be used for this purpose, such as Advocate or NexGard Combo. Longer-acting treatments, such as Bravecto Plus, are also available. It is important to repeat the treatment on time. Otherwise, newly ingested larvae may still develop into adult lungworms.

How should your cat be treated for lungworm?

If adult lungworms are already present, the aim is no longer prevention but treatment. An effective concentration of the worming treatment must remain present for a sufficient period. A product registered to prevent disease caused by lungworm larvae does not necessarily kill all adult worms. In addition, a single treatment is not always 100% effective. Depending on the product used, repeat treatment and/or a follow-up faecal examination may therefore be necessary. If a lungworm infection has been confirmed, ask your vet to determine which product and treatment schedule are most suitable

Our article How often should you worm your cat? provides more information about worming your cat. Our worming guide is also a useful resource.

Can a cat recover from lungworm?

Most cats will recover well after treatment.

Bear in mind that the symptoms will not disappear immediately once the worms have been killed. The lungs often need longer to recover, and coughing or difficulty breathing may persist. The cough may even have become chronic if permanent changes have developed in the lungs. This can certainly happen in severe or long-term infections.

In very severe infections, cats may even develop serious breathing difficulties when large numbers of lungworms die and may not survive.

What is the risk of a lungworm infection?

The prevalence of lungworm is quite low at 2-4%. It is therefore certainly not necessary to treat every cat preventively.

If a cat is known to live in an area where lungworm is common, known as a lungworm hotspot, preventive treatment may be necessary.

Do you have any questions about lungworm or worming your cat? Please contact us at veterinarian@vetsend.co.uk.

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About the author

Mara van Brussel-Broere, Veterinarian at Vetsend

Graduated as a companion animal veterinarian from Utrecht University, she uses her practical experience to advise customers and share knowledge at Vetsend. She finds it important to provide pet owners with clear information about health and wellbeing.

Read more about Mara