{"id":9979,"date":"2022-03-26T12:55:42","date_gmt":"2022-03-26T11:55:42","guid":{"rendered":"https:\/\/www.fipwarriors.eu\/?p=9979"},"modified":"2023-03-29T09:49:19","modified_gmt":"2023-03-29T07:49:19","slug":"prehlad-diagnostiky-fip","status":"publish","type":"post","link":"https:\/\/www.fipwarriors.eu\/en\/prehlad-diagnostiky-fip\/","title":{"rendered":"FIP diagnostics overview"},"content":{"rendered":"<p class=\"has-small-font-size wp-block-paragraph\">P&ocirc;vodn&yacute; &#269;l&aacute;nok:  <a href=\"https:\/\/malque.pub\/ojs\/index.php\/avr\/article\/view\/261\" target=\"_blank\" rel=\"noreferrer noopener\">A review on the diagnosis of feline infectious peritonitis<\/a><br>3.3.2022<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Jehanzeb Yousufa | Riyaz Ahmed Bhatb | Shahid Hussain Darb | Alisa Shafib | Snober Irshadc | Mohammad Iqbal Yatoob | Jalal Udin Parrahb | Amatul Muheeb | Abdul Qayoom Mirb<\/p>\n\n\n\n<p class=\"has-background wp-block-paragraph\" style=\"background-color:#c5fae4\"><strong>Abstrakt<\/strong>: Ma&#269;acia infek&#269;n&aacute; peritonit&iacute;da alebo jednoducho <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Infek&#269;n&aacute; peritonit&iacute;da ma&#269;iek (angl. Feline infectious peritonitis, zau&#382;&iacute;van&aacute; skratka FIP) je infek&#269;n&eacute; ochorenie ma&#269;iek sp&ocirc;sobuj&uacute;ce smr&#357;. N&aacute;zov je mierne zav&aacute;dzaj&uacute;ci, preto&#382;e nejde o z&aacute;pal pobru&scaron;nice (&#269;i&#382;e peritonea), ale o z&aacute;pal ciev (vaskulit&iacute;da). Klinick&eacute; pr&iacute;znaky FIP sa v&scaron;ak &#269;asto prejavuj&uacute; vo forme z&aacute;palu pobru&scaron;nice. V&iacute;rus FIP nap&aacute;da v&scaron;ak aj pohrudnicu &ndash; z toho d&ocirc;vodu je niekedy choroba ozna&#269;ovan&aacute; tie&#382; ako Infek&#269;n&aacute; ma&#269;acia polyserozit&iacute;da (Feline infectious polyserositis).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/fip\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">FIP<\/a> je v&iacute;rusov&eacute; ochorenie sp&ocirc;soben&eacute; koronav&iacute;rusom u ma&#269;iek zvy&#269;ajne mlad&scaron;&iacute;ch ako tri roky. Prejavuje sa extr&eacute;mnou z&aacute;palovou reakciou v tkaniv&aacute;ch v bru&scaron;nej dutine, obli&#269;iek a mozgu. Tento preh&#318;adov&yacute; &#269;l&aacute;nok sa zaober&aacute; r&ocirc;znymi diagnostick&yacute;mi testami a ich pr&iacute;nosom pri diagnostike pr&iacute;padov suspektnej  FIP s cie&#318;om definit&iacute;vnej diagn&oacute;zy. Tento preh&#318;ad m&ocirc;&#382;e pom&ocirc;c&#357; porovna&#357; r&ocirc;zne diagnostick&eacute; parametre a tie&#382; zv&yacute;&scaron;i&#357; povedomie o ich v&yacute;hod&aacute;ch a nev&yacute;hod&aacute;ch.<br><br><strong>K&#318;&uacute;&#269;ov&eacute; slov&aacute;:<\/strong> prote&iacute;ny ak&uacute;tnej f&aacute;zy, koronav&iacute;rus, ma&#269;acia infek&#269;n&aacute; peritonit&iacute;da, Rivaltov test.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">1. &Uacute;vod<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">Infek&#269;n&aacute; peritonit&iacute;da ma&#269;iek (FIP) je dobre zn&aacute;me a &scaron;iroko roz&scaron;&iacute;ren&eacute; syst&eacute;mov&eacute; ochorenie vyvolan&eacute; koronav&iacute;rusom (CoV) u ma&#269;iek, charakterizovan&eacute; fibrin&oacute;zno-granulomat&oacute;znou serozit&iacute;dou s v&yacute;potkami bohat&yacute;mi na bielkoviny do telesn&yacute;ch dut&iacute;n, granulomat&oacute;znounekrotizuj&uacute;cou flebit&iacute;dou a periflebit&iacute;dou a granulomat&oacute;znymi z&aacute;palov&yacute;mi l&eacute;ziami vo viacer&yacute;ch org&aacute;noch (Weiss a Scott 1981; Kipar a kol. 2005). Ma&#269;ac&iacute; CoV (FCoV) sa &scaron;&iacute;ri fek&aacute;lno-or&aacute;lnou cestou a prim&aacute;rne s&uacute; infikovan&eacute; enterocyty (Pedersen 1995), ale n&aacute;sledne sa &scaron;&iacute;ri syst&eacute;movo prostredn&iacute;ctvom monocytovej vir&eacute;mie (Meli et al 2004; Kipar et al 2005). Uk&aacute;zalo sa, &#382;e zv&yacute;&scaron;en&aacute; schopnos&#357; replik&aacute;cie v&iacute;rusu by mohla by&#357; k&#318;&uacute;&#269;ov&yacute;m znakom pri vzniku FIP, a tie&#382; sa predpoklad&aacute;, &#382;e FIP je sp&ocirc;soben&aacute; mut&aacute;ciami be&#382;n&eacute;ho ma&#269;acieho enterick&eacute;ho koronav&iacute;rusu (FECV), ktor&yacute; sa vyskytuje u ma&#269;iek na celom svete a nie je z&aacute;va&#382;nou infekciou (Pedersen et al 2009; Healey et al 2022). Pribli&#382;ne u 10 % infikovan&yacute;ch ma&#269;iek sa vyskytuj&uacute; mut&aacute;cie, ktor&eacute; maj&uacute; za n&aacute;sledok infek&#269;n&uacute; peritonit&iacute;du ma&#269;iek. Vo ve&#318;k&yacute;ch situ&aacute;ci&aacute;ch s viacer&yacute;mi ma&#269;kami sa FECV vylu&#269;uje v truse v&auml;&#269;&scaron;iny zdanlivo zdrav&yacute;ch ma&#269;iek a k prenosu doch&aacute;dza priamym kontaktom s v&yacute;kalmi alebo kontaminovanou podstielkou a in&yacute;mi fomitmi (Pedersen et al 2004). Pribli&#382;ne vo veku 9 t&yacute;&#382;d&#328;ov sa nakazia ma&#269;iatka (Pedersen et al. 2008). &#268;as medzi vznikom klinick&yacute;ch pr&iacute;znakov a &uacute;mrt&iacute;m sa tie&#382; l&iacute;&scaron;i, ale mlad&scaron;ie ma&#269;ky a ma&#269;ky s efuz&iacute;vnym ochoren&iacute;m maj&uacute; krat&scaron;&iacute; priebeh ochorenia ako star&scaron;ie ma&#269;ky a ma&#269;ky s neeufuz&iacute;vnym ochoren&iacute;m (Pedersen 2014). Dokonca aj pri &#357;a&#382;kej forme FIP m&ocirc;&#382;u niektor&eacute; ma&#269;ky &#382;i&#357; cel&eacute; mesiace. v situ&aacute;ci&aacute;ch, ke&#271; sa vyskytuje viacero ma&#269;iek, je ma&#269;ac&iacute; enterick&yacute; koronav&iacute;rus (FECV) mimoriadne &#269;ast&yacute; a vysoko n&aacute;kazliv&yacute;. Takmer v&scaron;etky ma&#269;ky, ktor&eacute; sa dostan&uacute; do kontaktu s FECV od vylu&#269;uj&uacute;cich ma&#269;iek, ochorej&uacute;, ale na druhej strane infekcia je zvy&#269;ajne asymptomatick&aacute; alebo sp&ocirc;sobuje len miernu do&#269;asn&uacute; hna&#269;ku (Pedersen et al 2008; Vogel et al 2010; Ermakov et al 2021). Na druhej strane v&iacute;rus ma&#269;acej infek&#269;nej peritonit&iacute;dy (FIPV) sa nepren&aacute;&scaron;a fek&aacute;lno-or&aacute;lnou cestou, ale poch&aacute;dza z avirulentn&eacute;ho FECV u mal&eacute;ho percenta infikovan&yacute;ch ma&#269;iek a sp&ocirc;sobuje ma&#269;acie infek&#269;n&eacute; peritonit&iacute;dy (FIP) (Pedersen et al 1981; Vennema et al 1998). Anorexia, letargia, strata hmotnosti, pyrexia, o&#269;n&eacute; a neurologick&eacute; pr&iacute;znaky, ako s&uacute; abnormality ch&ocirc;dze alebo neprimeran&aacute; ment&aacute;cia, s&uacute; ne&scaron;pecifick&eacute; (Giori et al 2011; Kipar et al 2014). Infekcia m&aacute; dve formy: &bdquo;vlhk&uacute;&ldquo; a &bdquo;such&uacute;&ldquo;. Such&aacute; forma sp&ocirc;sobuje z&aacute;palov&eacute; zmeny v okol&iacute; ciev, z&aacute;chvaty, ataxiu a nadmern&yacute; sm&auml;d, zatia&#318; &#269;o vlhk&aacute; forma vedie k z&auml;&#269;&scaron;eniu brucha v d&ocirc;sledku nadmern&eacute;ho hromadenia tekutiny v bru&scaron;nej dutine. &Scaron;pecifickos&#357; je v&#382;dy najd&ocirc;le&#382;itej&scaron;ou diagnostickou hodnotou, ktor&uacute; je potrebn&eacute; zoh&#318;adni&#357;, aby sa predi&scaron;lo chybnej diagn&oacute;ze FIP u nepostihnut&yacute;ch ma&#269;iek.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">2. Diagnostick&eacute; testy na infek&#269;n&uacute; peritonit&iacute;du ma&#269;iek<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">Pri diagnostike sa zoh&#318;ad&#328;uje vek, p&ocirc;vod, klinick&eacute; pr&iacute;znaky a fyzik&aacute;lne vy&scaron;etrenie ma&#269;ky. U ma&#269;iek s efuz&iacute;vnou (vlhkou) alebo neefuz&iacute;vnou (suchou) formou FIP s&uacute; be&#382;n&eacute; abdomin&aacute;lna distenzia s ascitom, dyspnoe s pleur&aacute;lnym v&yacute;potkom, &#382;lta&#269;ka, hyperbilirubin&uacute;ria, zrete&#318;n&eacute; masy na obli&#269;k&aacute;ch a\/alebo mezenterick&yacute;ch lymfatick&yacute;ch uzlin&aacute;ch, <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Z&aacute;n&#283;t uve&aacute;ln&iacute;ho traktu. M&#367;&#382;e postihovat duhovku (iritis), &#345;asnat&eacute; t&#283;leso (cyklitis), c&eacute;vnatku (chorioiditis).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/uveitida\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">uveit&iacute;da<\/a> a r&ocirc;zne neurologick&eacute; pr&iacute;znaky spojen&eacute; s postihnut&iacute;m mozgu a\/alebo miechy. U ma&#269;iek postihnut&yacute;ch FIP sa &#269;asto vyskytuj&uacute; o&#269;n&eacute; zmeny, pri&#269;om naj&#269;astej&scaron;&iacute;m o&#269;n&yacute;m postihnut&iacute;m s&uacute; zmeny na sietnici. M&ocirc;&#382;e sa vyskytn&uacute;&#357; man&#382;eta sietnicov&yacute;ch ciev, ktor&aacute; sa jav&iacute; ako rozmazan&eacute; sivast&eacute; &#269;iary po oboch stran&aacute;ch ciev. Pr&iacute;le&#382;itostne sa vyskytuj&uacute; granulomat&oacute;zne zmeny na sietnici. Zistilo sa, &#382;e infekcia FIPV je spojen&aacute; s depl&eacute;ciou T-buniek apopt&oacute;zou, hoci v&iacute;rus nem&ocirc;&#382;e infikova&#357; CD4+ a CD8+ T-bunky (Haagmans et al. 1996; De Groot et al. 2005). Vzh&#318;adom na vysok&uacute; &uacute;mrtnos&#357; s&uacute; mnoh&iacute; veterin&aacute;rni lek&aacute;ri a majitelia dom&aacute;cich zvierat opatrn&iacute; pri diagn&oacute;ze zalo&#382;enej na &bdquo;primeranej istote&ldquo;. V&yacute;zvou je rozhodn&uacute;&#357;, &#269;i test zvy&scaron;uje pravdepodobnos&#357;, &#382;e klinick&eacute; pr&iacute;znaky s&uacute; sp&ocirc;soben&eacute; FIP (nepriame testy), alebo pon&uacute;ka definit&iacute;vnu diagn&oacute;zu (priame testy). Je nevyhnutn&eacute; si uvedomi&#357;, &#382;e citlivos&#357; a &scaron;pecifickos&#357; ak&eacute;hoko&#318;vek nepriameho testu sa bude l&iacute;&scaron;i&#357; v z&aacute;vislosti od toho, ak&aacute; je pravdepodobnos&#357;, &#382;e ma&#269;ka je infikovan&aacute; na z&aacute;klade in&yacute;ch faktorov. To znamen&aacute;, &#382;e pozit&iacute;vna predikt&iacute;vna hodnota testu, ako je kompletn&yacute; krvn&yacute; obraz (CBC) alebo pomer <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;strong&amp;gt;Albumin&amp;lt;\/strong&amp;gt; &ndash; hlavn&iacute; b&iacute;lkovina krve. Tvo&#345;&iacute; se v j&aacute;trech. T&iacute;m, &#382;e na sebe v&aacute;&#382;e vodu (onkotick&yacute; efekt), je d&#367;le&#382;it&yacute; pro udr&#382;en&iacute; objemu tekutiny v c&eacute;v&aacute;ch. P&#345;en&aacute;&scaron;&iacute; v krvi t&eacute;&#382; &#345;adu l&aacute;tek nerozpustn&yacute;ch ve vod&#283; hormony, vitaminy, bilirubin aj.. Ub&yacute;v&aacute; v krvi nap&#345;. p&#345;i t&#283;&#382;&scaron;&iacute;ch jatern&iacute;ch chorob&aacute;ch nebo p&#345;i nadm&#283;rn&yacute;ch ztr&aacute;t&aacute;ch mo&#269;&iacute;.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/albumin\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">album&iacute;n<\/a>:<a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;strong&amp;gt;Globuliny&amp;lt;\/strong&amp;gt; &ndash; Krevn&iacute; b&iacute;lkoviny, kter&eacute; jsou produktem specializovan&yacute;ch bun&#283;k obrann&eacute;ho syst&eacute;mu organismu &ndash; lymfatick&eacute; (m&iacute;zn&iacute;) tk&aacute;n&#283;. Z hlediska obrann&yacute;ch funkc&iacute; jsou nejv&yacute;znamn&#283;j&scaron;&iacute; tzv. imunoglobuliny, kter&eacute; jsou nositeli protil&aacute;tek schopn&yacute;ch zne&scaron;kodnit n&#283;kter&eacute; &scaron;kodliv&eacute; l&aacute;tky pronikaj&iacute;c&iacute; do organismu (sou&#269;&aacute;sti mikroorganism&#367;, cizorod&eacute; bu&#328;ky, jedy atd.) Mno&#382;stv&iacute; imunoglobulin&#367; se p&#345;i infek&#269;n&iacute;ch chorob&aacute;ch zvy&scaron;uje.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/globuliny\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">globul&iacute;n<\/a> (A:G), na predpovedanie FIP bude ove&#318;a vy&scaron;&scaron;ia u ma&#269;iek so signaliz&aacute;ciou podobnou FIP, ako u ma&#269;iek so sigaliz&aacute;ciou netypickou pre FIP. Je potrebn&eacute; poznamena&#357;, &#382;e v&yacute;sledky ostatn&yacute;ch nepriamych testov s&uacute; len odhadmi a v&yacute;sledky dodato&#269;n&yacute;ch nepriamych testov maj&uacute; potenci&aacute;l zmias&#357; aj podpori&#357; diagnostick&yacute; proces.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">3. Diagnostick&eacute; testy<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">Probl&eacute;m diagnostiky FIP spo&#269;&iacute;va v tom, &#382;e neinvaz&iacute;vne testy nie s&uacute; dostato&#269;ne spo&#318;ahliv&eacute;. Vo v&scaron;eobecnosti maj&uacute; testy z ef&uacute;zie podstatne vy&scaron;&scaron;iu predikt&iacute;vnu hodnotu ako krvn&eacute; testy (Stranieri et al 2018; Hartmann et al 2003). V d&ocirc;sledku toho je identifik&aacute;cia FIP ante mortem u ma&#269;iek bez v&yacute;razn&eacute;ho v&yacute;potku je obzvl&aacute;&scaron;&#357; zlo&#382;it&aacute;. Naju&#382;ito&#269;nej&scaron;&iacute;m ante mortem ukazovate&#318;om je pozit&iacute;vny <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;strong&amp;gt;Titr&amp;lt;\/strong&amp;gt; &ndash; v s&eacute;rologii pojem u&#382;&iacute;van&yacute; k vyj&aacute;d&#345;en&iacute; stupn&#283; z&#345;ed&#283;n&iacute; vy&scaron;et&#345;ovan&eacute;ho krevn&iacute;ho s&eacute;ra, p&#345;i n&#283;m&#382; jsou s&eacute;rov&eacute; protil&aacute;tky je&scaron;t&#283; schopny viditeln&#283; reagovat s p&#345;&iacute;slu&scaron;n&yacute;m antigenem bakteri&aacute;ln&iacute;m, virov&yacute;m, pl&iacute;s&#328;ov&yacute;m apod.. &#268;&iacute;m vy&scaron;&scaron;&iacute; je t., t&iacute;m v&iacute;ce lze z&#345;edit s&eacute;rum a je&scaron;t&#283; doc&iacute;lit p&#345;&iacute;slu&scaron;n&eacute; reakce. Z toho lze usuzovat na obsah a mno&#382;stv&iacute; protil&aacute;tek v krvi a t&iacute;m i na infekci a jej&iacute; intenzitu.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/titer\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">titer<\/a> protil&aacute;tok proti v&iacute;rusu Corona (IgG) v mozgovomiechovom moku (<a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Cerebrospin&aacute;lny mok (latinsky liquor cerebrospinalis, CSF) alebo tie&#382; likvor je &#269;&iacute;ra a bezfarebn&aacute; telov&aacute; tekutina, ktor&aacute; obklopuje, chr&aacute;ni proti infekcii a vy&#382;ivuje a zabezpe&#269;uje mozog a miechu. Je pribli&#382;ne izotonick&yacute;, obsahuje na rozdiel od krvi len m&aacute;lo prote&iacute;nov a takmer &#382;iadne bunky (takmer &#382;iadne &#269;erven&eacute; krvinky). &#317;udsk&eacute; telo obsahuje v priemere asi 150 ml mozgovomiechov&eacute;ho moku.&lt;\/div&gt;\"  href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/mozgovomiechovy-mok\/\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>CSF<\/a>), vysok&yacute; celkov&yacute; prote&iacute;n v s&eacute;re a zmeny na MRI, ako je periventrikul&aacute;rne kontrastn&eacute; zosilnenie, dilat&aacute;cia kom&ocirc;r a <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Hydrocefalus je term&iacute;n ozna&#269;uj&uacute;ci nadmern&eacute; hromadenie mozgovomiechov&eacute;ho moku v mozgov&yacute;ch komor&aacute;ch.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/hydrocefalus\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">hydrocefalus<\/a>. Monoklon&aacute;lne <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;&amp;lt;strong&amp;gt;Protil&aacute;tka&amp;lt;\/strong&amp;gt;&nbsp;(&amp;lt;strong&amp;gt;imunoglobulin&amp;lt;\/strong&amp;gt;) je&nbsp;protein, kter&yacute; je schopen jako sou&#269;&aacute;st&nbsp;imunitn&iacute;ho syst&eacute;mu&nbsp;identifikovat a zne&scaron;kodnit ciz&iacute; objekty (bakterie&nbsp;a&nbsp;viry) v t&#283;le. Protil&aacute;tky jsou nositeli&nbsp;humor&aacute;ln&iacute; imunity. Jsou to krevn&iacute; b&iacute;lkoviny vznikaj&iacute;c&iacute; v m&iacute;zn&iacute; tk&aacute;ni.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/protilatka\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">protil&aacute;tky<\/a> z postihnut&yacute;ch tkan&iacute;v a polymer&aacute;zov&aacute; re&#357;azov&aacute; reakcia (PCR) &scaron;pecifick&aacute; pre koronav&iacute;rus s&uacute; v&scaron;ak cenn&eacute; pri post mortem hodnoten&iacute; (Foley et al. 1998). Ke&#271;&#382;e jednozna&#269;n&aacute; diagn&oacute;za sa ned&aacute; ur&#269;i&#357; len na z&aacute;klade sympt&oacute;mov, anamn&eacute;zy a klinick&yacute;ch a laborat&oacute;rnych ukazovate&#318;ov, tieto faktory by sa mali v&#382;dy posudzova&#357; ako celok, niekedy v kombin&aacute;cii s in&yacute;mi faktormi, ako s&uacute; molekul&aacute;rne alebo dokonca invaz&iacute;vnej&scaron;ie diagnostick&eacute; postupy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3.1. Anal&yacute;za vzoriek v&yacute;potku<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">V pr&iacute;pade podozrenia na FIP s v&yacute;potkom m&ocirc;&#382;e by&#357; vzorka v&yacute;potku neuverite&#318;ne n&aacute;pomocn&aacute; pri ur&#269;ovan&iacute; diagn&oacute;zy a potom pri hematologick&yacute;ch n&aacute;lezoch, preto by malo by&#357; z&iacute;skanie vzoriek v&yacute;potku v&#382;dy najvy&scaron;&scaron;ou prioritou. V pr&iacute;pade ascitu sa m&ocirc;&#382;e vzorkaz&iacute;ska&#357; ultrazvukom riadenou aspir&aacute;ciou tenkou ihlou alebo technikou &bdquo;lietaj&uacute;cej ma&#269;ky&ldquo;. Na identifik&aacute;ciu mal&yacute;ch mno&#382;stiev tekutiny v hrudn&iacute;ku a bruchu poskytuje ultrasonografia u&#382;ito&#269;n&uacute; pomoc pri lokaliz&aacute;cii v&yacute;potkov&yacute;ch vreciek v bruchu, zatia&#318; &#269;o d&ocirc;kaz perikardi&aacute;lnych v&yacute;potkov mo&#382;no z&iacute;ska&#357; prostredn&iacute;ctvom tlmen&yacute;ch srdcov&yacute;ch oziev a elektrokardiografick&yacute;ch zmien. Ultrasonografia by sa mala pou&#382;&iacute;va&#357; opakovane na identifik&aacute;ciu ak&yacute;chko&#318;vek v&yacute;potkov s mal&yacute;m objemom a ultrasonografia sa m&ocirc;&#382;e pou&#382;i&#357; aj na usmernenie odberu vzoriek mal&yacute;ch vreciek tekutiny. U ma&#269;iek s perikardi&aacute;lnymi v&yacute;potkami sa auskult&aacute;ciou srdca zistia tlmen&eacute; zvuky a EKG odhal&iacute; typick&eacute; zmeny.<br>V&yacute;potky pri FIP s&uacute; &#269;asto &#269;&iacute;re, visk&oacute;zne\/lepkav&eacute;, slamovo&#382;lt&eacute; a bohat&eacute; na bielkoviny (<a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Cytol&oacute;gia je dnes &scaron;tandardnou diagnostickou met&oacute;dou v patol&oacute;gii. Jej &uacute;lohou je stanovi&#357; pr&iacute;tomnos&#357; predov&scaron;etk&yacute;m n&aacute;dorov&yacute;ch buniek v zaslanom materi&aacute;li.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/cytologia\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">cytol&oacute;gia<\/a> &#269;asto opisuje hust&eacute; eozinofiln&eacute; bielkovinov&eacute; pozadie) s celkovou koncentr&aacute;ciou bielkov&iacute;n &gt; 35 g\/l (&gt; 50 % globul&iacute;nov). Zriedkavo sa popisuj&uacute; chyl&oacute;zne v&yacute;potky. V&yacute;potky pri FIP maj&uacute; &#269;asto pyogranulomat&oacute;zny charakter s makrof&aacute;gmi, nedegenerovan&yacute;mi neutrofilmi a relat&iacute;vne mal&yacute;m po&#269;tom <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;strong&amp;gt;Lymfocyt&amp;lt;\/strong&amp;gt; &ndash; druh b&iacute;l&eacute; krvinky, kter&yacute; se v&yacute;znamn&#283; pod&iacute;l&iacute; na specifick&eacute; imunit&#283; organismu. L. se vyskytuj&iacute; v krvi a v lymfatick&eacute; tk&aacute;ni a d&#283;l&iacute; se na dv&#283; z&aacute;kladn&iacute; skupiny T a B lymfocyty n&#283;kdy se u&#382;&iacute;v&aacute; n&aacute;zvu T a B bu&#328;ky. K funkc&iacute;m T lymfocyt&#367; pat&#345;&iacute; regulace ostatn&iacute;ch bun&#283;k z&uacute;&#269;astn&#283;n&yacute;ch na imunitn&iacute; odpov&#283;di a likvidace choroboplodn&yacute;ch z&aacute;rodk&#367;, pop&#345;. i vlastn&iacute;ch bun&#283;k jimi naka&#382;en&yacute;ch a n&aacute;dor&#367;. B lymfocyty se po setk&aacute;n&iacute; s antigenem a za p&#345;isp&#283;n&iacute; skupiny T lymfocyt&#367; p&#345;em&#283;&#328;uj&iacute; na plasmatick&eacute; bu&#328;ky, kter&eacute; tvo&#345;&iacute; protil&aacute;tky imunoglobuliny. L. p&#345;e&#382;&iacute;vaj&iacute; v organismu dlouhou dobu a tvo&#345;&iacute; tzv. pam&#283;&#357;ov&eacute; bu&#328;ky, kter&eacute; si &amp;quot;pamatuj&iacute;&amp;quot; setk&aacute;n&iacute; s cizorodou l&aacute;tkou antigenem a jsou proti n&iacute; schopny op&#283;t reagovat na tomto principu funguje o&#269;kov&aacute;n&iacute;. P&#345;i v&#283;t&scaron;in&#283; sv&yacute;ch funkc&iacute; spolupracuj&iacute; s makrof&aacute;gy srov. APC, p&#345;i&#269;em&#382; vz&aacute;jemnou komunikaci zprost&#345;edkov&aacute;vaj&iacute; mj. HLA antigeny.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/lymfocytov\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">lymfocytov<\/a>. V d&ocirc;sledku toho sa v&yacute;potky &#269;asto ozna&#269;uj&uacute; ako modifikovan&eacute; transsud&aacute;ty na z&aacute;klade po&#269;tu buniek (&lt; 5&times;109 buniek\/l), ale exsud&aacute;ty na z&aacute;klade koncentr&aacute;cie bielkov&iacute;n (viac ako 35 g\/l). Typick&eacute; v&yacute;potky FIP maj&uacute; n&iacute;zky pomer A:G (pozri vy&scaron;&scaron;ie) a zv&yacute;&scaron;en&yacute; obsah AGP, ktor&yacute; je podobn&yacute; obsahu v s&eacute;re. V ned&aacute;vnej &scaron;t&uacute;dii (Hazuchova et al. 2017) sa zistilo, &#382;e koncentr&aacute;cie AGP vo v&yacute;potkoch (&gt; 1,55 mg\/ml) s&uacute; u&#382;ito&#269;nej&scaron;ie (senzitivita a &scaron;pecificita 93 %) pri rozli&scaron;ovan&iacute; pr&iacute;padov FIP od pr&iacute;padov bez FIP ako hladiny AGP v s&eacute;re alebo in&yacute;ch APP.<br>Rivaltov test je jednoduch&yacute; test, ktor&yacute; mo&#382;no pou&#382;i&#357; na rozl&iacute;&scaron;enie transsud&aacute;tu od exsud&aacute;tu vo vzorke v&yacute;potku (Barker a Tasker 2020). Pozit&iacute;vne v&yacute;sledky jednoducho nazna&#269;uj&uacute;, &#382;e v&yacute;potok je exsud&aacute;t a nie s&uacute; &scaron;pecifick&eacute; iba pre FIP; pozit&iacute;vne v&yacute;sledky na transsud&aacute;t boli zdokumentovan&eacute; v in&yacute;ch situ&aacute;ci&aacute;ch ako FIP (napr. bakteri&aacute;lna\/septick&aacute; peritonit&iacute;da a lymf&oacute;m) (Fischer a kol. 2012).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3.2. Bioch&eacute;mia <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Krvn&eacute; s&eacute;rum je &#382;ltkast&aacute;, tekut&aacute; a nebunkov&aacute; zlo&#382;ka krvi, ktor&aacute; vznik&aacute; po vyzr&aacute;&#382;an&iacute; krvi a n&aacute;slednom odstr&aacute;nen&iacute; krvn&eacute;ho kol&aacute;&#269;a mechanicky a pomocou centrif&uacute;gy. Zlo&#382;en&iacute;m zodpoved&aacute; krvnej plazme, av&scaron;ak na rozdiel od plazmy neobsahuje fibrinog&eacute;n a &#271;al&scaron;ie zr&aacute;&#382;acie faktory krvi.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&amp;lt;!-- wp:paragraph --&amp;gt;Krv, ktor&aacute; sa odober&aacute; na pr&iacute;pravu s&eacute;ra, sa odober&aacute; do oby&#269;ajn&yacute;ch sk&uacute;maviek alebo strieka&#269;iek bez pridania ak&yacute;chko&#318;vek antikoagulantov (napr. hepar&iacute;n, EDTA). V klinickej a laborat&oacute;rnej praxi sa &#269;asto pou&#382;&iacute;va ozna&#269;enie s&eacute;rum.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/krvne-serum\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">s&eacute;ra<\/a><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hoci zmeny v bioch&eacute;mii krvi pozorovan&eacute; v pr&iacute;padoch FIP s&uacute; variabiln&eacute; a &#269;asto ne&scaron;pecifick&eacute;, existuje nieko&#318;ko k&#318;&uacute;&#269;ov&yacute;ch anom&aacute;li&iacute;, na ktor&eacute; sa treba zamera&#357;, aby bolo mo&#382;n&eacute; potvrdi&#357; diagn&oacute;zu FIP.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.2.1. Prote&iacute;ny ak&uacute;tnej f&aacute;zy<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pri mnoh&yacute;ch z&aacute;palov&yacute;ch a nez&aacute;palov&yacute;ch ochoreniach sa v pe&#269;eni produkuj&uacute; prote&iacute;ny ak&uacute;tnej f&aacute;zy (APP) ako odpove&#271; na <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Cytokin (podobn&yacute; term&iacute;n interleukin) je ozna&#269;en&iacute; pro skupinu men&scaron;&iacute;ch sign&aacute;ln&iacute;ch protein&#367;, &uacute;&#269;astn&iacute;c&iacute;ch se v&yacute;znamn&#283; v imunitn&iacute; odpov&#283;di. Cytokiny jsou produkov&aacute;ny bu&#328;kami imunitn&iacute;ho syst&eacute;mu (makrof&aacute;gy, T-lymfocyty, atp.) a jsou schopn&eacute; navodit nap&#345;&iacute;klad rychl&eacute; d&#283;len&iacute; a diferenciaci ur&#269;it&yacute;ch typ&#367; bun&#283;k, kter&eacute; se &uacute;&#269;astn&iacute; boje proti patogen&#367;m, p&#345;&iacute;padn&#283; dal&scaron;&iacute; rysy imunitn&iacute; obrany.V ur&#269;it&eacute;m slova smyslu cytokiny nemus&iacute; b&yacute;t produkov&aacute;ny pouze b&iacute;l&yacute;mi krvinkami a v&yacute;znam slova se roz&scaron;i&#345;uje na v&scaron;echny mal&eacute; sign&aacute;ln&iacute; proteiny; term&iacute;n interleukin se v tom p&#345;&iacute;pad&#283; pou&#382;&iacute;v&aacute; pro sign&aacute;ln&iacute; molekuly vylu&#269;ovan&eacute; b&iacute;l&yacute;mi krvinkami.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/cytokin\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">cytok&iacute;ny<\/a> uvo&#318;&#328;ovan&eacute; makrof&aacute;gmi a monocytmi (najm&auml; interleuk&iacute;ny 1 a 6 a tumor nekrotizuj&uacute;ci faktor &alpha;).<br>AGP je skratka pre <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Alfa-1-kysl&yacute; glykoprote&iacute;n patr&iacute; k reaktantom ak&uacute;tnej f&aacute;zy.  Alfa-1-kysl&yacute; glykoprote&iacute;n pomal&scaron;&iacute; n&aacute;stup a zost&aacute;va zv&yacute;&scaron;en&yacute; dlh&scaron;ie. Po &uacute;&#269;innej lie&#269;be alebo po odstr&aacute;nen&iacute; z&aacute;palov&eacute;ho podnetu kles&aacute; pod&#318;a svojho pol&#269;asu rozpadu 5 - 6 dn&iacute;.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/orozomukoid\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">&alpha;1-kysl&yacute; glykoprote&iacute;n<\/a> a jeho vy&scaron;etrenie m&ocirc;&#382;e pom&ocirc;c&#357; pri diagnostike FIP. Hoci zv&yacute;&scaron;enie hladiny AGP (&gt; 0,48 mg\/ml) nie je &scaron;pecifick&eacute; pre FIP, pacienti s FIP maj&uacute; &#269;asto v&yacute;razne vysok&eacute; hladiny AGP (&gt; 1,5 mg\/ml). V d&ocirc;sledku toho m&ocirc;&#382;e by&#357; ve&#318;kos&#357; zv&yacute;&scaron;enia cenn&aacute; z h&#318;adiska pomoci pri diagnostike FIP, pri&#269;om vy&scaron;&scaron;ie hladiny efekt&iacute;vnej&scaron;ie zvy&scaron;uj&uacute; index podozrenia (Giori et al 2011; Hazuchova et al 2017).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.2.2. <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Hyperglobulin&eacute;mia znamen&aacute; abnorm&aacute;lne vysok&uacute; koncentr&aacute;ciu globul&iacute;nov v cirkuluj&uacute;cej krvnej plazme.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/hyperglobulinemia\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Hyperglobulin&eacute;mia<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">V 89% pr&iacute;padov je pr&iacute;tomn&aacute; hyperglobulin&eacute;mia; &#269;asto v spojen&iacute; s hypoalbumin&eacute;miou alebo n&iacute;zkou-norm&aacute;lnou hladinou s&eacute;rov&eacute;ho album&iacute;nu (pozorovan&aacute; v 64,5 % pr&iacute;padov) (Riemer et al. 2016). Hyperprotein&eacute;mia sa nemus&iacute; v&#382;dy vyskytova&#357; z d&ocirc;vodu existencie <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Hypoalbumin&eacute;mie znamen&aacute; pokles koncentrace&amp;amp;nbsp;albuminu&amp;amp;nbsp;v&amp;amp;nbsp;krvi. P&#345;&iacute;&#269;inou m&#367;&#382;e b&yacute;t podv&yacute;&#382;iva a jatern&iacute; choroby. Vzhledem k&amp;amp;nbsp;tomu, &#382;e&amp;amp;nbsp;albumin&amp;amp;nbsp;m&aacute; v&yacute;znam pro transport &#345;ady slou&#269;enin a pro udr&#382;en&iacute;&amp;amp;nbsp;onkotick&eacute;ho tlaku, je jeho nedostatek spojen s&amp;amp;nbsp;celou &#345;adou patologick&yacute;ch projev&#367; v&#269;etn&#283;&amp;amp;nbsp;ed&eacute;mu&amp;amp;nbsp;tk&aacute;n&iacute;.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/hypoalbuminemie\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">hypoalbumin&eacute;mie<\/a>. Pomer album&iacute;n:globul&iacute;n (A:G) je pri hyperglobulin&eacute;mii a hypoalbumin&eacute;mii (n&iacute;zka-norm&aacute;lna koncentr&aacute;cia album&iacute;nu) n&iacute;zky a tento parameter sa m&ocirc;&#382;e pou&#382;i&#357; na pos&uacute;denie pravdepodobnosti FIP v konkr&eacute;tnom pr&iacute;pade.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.2.3. Hyperbilirubin&eacute;mia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hyperbilirubin&eacute;mia sa vyskytuje v 21-63 % pr&iacute;padov FIP a je &#269;astej&scaron;ia pri efuz&iacute;vnej FIP, kde s&uacute; be&#382;ne vysok&eacute; aktivity enz&yacute;mov alan&iacute;naminotransfer&aacute;zy (<a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Alaninaminotransfer&aacute;za (zkr&aacute;cen&#283; ALT, star&scaron;&iacute; n&aacute;zev: glutam&aacute;t-pyruv&aacute;t transamin&aacute;za, zkr&aacute;cen&#283; GPT) je cytoplazmatick&yacute; enzym vysoce specifick&yacute; pro jatern&iacute; bu&#328;ku. V mnohem men&scaron;&iacute; m&iacute;&#345;e se nach&aacute;z&iacute; nap&#345;. v myokardu nebo kostern&iacute;m svalu. Funkc&iacute; ALT je katal&yacute;za transamina&#269;n&iacute; reakce, p&#345;i kter&eacute; doch&aacute;z&iacute; k p&#345;enosu aminoskupiny z alaninu na 2-oxoglutar&aacute;t za vzniku pyruv&aacute;tu a glutam&aacute;tu. Kofaktorem reakce je pyridoxal-5&rsquo;-fosf&aacute;t.[7] P&#345;i m&iacute;rn&eacute;m po&scaron;kozen&iacute; jatern&iacute; bu&#328;ky p&#345;i zv&yacute;&scaron;en&iacute; propustnosti (permeability) cytoplazmatick&eacute; membr&aacute;ny se ALT dost&aacute;v&aacute; do krve ve zv&yacute;&scaron;en&eacute; m&iacute;&#345;e. Pr&#367;kaz zv&yacute;&scaron;en&eacute; katalytick&eacute; koncentrace ALT v krevn&iacute;m s&eacute;ru je velmi specifick&yacute;m ukazatelem po&scaron;kozen&iacute; jatern&iacute; bu&#328;ky.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/alaninaminotransferaza\/\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>ALT<\/a>), alkalickej fosfat&aacute;zy (<a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Alkalick&aacute; fosfat&aacute;za (ALP) je enzym, kter&yacute; se vyskytuje ve v&#283;t&scaron;in&#283; tk&aacute;n&iacute;, v nejv&#283;t&scaron;&iacute; m&iacute;&#345;e v jatern&iacute;ch bu&#328;k&aacute;ch (resp. v bu&#328;k&aacute;ch v&yacute;stelky &#382;lu&#269;ov&yacute;ch cest) a v bu&#328;k&aacute;ch, kter&eacute; tvo&#345;&iacute; kost (osteoblastech).&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&amp;lt;!-- wp:paragraph --&amp;gt;K hlavn&iacute;m p&#345;&iacute;&#269;in&aacute;m zv&yacute;&scaron;en&iacute; ALP v plazm&#283;\/s&eacute;ru pat&#345;&iacute; onemocn&#283;n&iacute; jater, &#382;lu&#269;ov&yacute;ch cest a kost&iacute;.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/alkalicka-fosfataza\/\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>ALP<\/a>) a &gamma;-glutamyltransfer&aacute;zy (hoci tieto m&ocirc;&#382;u by&#357; v pr&iacute;padoch FIP mierne zv&yacute;&scaron;en&eacute;). FIP sa zriedkavo sp&aacute;ja s hyperbilirubin&eacute;miou v d&ocirc;sledku imunitne sprostredkovanej hemolytickej an&eacute;mie (IMHA) (Norris et al. 2012) a ma&#269;ky &#269;asto nie s&uacute; v&aacute;&#382;ne anemick&eacute;. V pr&iacute;pade absencie vysokej aktivity pe&#269;e&#328;ov&yacute;ch enz&yacute;mov alebo z&aacute;va&#382;nej an&eacute;mie by pr&iacute;tomnos&#357; hyperbilirubin&eacute;mie mala vzbudi&#357; podozrenie na FIP (upozor&#328;ujeme, &#382;e sepsa a pankreatit&iacute;da m&ocirc;&#382;u sp&ocirc;sobi&#357; hyperbilirubin&eacute;miu aj bez zv&yacute;&scaron;enej aktivity pe&#269;e&#328;ov&yacute;ch enz&yacute;mov). Na z&aacute;klade postupn&eacute;ho hodnotenia ma&#269;iek s FIP bolo zdokumentovan&eacute;, &#382;e hyperbilirubin&eacute;mia bola typickej&scaron;ie rozpoznan&aacute; u ma&#269;iek tesne pred smr&#357;ou alebo eutan&aacute;ziou ako pri prvej prezent&aacute;cii (Harvey et al. 1996). Okrem toho sa v tomto vy&scaron;etrovan&iacute; pozorovali vy&scaron;&scaron;ie hladiny bilirub&iacute;nu u ma&#269;iek tesne pred smr&#357;ou alebo eutan&aacute;ziou ako pri prvej prezent&aacute;cii.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3.3. Hematol&oacute;gia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pri FIP s&uacute; hematologick&eacute; zmeny ne&scaron;pecifick&eacute;; existuje v&scaron;ak nieko&#318;ko abnormal&iacute;t, ktor&eacute; treba preveri&#357;, aby sa potvrdila diagn&oacute;za. Lymfop&eacute;nia je naj&#269;astej&scaron;ou zmenou (55 &ndash; 77%) pr&iacute;padov, pri&#269;om ned&aacute;vna &scaron;t&uacute;dia (Riemer et al. 2016) odhalila lymfop&eacute;niu len v 49,5 % pr&iacute;padov FIP, pri&#269;om bola op&iacute;san&aacute; aj <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Neutrofilie je zmno&#382;en&iacute; po&#269;tu neutrofiln&iacute;ch granulocyt&#367; v perifern&iacute; krvi.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/neutrofilie\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">neutrof&iacute;lia<\/a> (39 &ndash; 57 %), posun do&#318;ava a mierna a&#382; &#357;a&#382;k&aacute; normocyt&aacute;rna, normochr&oacute;mna <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;&amp;lt;strong&amp;gt;Anemie&amp;lt;\/strong&amp;gt; &ndash; chudokrevnost. Onemocn&#283;n&iacute;, p&#345;i n&#283;m&#382; je v krvi sn&iacute;&#382;eno mno&#382;stv&iacute; krevn&iacute;ho barviva hemoglobinu a &#269;erven&yacute;ch krvinek erytrocyt&#367;. Vede k omezen&iacute; p&#345;enosu kysl&iacute;ku, kter&yacute; je nezbytn&yacute; pro v&scaron;echny tk&aacute;n&#283; organismu.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/anemia\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">an&eacute;mia<\/a> (37 &ndash; 54 %) (Riemer et al. 2016; Norris et al. 2012). Ned&aacute;vno bola objaven&aacute; s&uacute;vislos&#357; medzi FIP a mikrocyt&oacute;zou (s an&eacute;miou alebo bez nej). FIP m&ocirc;&#382;e sp&ocirc;sobi&#357; z&aacute;va&#382;n&uacute; IMHA so s&uacute;&#269;asnou regenerat&iacute;vnou an&eacute;miou; ide v&scaron;ak o nezvy&#269;ajn&yacute; jav.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3.4. S&eacute;rol&oacute;gia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ELISA, nepriame imunofluorescen&#269;n&eacute; testy na protil&aacute;tky a r&yacute;chle imunomigra&#269;n&eacute; testy s&uacute; najbe&#382;nej&scaron;ie testy na protil&aacute;tky proti FCoV v s&eacute;re (Addie et al. 2015). Vo v&auml;&#269;&scaron;ine &scaron;t&uacute;di&iacute; sa ako substr&aacute;t pou&#382;&iacute;vaj&uacute; bunky infikovan&eacute; CoV o&scaron;&iacute;pan&yacute;ch alebo ma&#269;iek a titre sa meraj&uacute; v n&aacute;sobkoch zrieden&iacute; s&eacute;ra. Pozit&iacute;vny test na protil&aacute;tky proti FCoV znamen&aacute;, &#382;e ma&#269;ka bola infikovan&aacute; FCoV a do&scaron;lo u nej k s&eacute;rokonverzii (ktor&aacute; trv&aacute; 2 &ndash; 3 t&yacute;&#382;dne od infekcie). Testy maj&uacute; preto obmedzen&yacute; klinick&yacute; v&yacute;znam. Boli zisten&eacute; rozdiely v medi&aacute;ne titrov protil&aacute;tok proti FCoV v z&aacute;vislosti od plemena, &#269;o by mohlo nazna&#269;ova&#357; rozdiely v reakcii plemena na infekciu FCoV (Meli et al. 2013).<br>Hoci ma&#269;ky s FIP mali vy&scaron;&scaron;ie titre protil&aacute;tok proti FCoV ako ma&#269;ky bez FIP, medzi medi&aacute;nom titrov protil&aacute;tok proti FCoV u zdrav&yacute;ch ma&#269;iek a ma&#269;iek s podozren&iacute;m na FIP nebol zisten&yacute; &#382;iadny rozdiel. V d&ocirc;sledku toho je titer u jedn&eacute;ho zviera&#357;a len okrajovo u&#382;ito&#269;n&yacute; pri identifik&aacute;cii ma&#269;iek s FIP (Bell et al 2006). Mnoh&eacute; klinicky zdrav&eacute; ma&#269;ky (najm&auml; tie v dom&aacute;cnostiach s viacer&yacute;mi ma&#269;kami) maj&uacute; pozit&iacute;vne a &#269;asto ve&#318;mi vysok&eacute; titre protil&aacute;tok proti FCoV, zatia&#318; &#269;o 10 % ma&#269;iek s FIP je s&eacute;ronegat&iacute;vnych, &#269;o by mohlo by&#357; sp&ocirc;soben&eacute; naviazan&iacute;m v&iacute;rusu na protil&aacute;tku a jej znepr&iacute;stupnen&iacute;m pre s&eacute;rologick&yacute; test, &#269;o tie&#382; poukazuje na probl&eacute;my s interpret&aacute;ciou (Meli et al 2013). Negat&iacute;vny test na protil&aacute;tky FCoV v pr&iacute;pade podozrenia na such&uacute; FIP m&ocirc;&#382;e by&#357; &uacute;&#269;innej&scaron;&iacute; pri vyl&uacute;&#269;en&iacute; FIP (Addie et al 2009). Napriek tomu boli v situ&aacute;ci&aacute;ch neurologickej FIP pozorovan&eacute; negat&iacute;vne v&yacute;sledky (Negrin et al 2007). V d&ocirc;sledku toho sa lek&aacute;ri rozch&aacute;dzaj&uacute; v n&aacute;zore, &#269;i vykona&#357; s&eacute;rologick&eacute; vy&scaron;etrenie v podozriv&yacute;ch pr&iacute;padoch, napriek tomu, &#382;e pozit&iacute;vny v&yacute;sledok takmer v&#382;dy znamen&aacute; expoz&iacute;ciu FCoV.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3.5. S&uacute;&#269;asn&eacute; trendy v oblasti diagnostiky<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pou&#382;itie testovania protil&aacute;tok proti koronav&iacute;rusu v mozgovomiechovom moku (CSF) na diagnostiku v pr&iacute;padoch zah&#341;&#328;aj&uacute;cich centr&aacute;lny nervov&yacute; syst&eacute;m je &#271;al&scaron;&iacute;m prelomov&yacute;m objavom, pri ktorom sa IgG zis&#357;uje v CSF. Protil&aacute;tka sa v&scaron;ak vo v&auml;&#269;&scaron;ine pr&iacute;padov zistila len u ma&#269;iek s vysok&yacute;m titrom IgG v s&eacute;re (Boettcher et al. 2007)<br>D&ocirc;le&#382;it&yacute;m rozdielom medzi infekciou ma&#269;ac&iacute;m koronav&iacute;rusom a FIP je spr&aacute;vanie g&eacute;nu NSP3c. Zistilo sa, &#382;e infikovan&eacute; tkanivov&eacute; izol&aacute;ty z druh&eacute;ho pr&iacute;padu maj&uacute; poru&scaron;en&yacute; g&eacute;n 3c, zatia&#318; &#269;o u prv&eacute;ho pr&iacute;padu bol g&eacute;n neporu&scaron;en&yacute;. Rozhoduj&uacute;cim prispievaj&uacute;cim faktorom je aj mut&aacute;cia lokusu S1\/S2 a modul&aacute;cia fur&iacute;nov&eacute;ho rozpozn&aacute;vacieho miesta, ktor&eacute; je norm&aacute;lne pr&iacute;tomn&eacute; v S-g&eacute;ne enterick&eacute;ho koronav&iacute;rusu (Levy a Hutsell 2019).<br>Diagnostick&aacute; u&#382;ito&#269;nos&#357; imunocytoch&eacute;mie mozgovomiechov&eacute;ho moku sa vyu&#382;&iacute;va aj na diagnostiku FIP prejavuj&uacute;cej sa z&aacute;va&#382;n&yacute;m postihnut&iacute;m centr&aacute;lneho nervov&eacute;ho syst&eacute;mu. Imunocytochemick&eacute; farbenie (ICC) protil&aacute;tok proti koronav&iacute;rusu ma&#269;iek v makrof&aacute;goch mozgovomiechov&eacute;ho moku je vysoko citliv&yacute; test najm&auml; na diagnostiku ante mortem s citlivos&#357;ou 85 % a &scaron;pecificitou 83,3 % (Gruendl et al 2017).<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">4. Z&aacute;very<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">U ma&#269;iek s podozren&iacute;m na FIP by mali korelova&#357; anamn&eacute;za, klinick&eacute; pr&iacute;znaky a klinicko-patologick&eacute; vy&scaron;etrenia. Such&aacute; forma sa diagnostikuje &#357;a&#382;&scaron;ie ako vlhk&aacute; forma. Pri vlhkej forme sa m&ocirc;&#382;e vykona&#357; laborat&oacute;rna anal&yacute;za tekutiny, napr&iacute;klad <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Rivaltova zkou&scaron;ka je metoda, kter&aacute; se u&#382;&iacute;v&aacute; k diferenciaci transud&aacute;tu a exsud&aacute;tu, nap&#345;. u ascitick&eacute; tekutiny nebo hydrothoraxu.&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/rivaltova-zkouska\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Rivaltova sk&uacute;&scaron;ka<\/a>. Ak je sk&uacute;&scaron;ka negat&iacute;vna, pravdepodobnos&#357; FIP je mal&aacute;, ale ak je sk&uacute;&scaron;ka pozit&iacute;vna, mali by nasledova&#357; &#271;al&scaron;ie diagnostick&eacute; testy na potvrdenie FIP. Pri FIP je pomer A:G n&iacute;zky, preto&#382;e je pr&iacute;tomn&aacute; hyperglobulin&eacute;mia a hypoalbumin&eacute;mia (n&iacute;zka norm&aacute;lna koncentr&aacute;cia album&iacute;nu), a tento parameter sa m&ocirc;&#382;e pou&#382;i&#357; na pos&uacute;denie pravdepodobnosti FIP v konkr&eacute;tnom pr&iacute;pade. Pacienti s FIP maj&uacute; &#269;asto v&yacute;razne vysok&eacute; hladiny AGP (&alpha;1-kysl&yacute; glykoprote&iacute;n). Pri rozli&scaron;ovan&iacute; pr&iacute;padov FIP od pr&iacute;padov bez FIP maj&uacute; koncentr&aacute;cie AGP vo v&yacute;potkoch (&gt;1,55 mg\/ml) senzitivitu a &scaron;pecificitu 93 %.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Konflikt z&aacute;ujmov<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Autori vyhlasuj&uacute;, &#382;e nie s&uacute; v konflikte z&aacute;ujmov.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Financovanie<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nebola poskytnut&aacute; &#382;iadna finan&#269;n&aacute; podpora zo &#382;iadneho in&scaron;tit&uacute;tu ani in&eacute;ho zdroja.<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">5. Literat&uacute;ra<\/h1>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Addie D, Belak S, Boucraut-Baralon C (2009) Feline infectious peritonitis. ABCD guidelines on prevention and management. J Feline Med Surg&nbsp; 11:594&ndash;604.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Addie D, Bel&aacute;k S, Boucraut-Baralon C, Egberink H, Frymus T, Gruffydd-Jones T, Hartmann K, Hosie MJ, Lloret A, Lutz H (2009) Feline infectious peritonitis. ABCD guidelines on prevention and management. Journal of Feline Medicine and Surgery 11:594&ndash;604.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Addie DD, le Poder S, Burr, P (2015) Utility of feline coronavirus antibody tests. J Feline Med Surg 17:152&ndash;162.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Barker E, Tasker S (2020) Update on feline infectious peritonitis. In Practice 42:372-383.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Bell ET, Malik R, Norris JM (2006) The relationship between the feline coronavirus antibody titre and the age, breed, gender and health status of Australian cats. Aust Vet J&nbsp; 84:2&ndash;7.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Bell ET, Toribio JA, White JD (2006) Seroprevalence study of feline coronavirus in owned and feral cats in Sydney, Australia. Aust Vet J 84:74&ndash;81.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Boettcher IC, Steinberg T, Matiasek CEG, Hartmann K, Fischer A (2007) Use of anti-corona virus antibody testing of cerebrospinal fluid for diagnosis of feline infectious peritonitis involving the central nervous system. J Am Vet Med Assoc 230:199-205.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">De Groot-Mijnes JD, Van Dun JM, Van der Most RG, de Groot RJ (2005) Natural history of a recurrent feline coronavirus infection and the role of cellular immunity in survival and disease, Journal of Virology 79:1036&ndash;1044<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Fischer Y, Sauter-Louis C, Hartmann K (2012) Diagnostic accuracy of the Rivalta test for feline infectious peritonitis. Vet Clin Pathol 41:558&ndash;567.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Foley JE, Lapointe JM, Koblik P, Poland A, Pedersen NC (1998) Diagnostic features of clinical neurologic feline infectious peritonitis. J Vet Intern Med 12:415423.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Giori L, Giordano A, Giudice C (2011) Performances of different diagnostic tests for feline infectious peritonitis in challenging clinical cases. J Small Anim Pract&nbsp; 52:152&ndash;157.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Gruendl S, Matasek K, Matiasek L, Fischer A, Felten S, Jurina K, Hartmann K (2017) Diagnostic utility of cerebrospinal fluid immunocytochemistry for diagnosis of feline infectious peritonitis manifesting in central nervous system. J Feline Med Surg 19:576-585.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Haagmans BL, Egberink HF, Horzinek MC (1996) Apoptosis and T-cell depletion during feline infectious peritonitis. J Virol 70:8977-8983<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Hartmann K, Binder C, Hirschberger J, Cole D, Reinacher M, Schroo S, Frost J, Egberink H, Lutz H, Hermanns W (2003) Comparison of different tests to diagnose feline infectious peritonitis. J. Vet. Intern. Med.17:781&ndash;790.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Harvey CJ, Lopez JW, Hendrick MJ (1996) An uncommon intestinal manifestation of feline infectious peritonitis: 26 cases (1986-1993). J Am Vet Med Assoc 209:1117&ndash;1120.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Hazuchova K, Held S, Neiger R (2017) Usefulness of acute phase proteins in differentiating between feline infectious peritonitis and other diseases in cats with body cavity effusions. J Feline Med Surg 19:809&ndash;816.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Healey EA, Andre NM, Miller AD, Whitaker GR, Berliner EA (2022). Outbreak of feline infectious peritonitis (FIP) in shelter-housed cats: molecular analysis of the feline coronavirus S1\/S2 cleavage site consistent with a &lsquo;circulating virulent&ndash;avirulent theory&rsquo;of FIP pathogenesis. Journal of Feline Medicine and Surgery Open Reports 8:20551169221074226.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Kipar A, May H, Menger S, Weber M, Leukert W, Reinacher M (2005) Morphological features and development of granulomatous vasculitis in feline infectious peritonitis, Veterinary Pathology 42:321&ndash;330<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Kipar A, Meli ML (2014) Feline infectious peritonitis: Still an enigma? Vet. Pathol<em>. <\/em>51:505&ndash;526.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Levy&nbsp; JK,&nbsp; Hutsell&nbsp; S&nbsp; (2019)&nbsp; MSD&nbsp; veterinary&nbsp; manual:&nbsp; Feline&nbsp; infectoius peritonitis (FIP). USA: Merck Sharp and Dohme Corp.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Meli M, Kipar A, M&uuml;ller C, Jenal K, G&ouml;nczi E-E, Borel N, Gunn-Moore D, Chalmers S, Lin F, Reinacher M, Lutz H (2004) High viral loads despite absence of clinical and pathological findings in cats experimentally infected with feline coronavirus (FCoV) type I and in naturally FCoV-infected cats, Journal of Feline Medicine and Surgery 6:69&ndash;81.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Meli ML, Burr P, Decaro N (2013) Samples with high virus load cause a trend toward lower signal in feline coronavirus antibody tests. J Feline Med Surg 15:295&ndash; 299.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Negrin A, Lamb CR, Cappello R (2007) Results of magnetic resonance imaging in 14 cats with meningoencephalitis. J Feline Med Surg&nbsp; 9:109&ndash;116.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Norris JM, Bosward KL, White JD (2012) Clinico-pathological findings associated with feline infectious peritonitis in Sydney, Australia: 42 cases (1990-2002). Aust Vet J 83:666&ndash;673.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen N C (2014) An update on feline infectious peritonitis: diagnostics and therapeutics. The veterinary journal 201:133-141.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC (2009) A review of feline infectious peritonitis virus infection: 1963&ndash;2008. J. Feline Med. Surg.11:225&ndash;258.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC (1995) An overview of feline enteric coronavirus and infectious peritonitis virus infections. Feline Practice 23:7&ndash;20.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC, Allen CE, Lyons LA (2008) Pathogenesis of feline enteric coronavirus infection. Journal of Feline Medicine and Surgery 10:529&ndash;541.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC, Liu H, Dodd KA, Pesavento PA (2009) Significance of coronavirus mutants in feces and diseased tissues of cats suffering from feline infectious peritonitis. Viruses 1:166&ndash;184&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC, Sato R, Foley JE, Poland AM (2004) Common virus infections in cats, before and after being placed in shelters, with emphasis on feline enteric coronavirus. Journal of Feline Medicine and Surgery 6:83&ndash;88.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Pedersen NC, Boyle JF, Floyd K (1981) Infection studies in kittens, using feline infectious peritonitis virus propagated in cell culture. Am. J. Vet. Res.42:363&ndash; 367.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Riemer F, Kuehner KA, Ritz S (2016) Clinical and laboratory features of cats with feline infectious peritonitis &ndash; a retrospective study of 231 confirmed cases (2000-2010). J Feline Med Surg 18:348&ndash;356.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Stranieri A, Giordano A, Paltrinieri, S Giudice C, Cannito V, Lauzi S (2018) Comparison of the performance of laboratory tests in the diagnosis of feline infectious peritonitis. J. Vet. Diagn. Investig. 30:459&ndash;463.&nbsp;<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Vennema H, Poland A, Foley J, Pedersen NC (1998) Feline infectious peritonitis viruses arise by mutation from endemic feline enteric coronaviruses. Virology 243:150&ndash;157.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Vogel L, Van der Lubben M, teLintelo EG, Bekker, CP Geerts T, Schuijff LS, Grinwis GC, Egberink HF, Rottier PJ (2010) Pathogenic characteristics of persistent feline enteric coronavirus infection in cats. Vet. Res. 41:71&ndash;82.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Weiss RC, Scott FW (1981) Pathogenesis of feline infectious peritonitis: nature and development of viraemia, American Journal of Veterinary Research 4:382&ndash; 390.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This review article discusses various diagnostic tests and their utility in diagnosing cases of suspected FIP with the goal of definitive diagnosis. <\/p>","protected":false},"author":1,"featured_media":10001,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[187,190],"tags":[],"class_list":["post-9979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-odborne","category-preklady"],"featured_image_urls_v2":{"full":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-150x150.jpg",150,150,true],"medium":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-300x89.jpg",300,89,true],"medium_large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-768x228.jpg",525,156,true],"large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-1024x305.jpg",525,156,true],"1536x1536":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-1536x457.jpg",1536,457,true],"2048x2048":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"trp-custom-language-flag":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-18x5.jpg",18,5,true],"twentyseventeen-featured-image":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"twentyseventeen-thumbnail-avatar":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-100x100.jpg",100,100,true],"woocommerce_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-250x250.jpg",250,250,true],"woocommerce_single":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-350x104.jpg",350,104,true],"woocommerce_gallery_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-100x100.jpg",100,100,true]},"post_excerpt_stackable_v2":"<p>Tento preh&#318;adov&yacute; &#269;l&aacute;nok sa zaober&aacute; r&ocirc;znymi diagnostick&yacute;mi testami a ich pr&iacute;nosom pri diagnostike pr&iacute;padov suspektnej  <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemBody&gt;Infek&#269;n&aacute; peritonit&iacute;da ma&#269;iek (angl. Feline infectious peritonitis, zau&#382;&iacute;van&aacute; skratka FIP) je infek&#269;n&eacute; ochorenie ma&#269;iek sp&ocirc;sobuj&uacute;ce smr&#357;. N&aacute;zov je mierne zav&aacute;dzaj&uacute;ci, preto&#382;e nejde o z&aacute;pal pobru&scaron;nice (&#269;i&#382;e peritonea), ale o z&aacute;pal ciev (vaskulit&iacute;da). Klinick&eacute; pr&iacute;znaky FIP sa v&scaron;ak &#269;asto prejavuj&uacute; vo forme z&aacute;palu pobru&scaron;nice. V&iacute;rus FIP nap&aacute;da v&scaron;ak aj pohrudnicu &ndash; z toho d&ocirc;vodu je niekedy choroba ozna&#269;ovan&aacute; tie&#382; ako Infek&#269;n&aacute; ma&#269;acia polyserozit&iacute;da (Feline infectious polyserositis).&lt;\/div&gt;\" href=\"https:\/\/www.fipwarriors.eu\/en\/glossary\/fip\/\" data-mobile-support=\"0\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">FIP<\/a> s cie&#318;om definit&iacute;vnej diagn&oacute;zy. <\/p>\n","category_list_v2":"<a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/odborne\/\" rel=\"category tag\">Odborn\u00e9<\/a>, <a href=\"https:\/\/www.fipwarriors.eu\/en\/category\/preklady\/\" rel=\"category tag\">Preklady<\/a>","author_info_v2":{"name":"LM","url":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"},"comments_num_v2":"0 comments","featured_image_src":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","author_info":{"display_name":"L. M.","author_link":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Preh\u013ead diagnostiky FIP - FIP Warriors CZ\/SK \u00ae<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fipwarriors.eu\/en\/prehlad-diagnostiky-fip\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Preh\u013ead diagnostiky FIP - FIP Warriors CZ\/SK \u00ae\" \/>\n<meta property=\"og:description\" content=\"Tento preh&#318;adov&yacute; &#269;l&aacute;nok sa zaober&aacute; r&ocirc;znymi diagnostick&yacute;mi testami a ich pr&iacute;nosom pri diagnostike pr&iacute;padov suspektnej FIP s cie&#318;om definit&iacute;vnej diagn&oacute;zy.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fipwarriors.eu\/en\/prehlad-diagnostiky-fip\/\" \/>\n<meta property=\"og:site_name\" content=\"FIP Warriors CZ\/SK \u00ae\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/groups\/fipczsk\" \/>\n<meta property=\"article:published_time\" content=\"2022-03-26T11:55:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-29T07:49:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"571\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"L. M.\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L. M.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/\"},\"author\":{\"name\":\"L. M.\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#\\\/schema\\\/person\\\/2d090afb56be7e615f0d64ec86bc7a97\"},\"headline\":\"Preh\u013ead diagnostiky FIP\",\"datePublished\":\"2022-03-26T11:55:42+00:00\",\"dateModified\":\"2023-03-29T07:49:19+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/\"},\"wordCount\":3911,\"publisher\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/Service-catbloodwork-2-FHD.jpg\",\"articleSection\":[\"Odborn\u00e9\",\"Preklady\"],\"inLanguage\":\"en-GB\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/\",\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/\",\"name\":\"Preh\u013ead diagnostiky FIP - FIP Warriors CZ\\\/SK \u00ae\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/Service-catbloodwork-2-FHD.jpg\",\"datePublished\":\"2022-03-26T11:55:42+00:00\",\"dateModified\":\"2023-03-29T07:49:19+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/Service-catbloodwork-2-FHD.jpg\",\"contentUrl\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/Service-catbloodwork-2-FHD.jpg\",\"width\":1920,\"height\":571},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/prehlad-diagnostiky-fip\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Domovsk\u00e1 str\u00e1nka\",\"item\":\"https:\\\/\\\/www.fipwarriors.eu\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Odborn\u00e9\",\"item\":\"https:\\\/\\\/www.fipwarriors.eu\\\/category\\\/odborne\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Preh\u013ead diagnostiky FIP\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#website\",\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/\",\"name\":\"FIP Warriors CZ\\\/SK \u00ae\",\"description\":\"Pre v\u0161etk\u00fdch FIP bojovn\u00edkov\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.fipwarriors.eu\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#organization\",\"name\":\"FIP Warriors CZ\\\/SK \u00ae\",\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/cropped-fip-warriors-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.fipwarriors.eu\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/cropped-fip-warriors-logo.png\",\"width\":315,\"height\":315,\"caption\":\"FIP Warriors CZ\\\/SK \u00ae\"},\"image\":{\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/groups\\\/fipczsk\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.fipwarriors.eu\\\/#\\\/schema\\\/person\\\/2d090afb56be7e615f0d64ec86bc7a97\",\"name\":\"L. M.\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g\",\"caption\":\"L. M.\"},\"sameAs\":[\"starman\"],\"url\":\"https:\\\/\\\/www.fipwarriors.eu\\\/en\\\/author\\\/starman\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"FIP Diagnostics Overview - FIP Warriors CZ\/SK \u00ae","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.fipwarriors.eu\/en\/prehlad-diagnostiky-fip\/","og_locale":"en_GB","og_type":"article","og_title":"Preh\u013ead diagnostiky FIP - FIP Warriors CZ\/SK \u00ae","og_description":"Tento preh&#318;adov&yacute; &#269;l&aacute;nok sa zaober&aacute; r&ocirc;znymi diagnostick&yacute;mi testami a ich pr&iacute;nosom pri diagnostike pr&iacute;padov suspektnej FIP s cie&#318;om definit&iacute;vnej diagn&oacute;zy.","og_url":"https:\/\/www.fipwarriors.eu\/en\/prehlad-diagnostiky-fip\/","og_site_name":"FIP Warriors CZ\/SK \u00ae","article_publisher":"https:\/\/www.facebook.com\/groups\/fipczsk","article_published_time":"2022-03-26T11:55:42+00:00","article_modified_time":"2023-03-29T07:49:19+00:00","og_image":[{"width":1920,"height":571,"url":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","type":"image\/jpeg"}],"author":"L. M.","twitter_card":"summary_large_image","twitter_misc":{"Written by":"L. M.","Estimated reading time":"18 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#article","isPartOf":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/"},"author":{"name":"L. M.","@id":"https:\/\/www.fipwarriors.eu\/#\/schema\/person\/2d090afb56be7e615f0d64ec86bc7a97"},"headline":"Preh\u013ead diagnostiky FIP","datePublished":"2022-03-26T11:55:42+00:00","dateModified":"2023-03-29T07:49:19+00:00","mainEntityOfPage":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/"},"wordCount":3911,"publisher":{"@id":"https:\/\/www.fipwarriors.eu\/#organization"},"image":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#primaryimage"},"thumbnailUrl":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","articleSection":["Odborn\u00e9","Preklady"],"inLanguage":"en-GB"},{"@type":"WebPage","@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/","url":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/","name":"FIP Diagnostics Overview - FIP Warriors CZ\/SK \u00ae","isPartOf":{"@id":"https:\/\/www.fipwarriors.eu\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#primaryimage"},"image":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#primaryimage"},"thumbnailUrl":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","datePublished":"2022-03-26T11:55:42+00:00","dateModified":"2023-03-29T07:49:19+00:00","breadcrumb":{"@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#primaryimage","url":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","contentUrl":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg","width":1920,"height":571},{"@type":"BreadcrumbList","@id":"https:\/\/www.fipwarriors.eu\/prehlad-diagnostiky-fip\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Domovsk\u00e1 str\u00e1nka","item":"https:\/\/www.fipwarriors.eu\/"},{"@type":"ListItem","position":2,"name":"Odborn\u00e9","item":"https:\/\/www.fipwarriors.eu\/category\/odborne\/"},{"@type":"ListItem","position":3,"name":"Preh\u013ead diagnostiky FIP"}]},{"@type":"WebSite","@id":"https:\/\/www.fipwarriors.eu\/#website","url":"https:\/\/www.fipwarriors.eu\/","name":"FIP Warriors CZ \/ SK \u00ae","description":"For all FIP warriors","publisher":{"@id":"https:\/\/www.fipwarriors.eu\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.fipwarriors.eu\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/www.fipwarriors.eu\/#organization","name":"FIP Warriors CZ \/ SK \u00ae","url":"https:\/\/www.fipwarriors.eu\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/www.fipwarriors.eu\/#\/schema\/logo\/image\/","url":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/12\/cropped-fip-warriors-logo.png","contentUrl":"https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2021\/12\/cropped-fip-warriors-logo.png","width":315,"height":315,"caption":"FIP Warriors CZ\/SK \u00ae"},"image":{"@id":"https:\/\/www.fipwarriors.eu\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/groups\/fipczsk"]},{"@type":"Person","@id":"https:\/\/www.fipwarriors.eu\/#\/schema\/person\/2d090afb56be7e615f0d64ec86bc7a97","name":"LM","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/0ec2441d6398c1537dff19dfa2b3f87615a76c62406e37eb11a0145c0dd402d8?s=96&d=monsterid&r=g","caption":"L. M."},"sameAs":["starman"],"url":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"}]}},"uagb_featured_image_src":{"full":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-150x150.jpg",150,150,true],"medium":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-300x89.jpg",300,89,true],"medium_large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-768x228.jpg",525,156,true],"large":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-1024x305.jpg",525,156,true],"1536x1536":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-1536x457.jpg",1536,457,true],"2048x2048":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"trp-custom-language-flag":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-18x5.jpg",18,5,true],"twentyseventeen-featured-image":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD.jpg",1920,571,false],"twentyseventeen-thumbnail-avatar":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-100x100.jpg",100,100,true],"woocommerce_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-250x250.jpg",250,250,true],"woocommerce_single":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-350x104.jpg",350,104,true],"woocommerce_gallery_thumbnail":["https:\/\/www.fipwarriors.eu\/wp-content\/uploads\/2022\/03\/Service-catbloodwork-2-FHD-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"L. M.","author_link":"https:\/\/www.fipwarriors.eu\/en\/author\/starman\/"},"uagb_comment_info":0,"uagb_excerpt":"Tento preh&#318;adov&yacute; &#269;l&aacute;nok sa zaober&aacute; r&ocirc;znymi diagnostick&yacute;mi testami a ich pr&iacute;nosom pri diagnostike pr&iacute;padov suspektnej FIP s cie&#318;om definit&iacute;vnej diagn&oacute;zy.","_links":{"self":[{"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/posts\/9979","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/comments?post=9979"}],"version-history":[{"count":1,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/posts\/9979\/revisions"}],"predecessor-version":[{"id":11683,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/posts\/9979\/revisions\/11683"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/media\/10001"}],"wp:attachment":[{"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/media?parent=9979"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/categories?post=9979"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fipwarriors.eu\/en\/wp-json\/wp\/v2\/tags?post=9979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}