• Aditya Pratanto Mahasiswa Pendidikan Profesi Dokter Hewan, Fakultas Kedokteran Hewan, Universitas Udayana, Jl. PB. Sudirman, Denpasar, Bali, Indonesia, 80234
  • Sri Kayati Widyastuti Laboratorium Ilmu Penyakit Dalam Veteriner, Fakultas Kedokteran Hewan, Universitas Udayana, Jl. Sudirman, Denpasar, Bali, Indonesia, 80234
  • I Gusti Made Krisna Erawan Laboratorium Ilmu Penyakit Dalam Veteriner, Fakultas Kedokteran Hewan, Universitas Udayana, Jl. Sudirman, Denpasar, Bali, Indonesia, 80234


Feline chronic gingivostomatitis (FCGS) is a chronic inflammation of the mouth that often affects cats. The immune system is thought to be involved in its pathogenesis. The purpose of writing a case report is to provide information on the incidence of FCGS and otitis externa in domestic cats and as a material for consideration in taking action to treat these diseases. The case animal was brought to the Estimo petshop & clinic with a complaint that the cat did not want to eat and drink. According to previous cat owners, it seemed difficult to chew their food, resulting in decreased appetite and drinking, and excessive salivation. This has been going on for a month. The owner also saw the cat often scratching the ear. On clinical examination, the skin turgor is slow, the mandibular lymph nodes are slightly swollen. The buccal mucosa looks red and swollen. Cats also experience hypersalivation and halitosis. On clinical examination, the ear was found to be black, smelly, and wet. Routine haematological examination results showed leukocytosis with neutrophilia. On examination of the ear swab found mites Otodectes cynotis. The therapy given was Ringer's Lactate fluid therapy intravenously, anti-inflammatory dexamethasone at a dose of 0.2 mg/kg BW once a day subcutaneously, a long-acting antibiotic amoxicillin at a dose of 15 mg/kg BW intramuscularly, immunomodulator Viusid©pet with a dose of 1mL/5kg body weight twice a day orally. The therapy given for otitis externa is in the form of topical therapy, namely ear drops containing Pyrethrins as the main ingredient, given three drops twice a day in the left and right ears. Three days after therapy the cat showed an improvement in body condition. Treatment with the given therapy gives good results, signs of gingivostomatitis and otitis externa are no longer observed and cat owners are advised to always pay attention to the cleanliness of the cat's oral cavity by scaling and providing dry food to reduce tartar buildup on the teeth.


Download data is not yet available.


Acar A, Yipel FA. 2016. Factors related to the frequency of cat ear mites (Otodectes cynotis). Kafkas Universitesi Vet. Fakultesi Dergisi. 22: 75-78.
Akucewich LH, Kendra P, Clark A, Gillespie J, Kunkle G, Nicklin CF. 2002. Prevalence of ectoparasites in a population of feral cats from north central Florida during the summer. Vet. Parasitol. 109(1-2): 129-139.
Andarini ZP, Indarjulianto S, Nururrozi A, Yanuartono Y, Raharjo S. 2021. Studi kasus: diagnosis dan pengobatan stomatitis pada kucing domestik: case report: diagnose and treatment of stomatitis in domestic cats. J. Trop. Anim. Vet. Sci. 11(3): 217.
Aritonang EA, Kusumawati N, Kurnianto A. 2020. Otitis eksterna akibat infestasi otodectes cynotis pada kucing domestik long hair. VITEK: Bidang Kedokteran Hewan. 10: 33-37.
Barnes PJ. 2006. How corticosteroid control inflammation: Quintiles prize lecture 2005. Br. J. Pharmacol. 148(3): 245-254.
Benninger MS. 2003. Amoxicillin-clavulanate potassium extended release tablets: a new antimicrobial for the treatment of acute bacterial sinusitis and community-acquired pneumonia. Expert Opinion Pharmacotherapy. 4(10): 1839-1846
Bin LD, Verstraete FJ, Arzi B. 2020. An update on feline chronic gingivostomatitis. Vet. Clin. N. Am. J. Small Anim. Pract. 50: 973–982.
Chang SC. 2015. Lymphocytic-plasmacytic ginggivitis stomatitis in cat. Proceedings 4th Asian Meeting of Animal Medicine Specialties. Kuala Lumpur: Malaysia (1-2 November 2015). Pp. 78.
Dryden MW, Payne PA. 2005. Preventing parasites in cats. Vet. Ther. 6(3): 260-267.
Girão VCC, Nunes-Pinheiro DCS, Morais SM, Sequeira JL, Gioso MA. 2003. A clinical trial of the effect of a mouth-rinse prepared with Lippia sidoides Cham essential oil in dogs with mild gingival disease. Prev. Vet. Med. 59(1-2): 95–102.
Gomez EV, Yoan SR, Ana TG, Luiz CB, Enrique AS, Yadina MP, Ali YG, Maria dRAV. 2011. Viusid©, a nutritional supplement, increases survival and reduces disease progression in HCV-related decompensated cirrhosis: a randomized and controlled trial. BMJ. Open. 1: 1-11.
Hennet P. 1997. Chronic gingivo-stomatitis in cats: long-term follow-up of 30 cases treated by dental extractions. J. Vet. Dent. 14: 15–21.
Hennet PR, Camy GA, McGahie DM. 2011. Comparative efficacy of a recombinant feline interferon omega in refractory cases of calicivirus-positive cats with caudal stomatitis: a randomised, multi-centre, controlled, doubleblind study in 39 cats. J. Feline Med. Surg. 13: 577–587
Jennings MW, Lewis JR, Soltero-Rivera MM. 2015. Effect of tooth extraction on stomatitis in cats: 95 cases (2000–2013). J. Am. Vet. Med. Assoc. 246: 654–660.
Jeran N, Grdiša M, Varga F, Šatović Z, Liber Z, Dabić D, Biošić M. 2021. Pyrethrin from Dalmatian pyrethrum (Tanacetum cinerariifolium (Trevir.) Sch. Bip.): biosynthesis, biological activity, methods of extraction and determination. Phytochem. Rev. 20(5): 875-905.
Lyon KF, Gingivostomatitis. 2005. Veterinary clinics of north america: small animal practice. Elsevier. Pp. 891-911.
Maazi N, Jamshidi SH, Hadadzadeh HR. 2010. Ear mite infestation in four imported dogs from Thailand; a case report. Iranian J. Arthropod-Borne Dis. 4(2): 68-71.
Mahadzar M, Bejo SK, Kadir AA. 2017. Antibacterial activity of acalypha indica root paste against bacteria isolated from cats with gingivitis. 12th Proceedings of the Seminar on Veterinary Sciences. Pp. 28-29.
Mealey KL. 2019. Pharmacotherapeutics for veterinary dispensing. John Wiley and Sons, Inc: Hoboken, New Jersey, United States, Pp. 570.
Norum, Bogwald, Dalmo. 2005. Isolation and characterication of spotted wolffish (anarhichas minor olaten) macrophages. J. Fish and Shellfish Immunol. 10: 381–391.
Nuradi YP, Suartha IN, Ardana IBK. 2017. Efek pemberian Viusid© pet terhadap aktivitas dan kapasitas makrofag pada mencit. Bul. Vet. Udayana. 19(2): 171-177.
Pawitri D. 2018. Chronic ginggivostomatitis pada kucing lokal. ARSHI Vet. Letters. 2(2): 23-24.
Peralta S, Carney PC. 2019. Feline chronic gingivostomatitis is more prevalent in shared households and its risk correlates with the number of cohabiting cats. J. Feline Med. Surg. 21(12): 1165-1171.
Riley LK, Rupert J. 2015. Evaluation of patients with leukocytosis. American Family Physician. 92(11): 1004-1011.
Rudi MM. 2006. Pengaruh pemberian cairan ringer laktat dibandingkan NaCl 0,9% terhadap keseimbangan asam-basa pada pasien sectio caesaria dengan anestesi regional [Tesis]. Program Pendidikan Dokter Spesialis Anestesiologi Universitas Diponegoro. Pp. 21.
Sotiraki ST, Koutinas AF, Leontides LS, AdamamaMoraitou KK, Himonas CA. 2001. Factors affecting the frequency of ear canal and face infestation by Otodectes cynotis in the cat. Vet. Parasitol. 96: 309-315.
Southerden P, Gorre C. 2007. Treatment of a case of refractory feline chronic gingivostomatitis with feline recombinant interferon omega. J. Small Anim. Practice. 48(2): 104-106.
Subowo. 2009. Imunobiologi. Edisi II. Jakarta: Sagung Seto. Pp. 148.
Taniwaki SA, Figueiredo AS, Araujo JP. 2013. Virus-host interaction in feline immunodeficiency virus (FIV) infection. Comp. Immunol. Microbiol. Infect. Dis. 36: 549–557.
Veir JK, Lappin MR, Foley JE, Getzy DM. 2022. Feline inflammatory polyps: historical, clinical, and PCR findings for feline calicivirus and feline herpes virus-1 in 28 cases. J. Feline Med. Surg. 4(4): 195-199.
Widagdo Y, Suntya K. 2007. Volatile sulfur compounds sebagai penyebab halitosis. J. Kedokteran Gigi Univ. Mahasaraswati. 5(2): 112-120.
Widodo S, Sajuthi D, Choliq C, Wijaya A, Wulansari R, Lelana RPA. 2012. Diagnostik klinik hewan kecil. Bogor. IPB Press. Pp. 23-45.
How to Cite
PRATANTO, Aditya; WIDYASTUTI, Sri Kayati; ERAWAN, I Gusti Made Krisna. CHRONIC GINGIVOSTOMATITIS AND OTITIS EXTERNAL IN A DOMESTIC CAT. Buletin Veteriner Udayana, [S.l.], p. 620-629, feb. 2023. ISSN 2477-2712. Available at: <>. Date accessed: 22 sep. 2023. doi: