Luxating patella: A painful but treatable problem

luxating-patella-dog-kneeLuxating patella, a painful condition in which the kneecap slips out of position, is common in smaller-breed dogs but can also occur in larger dogs and cats, according to veterinarian Roger Grothaus. Four grades are used to evaluate the severity of the condition, notes Dr. Grothaus. Surgical repair is indicated for grades two through four, the most severe. Owners may not realize the knee is the source of their dog’s pain, but a veterinarian can make the diagnosis with a physical exam. “A lot of times an owner will come in and they will think it’s the dog’s hips that are bothering them, but it’s actually the knees,” Dr. Grothaus said. The Blade (Toledo, Ohio) (6/3)

Liz Dickens’ dog Winston is able to paint again thanks to a surgery he had on a faulty kneecap.

The sassy English toy spaniel enjoys creating watercolors with the help of his owner, but before he had his luxating patella repaired, he couldn’t even walk without crying out.

A luxating patella is a condition in which the groove the kneecap glides in is too shallow, causing frequent dislocation. It is a common congenital, developmental defect in small-breed dogs.

“He started to scream when he moved and would shake,” said Ms. Dickens of Toledo. “Now he is a brand new boy. He even greets me at the top of the stairs, which is something he had stopped doing.”

The 7-year-old dog, whom Ms. Dickens adopted from an animal shelter in California where she used to live, started acting strangely early this year.

“He would isolate himself, and I just thought he was just out of sorts, so I left him alone,” she said. “Then it got worse. If one of my other dogs brushed by him, he would scream.”

Ms. Dickens’ vet, Dr. Roger Grothaus of Reynolds Road Animal Hospital, diagnosed Winston with a grade three luxating patella. The ailment has four grades, with four being the worst.

“With grade one, it can be managed with joint lubricants and anti-inflammatory drugs and weight reduction, but in Winston’s case, he definitely needed surgery,” Dr. Grothaus said.

Ms. Dickens could not afford the expensive procedure, but at the suggestion of friends and family, she started a chip-in page to raise funds. Within 24 hours, the popular dog — who has his own Facebook page — had received enough donations to pay for the surgery, which was performed Feb. 6.

One of his other kneecaps has the same defect but not to the same degree. Ms. Dickens is saving money for the second surgery.

Dr. Grothaus saw Winston every week for a month after the surgery and used laser therapy on the repaired knee to help it heal faster. Ms. Dickens also took Winston to the Toledo Pet Farm to use their hydrotherapy tub.

Luxating patellas can occur in larger dogs and even cats, Dr. Grothaus said. Diagnosis is made through palpation of the knee to see if it slips inside the joint more than would be expected, he said.

In grade one, the patella can be manually luxated but returns to the normal position when released, Dr. Grothaus said.

In grade two, the patella can be manually luxated, or it can occur spontaneously. The patella remains luxated, or dislocated, until it is manually put back in place by a human or when the animal extends the joint and moves the leg in the opposite direction of the luxation to restore it without help.

In grade three, the patella remains luxated most of the time but can be manually returned into place by a human, but the animal can’t do it itself. In grade four, the patella is permanently luxated and cannot be repositioned manually.

Grades two and higher require surgery, which typically runs $1,500 to $2,000. The repair is aimed at deepening the groove for the kneecap and correcting the misaligned kneecap mechanism, Dr. Grothaus said.

The condition is very painful and affected dogs will cry out in pain and hold the leg up. Over time, the chronic dislocation will lead to arthritic changes in the knee; loss of motion and pain are common problems, he said.

“A lot of times an owner will come in and they will think it’s the dog’s hips that are bothering them, but it’s actually the knees,” Dr. Grothaus said. “Knees are the most common injuries in canines in general.”

Now that Winston has had his knee surgery and recovered, he is back to painting again. Ms. Dickens puts the paint on a piece of paper, and Winston walks on it to create the artwork.

“He likes the treats he gets while painting, but he doesn’t like the bath afterward,” Ms. Dickens said. “He also likes to eat the yellow paint. Just the yellow.”

Insurance company’s top 10 pet ailments in 2012

Veterinary Pet Insurance recently released its top 10 list for dog and cat claims in 2012. Skin allergies, ear infections and skin infections were the top three dog claims, while bladder infection, dental disease and overactive thyroid were most commonly dealt with in cats, according to VPI. Many common health problems can be detected early and treated or even prevented with regular veterinary visits, even for animals that seem healthy, says veterinarian Carol McConnell, VPI’s vice president and chief veterinary medical officer. Yahoo/Vetstreet (5/1)

By Linda Fiorella | vetstreet.com

When you bring your pet to the veterinarian, it’s natural to wonder what brings all the other cats and dogs to the waiting room. If they aren’t all there for a checkup, there’s a good chance at least one of the dogs will have a skin allergy or infection and that one of the kitties crouched in a carrier is suffering from a bladder infection.

Those are the findings of a recent analysis of claims filed with Veterinary Pet Insurance (VPI), the nation’s largest and oldest pet insurer, which tabulated the top 10 dog and cat medical conditions of 2012 and calculated a combined $58 million spent by their policyholders on them.

Skin problems, as well as ear infections, took the top three spots in 2012, while bladder conditions topped the list for felines.


From Vetstreet.com

Ailments Claiming the Top Spots

Ear infections traditionally top the list for dogs. Dr. Carol McConnell, DVM, MBA, vice president and chief veterinary medical officer for VPI, believes skin allergies may have jumped ahead of ear infections because veterinarians are getting better at diagnosing allergies as the root cause of ear infections. “In the old days they used to write ear infection as the diagnosis and didn’t give us the more complicated version of the story,” says Dr. McConnell, who points out that underlying food, flea and even seasonal pollen allergies show in the skin of pets, and can then lead to skin and ear infections.

Topping the list for cats are bladder infections. A more serious urinary tract condition, especially in male cats, is the urinary obstruction. In these cases, crystals, stones or plugs can form in the urine and block the urethra (the tube leading from the bladder on out of the body). It becomes a medical emergency when these cats are unable to urinate. “Then they get in real trouble,” Dr. McConnell says. “When the cat is straining to produce urine in the litterbox, you get that cat to a vet, even if it’s Sunday at 2 a.m.”

How to Spot Chronic Illness

Some conditions, like arthritis (in cats and dogs) and chronic kidney disease are often associated with aging pets, but many of the conditions on the list can affect animals of any age. Therefore Dr. McConnell suggests pet owners “familiarize themselves with their pets’ daily routine in order to identify abnormal behaviors that might indicate an injury or illness.”

Among other things, this could help you notice the warning signs of an overactive thyroid in cats, and bruising or contusions in dogs, also known as “soft tissue injuries.” Other types of soft tissue injuries include muscle strains and injured tendons or ligaments. “These can be as simple as a dog that was running in the dog park and got so excited he body slammed into another dog, or he goes up for a frisbee and comes down and strains a muscle,” says Dr. McConnell.

Subtle Signs of Serious Problems

With serious chronic problems like an overactive thyroid in cats, she explains, being aware of changes in behavior is especially important. Dr. McConnell notes it’s common for owners to think their older cat is healthy, and they’re thrilled that their 12-year-old cat has so much energy.

“Then you notice ‘Oh, she’s not grooming,’ and ‘Oh, she feels greasy, and when I pet her I can feel bones, and she eats and drinks a lot of water.’ And the owner takes her to the veterinarian and finds out she’s had thyroid disease for a month to a year.” The sooner you notice the signs and bring your cat to the vet, the more likely it is that your cat can be diagnosed and treated before the disease has progressed very far.

See Also: How to Know When It’s Time to Euthanize Your Pet

And for conditions like feline diabetes and even chronic kidney disease, the symptoms are often so subtle you often can’t tell something is wrong until the veterinarian examines the pet and runs blood tests, so even owners who keep good track of their pets’ behavior need to bring all their pets, including cats, to the vet regularly.

“It is critical for people to take pets to the vet, even if your dog is happy and bounding, and the cat is still running around the house and climbing the curtains. These animals are often doing a really good job of not showing that they’re sick or injured,” says Dr. McConnell.

Cat Visits on the Decline

Cats, in particular, don’t get enough veterinary care, she says, and the number of cat visits has plummeted. She thinks this may explain why some of the conditions on the top 10 list for cats are more serious than those for dogs. They can also be more expensive; the priciest condition on the list for dogs is arthritis at an average of $258 per visit, while, for cats, the bank breaker is lymphosarcoma at an average cost of $415 per visit.

How Cancer Really Ranks

Although lymphosarcoma is the only cancer on either top 10 list, VPI received nearly 50,000 total claims for all cancerous conditions. Combined, cancer would rank as the fifth most common medical claim processed. In part because of its association with feline leukemia virus (FeLV), lymphosarcoma is quite common in kitties. But it also ranks higher than other cancers because owners choose to treat it more often.

“Because it’s more treatable is another reason we see it on a top 10 list,” says Dr. McConnell. With lymphosarcoma, clients tend to follow through on treatment and return for rechecks, which result in more claims, according to Dr. McConnell.

Since taking pets to the vet is critical for their health, Dr. McConnell says preventive care plans where veterinarians offer creative financing to make pet treatment more affordable for owners, with or without insurance, are gaining in popularity and may help turn around the declining number of vet visits. With these plans, owners can spread out payments over 12 months. According to Dr. McConnell, “Pet owners are responding really well.”

Veterinary oncologist: Cancer not a death sentence for pets

660_JennieIt’s Pet Cancer Awareness Month, and pets diagnosed with the disease have a fighting chance thanks to advancements in veterinary care and new cancer treatments, according to veterinary oncologist Gerald Post. Dr. Post provides a list of signs that may indicate cancer, including swollen lymph nodes, bleeding with no clear cause and lameness. “Just like in people, the earlier you find certain cancers, the more likely we are able to cure them,” said Dr. Post. FoxNews.com (5/1)

 

In 2011, Peggy Graney took her Chihuahua, Jennie, to Petco for her usual grooming appointment.

It was Jennie’s long-time groomer who found a lump on Jennie’s leg and suggested Graney take Jennie to the veterinarian for a consult.

Sure enough, the lump was cancerous, and Jennie was referred to a veterinary surgeon who could remove the tumor. The surgeon told Graney he couldn’t promise her that Jennie wouldn’t lose her leg.

“I was devastated,” Graney, who is retired and lives in Glendale, Ariz., told FoxNews.com. “That’s my little girl.”

Graney, 78, described Jennie as an “alpha female who tells me what she wants, and she always wants something.”

Graney discussed the situation with her two daughters and son; her daughters encouraged her to go ahead with the surgery, while her son told her not to let the surgeon take Jennie’s leg.

Torn, Graney didn’t know what to do – but when she looked into Jennie’s eyes, she knew it was better to have her dog alive with three legs than not to have her dog at all.

The surgeon allowed Graney, her daughter and granddaughter to watch the procedure online, and when he lifted the sheet off of Jennie, revealing all four legs at the end of the operation, Graney said she “thanked God.”

“It was such a beautiful feeling when I saw all four legs on that little one,” Graney said. “It was so marvelous to have her safe, alive and the bonus – all four legs. And since then, I’ve called her my little miracle girl, my little fighter. She’s just so precious to me.”

May is Pet Cancer Awareness Month, and the most important message one veterinarian oncologist wants the public to know is that cancer in animals is no longer a death sentence.

“Just like in people, the earlier you find certain cancers, the more likely we are able to cure them,” Dr. Gerald Post, a board-certified veterinary oncologist and owner of The Veterinary Cancer Center in Norwalk, Conn., told FoxNews.com. “The treatments we give nowadays, like radiation, chemo or targeted chemotherapy, are generally well-tolerated by pets. We’ve gotten much better at determining what’s the best dose, what’s the best interval – and there are many new drugs on the market that mitigate the side effects of chemo.”

Post said about one in four dogs will get cancer in its lifetime and about one in five cats will get cancer, which equates to approximately 4 to 8 million new cases of cancer in dogs each year.

There are certain  breeds that are more susceptible than others, Post said, but “now that we have a dog genome sequence, we can take a look at what breeds are more prone.”

As a pet parent, there are signs you can lookout for when it comes to detecting cancer, Post said.

They include, but are not limited to:
Swollen lymph nodes: Located throughout the body, they are easily located behind the jaw or the knee.
An enlarging or changing lump:  Any lump on a pet that is rapidly changing or growing should be biopsied.
Abdominal distension: If the belly becomes quickly enlarged, this could suggest a tumor. A quick ultrasound can detect the problem.
Unexplained bleeding: Bleeding that is not due to trauma should definitely be examined.
Lameness: Unexplained lameness, especially in large dogs, is a common sign of bone cancer, and a radiograph can determine if there’s something wrong.
Straining to urinate: Straining to urinate or blood in the urine can indicate a urinary tract infection, but if it’s not controlled with antibiotics, a biopsy of the bladder may be needed.

Click here for more warning signs of cancer.

Groomers can help in checking for cancer, too. According to Wendy Weinand, a master pet stylist and master groomer for Petco in San Antonio, Texas, it is very common for Petco groomers to thoroughly check each pet who comes to their salon and make sure the pet doesn’t have any abnormalities.

The company has a seven-point checklist, which is used on the pet upon arrival. The answers to the checklist are recorded, so when pets come back, they can be evaluated and compared to previous visits. And if something is amiss, pet parents can take their dog or cat to be checked out at the veterinarian.

“It’s a unique program, which engages the pet parent and the pet in finding the best solution for the pets when it comes to the parent’s lifestyle,” Wendy Weinand, a master pet stylist and certified master groomer for Petco, told FoxNews.com.

The seven points include:
Eyes: Are the whites of the eyes white; are they sagging; do they look healthy; is there goop in them?
Teeth: Are the gums nice and pink? Do they have plaque or tarter?
Ears: Do they look normal for the breed; are they red or swollen; do they contain a funky odor; are they compacted with hair; is the ear housing anything that shouldn’t be there?
Nose: Is the nose dry, cracked or brittle looking?
Skin/coat: Does the fur look shiny and healthy, or is it dull; is the skin healthy or oily? Based on the animal’s age, are there cuts or abrasions; have they been scratching or itching; are there any abnormal lumps or are they aging spots?
Underside: Does the belly look and feel good? Are there any lumps, bumps?
Paws: Are the nails cracked, dry or brittle? Are the pads moist, red or swollen?

Dogs bring bacteria home, but that’s not necessarily bad

Toby4Homes with dogs have more bacteria and greater diversity of bacteria than those without dogs, according to a North Carolina State University study, but that doesn’t necessarily mean people living with canine friends face any additional health risks. Most of the bacteria identified were not pathogenic, and they may even have some benefits for humans. “We know we have all these bacteria in our home,” said researcher Holly Menninger. “Let’s learn to live with them.” NBC News/Vitals blog (5/22)

By Kim Carollo, contributor, NBC News

A dog may not only fill a home with joy, it fills a home with a whole lot of bacteria, new research suggests.  But that doesn’t mean you have to kick your pooch out of the bed.

Research from North Carolina State University published Wednesday in the journal PLoS ONE found homes with dogs have both a greater number of bacteria and more types of bacteria than homes without dogs.

The findings were part of a larger study that analyzed the types of microbes living in 40 homes in the Raleigh-Durham area of N.C.  Participants swabbed nine areas of their homes and informed researchers about aspects that could influence bacterial life, such as whether there were dogs or cats and how many people lived in the home.

“The project was a first step toward making an atlas of microbes found in the entire home and how they may affect our health and well-being” said Holly Menninger, a co-author and director of public science at NC State’s Your Wild Life program.

Of the places where household bacteria were found, pillowcases and television screens had the most detectable dog-related microbes.

“Some of the microbes we know come from dogs themselves,” said Menninger. “Some of these bacteria come from the outdoor environment, such as dogs bringing bacteria from the soil and into homes.”

The researchers were able to identify a few classes of bacteria linked to dogs, and certain microbial classes that may cause disease in humans, such as gingivitis and pneumonia.  However, genetic testing of the bacteria was not specific enough to determine whether any harmful strains were there.

All those germs tracked in on dirty paws don’t mean dog-free homes are necessarily healthier, though. While the researchers did not identify the specific species of bacteria living in each household, they were able to say that most of the organisms they found are not disease-causing – and may actually provide some benefits.

“We co-exist with bacteria and healthy, small exposures to bacteria do not pose any risk and might, on the other hand, be beneficial, as long as we keep a good hygienic environment,” said Dr. Rani Gereige, director of medical education at Miami Children’s Hospital.  Gereige was not involved in the research.

A recent study found that exposure to a microorganisms from a pet during a child’s first year of life of life may help ramp up the immune system, lowering the risk of developing allergies later.

“Research has actually shown that mothers who live with dogs while pregnant are less likely to have children with conditions like atopic dermatitis or to develop allergies,” said veterinarian Dr. Andy Roark of Greenville, S.C.

Certain bacteria from dogs – such as salmonella and listeria — can cause infections in humans, however, so it is important to be vigilant, he cautions.

“It is always a good idea for both adults and children to wash hands after playing with pets, especially before eating,” said Roark.

The study did not control for certain factors that could affect bacterial growth, such as household climate and cleanliness, and there were not enough homes with cats to accurately analyze the feline contribution to residential bacteria.  The researchers did not analyze whether certain dog breeds harbor more bacteria than others.

The microbes found throughout the different homes fell into three general groups: those that come from skin and live on surfaces we touch, such as door knobs and toilet seats; bacteria linked to food found in kitchens; and organisms found in places where dust gathers, such as television screens and moldings.

Menninger added that the research team is in the process of analyzing samples and other data from a total of 1,300 homes across the United States.

“We know we have all these bacteria in our home,” said Menninger.  “Let’s learn to live with them.”

An ounce of heartworm prevention is worth a pound of cure

heartwormTreatment of heartworm disease can cost as much as $1,000 for bigger dogs, much more than the cost of monthly preventive medication, notes veterinarian Melissa James. The health costs to dogs are high, as they suffer severe damage to the heart, kidneys and their overall health, and some dogs do not survive treatment. Heartworm preventive medication has the added bonus of killing other parasites that can cause illness in dogs and people, Dr. James adds. The Blade (Toledo, Ohio) (5/20)

Jody Brickner’s Brittany spaniel, Ruthie, is a survivor.

The 15-year-old first lost her home eight years ago and ended up in rescue. Then she was diagnosed with heartworm disease.

The rescue group opted to spring for the expensive treatment for the friendly orange-and-white dog, and Mrs. Brickner fell in love with her in the process.

“She is a great gal,” said Mrs. Brickner, who lives in Findlay with Ruthie and several other dogs. “Even in her age and weakness, she can still be the boss around here.”

One thing pet owners need to know is that all preventive treatment options for heartworm are much less expensive than treating the disease, said Dr. Melissa James, a veterinarian at Blanchard Valley Veterinary Clinic in Findlay, where Ruthie was treated.

“Also, once they’ve had heartworm, you can’t reverse the damage to the heart,” Dr. James said.

Both topical and oral medications are available that prevent a dog who is bitten by a mosquito carrying heartworm from getting the disease. Oral medications include both hard chews and soft chews, depending on the preference of the dog.

Adult heartworms can grow up to a foot in length and live as long as five years inside a dog. They can clog pulmonary arteries, and if there is significant infestation, the worms back up into the heart itself and eventually fill it. They cause blood clots, and the heart has to work abnormally hard to pump blood through plugged arteries. Heartworms also cause serious inflammation in the arteries that can affect the liver and kidneys.

Heartworm is a silent killer and can easily go undetected for several years, Dr. James said. Dogs don’t start to experience symptoms such as coughing, lethargy, and exercise intolerance until the disease is pretty far along.

Ruthie was given three deep intramuscular injections of Immiticide to kill her heartworms. Dogs being treated for heartworm must be kept quiet and not exercised while the parasites in their system die off.

Several treatment protocols are used, depending on the severity of the disease, which is assessed by clinical exams, radiographs, and blood work, Dr. James said.

Ruthie got one injection, followed by another injection 30 days later, and a third injection 24 hours after the second.

The cost of treatment depends on the weight of the dog and can approach $1,000 for large dogs.

Mrs. Brickner has fostered two other dogs with heartworm for American Brittany Rescue. The group reports about 10 percent of dogs it takes in have heartworm infection.

“Another one was a senior dog with a low infection,” she said. “He was treated just with Heartgard once a month for a slow kill. They felt the standard treatment would have been too hard on him.”

The third dog, Ruby, was severely infected and didn’t make it. “It had already affected her kidneys when she came into rescue,” Mrs. Brickner said. “Her appetite was very poor, and it was very sad. I paid for a treatment that was supposed to clear her blood from toxins because of the kidney failure.

“She felt better for a very short time, only a few days. Within two months of coming into rescue, she pretty much stopped eating, and we made the tough choice to let her go.”

One of the benefits of treatment with heartworm preventive is that it also kills other intestinal parasites such as roundworm and hookworm, which can be passed on to humans, Dr. James said. Some heartworm preventives also kill whipworms.

“They are transmitted via fecal matter through the skin,” Dr. James said. “You don’t necessarily have to ingest the fecal matter. If kids are playing in a yard where an infected dog has defecated, they can get the worms. And no one wants their kids to have internal parasites.”

While dog owners are thinking about preventing heartworm, they also should consider flea and tick preventives, Dr. James said. Some heartworm preventives are effective against fleas and ticks. “Although it seems like a lot of money, it’s a lot cheaper than treating the illness,” Dr. James said. “And ridding your home of fleas once your dog has brought them in is time-consuming and no fun.”

Ticks, which carry Lyme disease, already are prevalent this year, Dr. James said. According to the Companion Animal Parasite Council, 250 out of 45,376 dogs tested positive for Lyme disease in Ohio in 2012, or one in 182. Ticks can be removed by owners, but they must be careful not to crush the tick in the process because that will release the diseases it carries into the dog. It’s also dangerous for owners to burn ticks off dogs.

“They can burn them to destroy them once they remove them, but not while they are still on the dog,” Dr. James said. “I often see more damage from people trying to remove the ticks than what the tick itself has done.

“If the tick is embedded or the dog owner doesn’t feel comfortable in removing them, they should let their vet do it.”

Contact Tanya Irwin at tirwin@theblade.com or 410-724-6066, or on Twitter @TanyaIrwin.

Lyme vaccine for humans does well in trials

ticksA novel vaccine for Lyme disease led to the production of antibodies against the borrelia organisms that cause the disease in the U.S. and Europe, without sparking major side effects, according to new research. The vaccine must undergo Phase III trials, but the research team is hopeful it will become a tool to help prevent Lyme disease in people. Dogs and humans contract Lyme disease from ticks, and the incidence of Lyme disease in the U.S. is increasing. Medical News Today (5/14)

 

A vaccine for Lyme disease may be on its way, following a promising phase 1/2 clinical trial from investigators at the Stony Brook University School of Medicine and Brookhaven National Laboratory.

The finding was published online in The Lancet Infectious Diseases, and revealed that the vaccine resulted in significant antibodies against all targeted species of Borrelia – the agent that causes Lyme disease in the United States and Europe.

Lyme disease, contracted via ticks, is an infectious disease that can cause the following signs and symptoms:

This disease can often be overlooked and go untreated, leading to complications – making it crucial for people to protect themselves from this disease.

The research team consisted of scientists from Stony Brook University, Brookhaven National Laboratory, and Baxter International Inc. They analyzed the safety and immune response potential of the vaccine in a range of doses among 300 people living in Germany and Austria.

Study volunteers received three primary immunizations and one booster. All types and doses – some of which had an adjuvent, an additive that triggers an immune response to the vaccine – resulted in significant antibodies against all species of Borrelia.

The vaccine caused mostly mild adverse reactions. No-vaccine induced serious events were documented in the sample population.

Dr. Luft, a co-author on the paper explained:

“The results of the clinical trial conducted by Baxter are promising because the vaccine generated a potent human immune reaction, covered the complete range of Borrelia active in the entire Northern hemisphere, and produced no major side effects. We hope that a larger-scale, Phase 3 trial will demonstrate not only a strong immune response but true efficacy in a large population that illustrates protection against Lyme disease.”

One of the long-time challenges of creating a Lyme disease vaccine has been to find a technique that can develop a vaccine that is effective against all Borrelia species.

Using technology and the expertise of all scientists involved in the study, Dr. Luft and his colleagues were able to aim vaccine development on the most prominent Borrelia outer surface protein found when the spirochete bacteria live in ticks – which normally transmit the disease.

By using the scaffold of this protein, known as OspA, the experts were able to bioengineer a set of specific OspA proteins that do not exist in nature. The new OspAs contain different components from different species of Borrelia. The new proteins are named chimeras.

Dr. Luft concluded, “After a series of experimentations and refinements, formulations consisting of these new OspA proteins were shown to protect against a broad spectrum of Lyme disease spirochetes.”

How to Prevent Lyme Disease

Lyme disease is passed through infected Ixodes dammini ticks. They can be found in grassy areas including lawns, woodlands, and shrubs.

May is Lyme disease awareness month and the following are recommendations to prevent Lyme disease:

  • Avoid wooded and bushy areas with high grass.
  • Apply tick repellent and wear long sleeves, pants, and socks.
  • Regularly check your skin and clothes for ticks
  • Acaricide application in your home to eliminate ticks.
  • Be extra careful in the hot summer months of May, June, July, and August
  • Check with local authorities about tick infested areas around where you live.

Last month, a report conducted by the University of Toronto revealed that rates of lyme disease are rising in the U.S.

In the UK, a study of pet dogs last year showed that a person’s risk of becoming infected with Lyme disease is much greater than previously thought. Many pet dogs carry the ticks that transmit the disease.

Veterinarians have many tools to protect against tick-borne illness

ticksTicks carry diseases that affect humans and canines, but dogs fare better when it comes to detection and prevention. A rapid blood test identifies Lyme disease, anaplasmosis and ehrlichiosis in dogs. Vaccines are also available to help protect dogs from Lyme disease, while tick-protection products help keep ticks from biting in the first place. Parasitologist and veterinarian Michael Dryden urges owners to have at-risk dogs vaccinated and emphasizes the importance of choosing the right tick-prevention product. ChicagoNow.com/Steve Dale’s Pet World blog (5/14)

Where there are ticks, there’s bound to be tick disease. According to veterinary parasitologist Dr. Michael Dryden, the tick population in America has exploded in recent years. Curiously, dogs enjoy more benefits than people when it comes to identifying tick disease, as well as protection to prevent disease transmission in the first place. For people, there’s no accurate test to determine tick-borne disease. For dogs, however, an inexpensive blood test can identify three tick diseases (Lyme, anaplasmosis, ehrlichiosis), plus heartworm disease.

“Tick disease is sometimes there without a pet showing clinical signs,” says Dryden. “It’s important to know if a dog’s been exposed. Very often, the general signs (of tick disease) can show up later, and they’re often mistaken for other conditions.”

For example, one symptom of Lyme disease may be lameness. It’s not unusual for dogs, especially older individuals, to simply be given pain relief for what’s assumed to be arthritis.

For people, there are steps to avoid ticks, but in dogs there are many choices for tick protection. “Protection is key,” says Dryden, University Distinguished Professor of Veterinary Parasitology in the Department of Diagnostic Medicine and Pathobiology at Kansas State University, Manhattan. Unfortunately, not all products work well.

“Sometimes consumers make impulsive purchases which may not be the most informed choices,” says Dryden. “Not all over-the-counter products are truly all that protective. It’s important that the product you choose is appropriate for the lifestyle of your pets, as well as where you live. By choosing the wrong product, not only may people waste money, but the pet may then be at increased risk for potential tick disease, which can debilitate the pet and cost money to treat. This is why veterinary advice on what product to purchase is so important.”

Lyme disease is a particular risk for people. Using death records collected from 45 states, researchers at the U.S. Centers for Disease Control and Prevention (CDC) found that between 1999 and 2003, there were 114 records listing Lyme disease as a cause of death. Lyme may also trigger a lifetime of chronic, debilitating illness, and weaken the immune system, allowing other diseases to take hold.  So, while the official cause of death may not be listed as Lyme disease – truly it was Lyme that allows for perhaps thousands of untimely deaths to occur annually in people in the U.S.

In dogs, Lyme rarely causes death, but like all tick-borne diseases it’s likely under-diagnosed, and may cause a lifetime of chronic problems.

Making matters worse for both people and dogs, ticks sometimes inflict a cocktail of nasty pathogens, including Lyme disease, all at once.

At least for Lyme disease, dogs have still another layer of protection not yet unavailable for humans. “The Lyme vaccines for dogs are both safe and effective, and should strongly be considered if you live where Lyme disease occurs,” Dryden advises.

Is there truly more tick-related disease today than, say, a decade ago, or have veterinarians simply become better at discovery and diagnosis? “Now, there’s a good question,” says Dryden. “There’s no doubt that the new testing for tick disease is helpful. But ticks are flourishing.”

So, why are there so many? “Look at this year’s weather,” says Dryden. “Throughout most of the nation, it was wet. Much of the country experienced record rain. Now, it’s warming up, and all after a relatively mild winter. We’ll see ticks from about now to well into the fall and even into early winter.”

Weather isn’t the only factor. Wildlife numbers are rising. Animals like deer and fox carry ticks from more wooded places right into our backyards, even in many urban areas.

Learn more about tick protection here.

 ©Steve Dale, Tribune Media Services

Dog battles Coonhound paralysis and wins

chocolate labCoonhound paralysis, also known as acute canine idiopathic polyradiculoneuritis, struck 4-year-old Labrador retriever Kahlua seemingly without warning, but she persevered with the help of veterinarians and her family. The cause is unknown, but the disease involves an immune-mediated attack on the nervous system that may be triggered in some dogs by contact with raccoon saliva. The condition can debilitate dogs, and intensive physical therapy and supportive care are needed to give dogs a shot at recovery. Kahlua’s case has a happy ending. Pittsburgh Tribune-Review (5/16)

By Karl Polacek

March 8 was a difficult day for Michele Piper and her family from Upper Tyrone. Kahlua, their 4-year-old chocolate Labrador retriever, started losing control of her hind legs.

Piper immediately sent a text to her veterinarian, Dr. Justin Kontir of Mt. Pleasant Animal Hospital, who had her bring Kahlua to his office.

During the examination, Kontir noticed the same problem was beginning to affect the dog’s front paws. At first, Piper said Kontir thought the problem might be caused by a spinal blood clot.

“There is a list of things, 25 things, from botulism, a herniated disk, spinal cord stroke, even arthritis,” Kontir said. “In a young dog, they can herniate a disk. In a young to middle-age dog that is active, arthritis didn’t seem very likely.”

He had Piper take Kahlua to Dr. Kendra Mikoloaki, DVM, Diplomate ACVIM (Neurology) at Pittsburgh Veterinary Specialty Services, located on Camp Horne Road, north of Pittsburgh.

“The only place to diagnose this type of problem is the specialty clinic in Pittsburgh,” Kontir said.

Mikoloaki examined Kahlua. By the time Mikoloaki saw the dog, she didn’t have a patella reflex (in humans, checked by striking the kneecap).

The signals (from the dog’s brain) weren’t getting through to her legs,” Mikoloaki said.

She diagnosed the illness as acute canine idiopathic polyradiculoneuritis (ACIP), commonly known as Coonhound paralysis.

Kontir and Mikoloaki said the problem is rare.

Kontir said he vaguely remembered hearing about Coonhound paralysis when he was in school, eight years earlier. He had never seen one in his practice.

Mikoloaki said she sees just a few cases each year.

The actual cause of the disease is unknown. Kontir said one possibility is contact with raccoons or raccoon saliva. Whatever the cause, the disease triggers the autoimmune system that attacks the nerves.

Initially, Piper was worried she might have to have Kahlua put down. Mikoloaki said that is not necessary in a young, otherwise healthy dog. The treatment involves no medication, only intense physical therapy.

Piper opted to take Kahlua to Woodlands Animal Care Center in Farmington, where Shari Facchine, certified K9 rehabilitation therapist, began therapy on March 16. Facchine said the clinic was built by Joe Hardy as part of his pet-friendly Nemacolin Woodlands Resort.

“At that time she (Kahlua) wasn’t able to hold her head up or eat and drink on her own,” said Facchine, who used a syringe to give her water and food. “She was not strong enough to use her tongue to drink from a bowl.”

Facchine worked with Kahlua during the days, giving her range-of-motion exercises and cold laser treatments, putting her in a “quad cart” and having Kahlua work on an exercise ball.

According to Facchine, the process involved teaching the dog to use her body again, from using her legs, to learning to drink and eat to going to the bathroom.

Facchine explained that the Cutting Edge Class 4 cold laser helps regenerate nerves. The device is rarely used on humans because insurance companies consider it an experimental therapy.

Facchine said therapy for Coonhound paralysis normally takes up to six months. However, Kahlua’s rehabilitation was accelerated by what Facchine and both vets said was the dog’s happy and energetic nature, a motivated animal.

Eventually, Facchine discharged Kahlua, who is at home, completely free of the condition that once took away her ability to move.

For Michelle Piper and her family, the process has been rewarding, but expensive. She said the vet bills and therapy have cost approximately $3,000. But she would have found it difficult to end Kahlua’s life.

Now, even her husband, Varden, whom she described as “not an animal lover,” is happy with Kahlua. Kahlua will go to the refrigerator, take a beverage handed to her to Varden in another room, then wag her tail and bark at him, Michelle Piper said.

Karl Polacek is a staff writer for Trib Total Media. He can be reached at kpolacek@tribweb.com or 724-626-3538.

Angel Fund Helps Rescue Simon from Kidney Failure

simon (2)Last June, Rosemary Chen left her Anaheim home for a wedding in Big Bear. She was suffering from a headache so she put several Advil capsules in a plastic bag and took them with her. When she returned home a couple of days later, she brought several of the capsules – still in the plastic bag – with her.

When she got home, she tossed the bag with the pills in a large basket. One evening a few days later she came home from work to find Advil capsules and the plastic bag scattered around the floor – and her black and white cat Simon acting strangely.

“The basket is pretty big and he just got them [the pills] out and played with them. He was sleeping and he didn’t want to eat.  He usually eats a lot. And I thought, ‘Oh, maybe it has something to do with the pills.’  I think he ate at least one or two of them.

“So I called the cat clinic and they said to bring him there right away. They checked Simon and said that he needed treatment. It was going to cost a lot so I called around and asked for help because I couldn’t afford to pay that much. The pet clinic helped me and they found one organization [Angel Fund] that would help me, too.  I really did appreciate that!”

The hospital, The Cat Care Clinic in Orange, diagnosed Simon with acute renal failure because of ibuprofen toxicity. They treated him for several days at the hospital. When Chen took him home he was the old Simon – curious, playful and affectionate.

The clinic and Angel Fund each contributed $250 to Simon’s care.  Chen, who is a single mother with a modest income, paid off the balance over time.

Simon is “back to normal now,” she said. “I am happy and I really appreciate the help I got.”