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What are the symptoms of ehrlichiosis in dogs?

Symptoms of ehrlichiosis in dogs include fever, lethargy, appetite loss, swollen lymph nodes, bleeding, and, in severe cases, neurological signs and anemia.

Understanding the Symptoms of Ehrlichiosis in Dogs

Ehrlichiosis is a serious tick-borne disease affecting dogs worldwide. Caused by bacteria belonging to the genus Ehrlichia, most commonly Ehrlichia canis, it can have profound health impacts if not quickly identified and treated. Recognizing the symptoms is essential for early intervention and effective treatment.

How Ehrlichiosis Spreads

The disease is primarily transmitted through the bite of infected ticks, especially the brown dog tick (Rhipicephalus sanguineus). Other ticks such as the lone star tick, black-legged tick, and American dog tick may also be vectors depending on the geographical region. Transmission can occur 3–6 hours after a tick attaches to the dog.

Three Stages of Ehrlichiosis and Their Symptoms

Ehrlichiosis progresses through three clinical phases. Each stage presents different signs and complications:

1. Acute Phase

This occurs usually within 1–3 weeks post tick exposure and can last 2–4 weeks.
  • Fever and lethargy
  • Loss of appetite and weight loss
  • Enlarged lymph nodes
  • Nasal or eye discharge
  • Lameness and swollen limbs
  • Abnormal bleeding such as nosebleeds or bruising
  • Neurological signs like loss of balance
Blood tests at this phase often reveal low platelets (thrombocytopenia) and mild anemia.

2. Subclinical Phase

The dog may carry the bacteria without showing symptoms. This phase can last for months or even years.
  • No outward signs of illness
  • Lab results may show persistently low platelet counts
Some dogs naturally recover, while others may advance to the chronic phase or remain long-term carriers.

3. Chronic Phase

If untreated, the disease becomes more severe and life-threatening.
  • Severe weight loss and weakness
  • Pale mucous membranes due to anemia
  • Bleeding disorders
  • Progressive eye diseases and kidney failure
  • Neurological complications
  • Pancytopenia (decreased red, white blood cells and platelets)
Without prompt diagnosis and treatment, the chronic form can be fatal.

Diagnosing Ehrlichiosis

Diagnosis involves a combination of clinical signs, history of tick exposure, and laboratory tests:
  • Blood work showing anemia or thrombocytopenia
  • Serologic tests to detect antibodies to Ehrlichia
  • PCR testing for Ehrlichia DNA in blood
These diagnostic tools help identify the disease even in subclinical cases.

Treatment and Prognosis

The mainstay of treatment is a four-week course of antibiotics, typically doxycycline. Other options include minocycline, chloramphenicol, and imidocarb dipropionate. For severe cases, corticosteroids or blood transfusions may be needed. Prognosis is generally excellent when treatment begins in the acute phase. Chronic stages, especially with bone marrow involvement, may be less responsive and carry a guarded outcome.

Preventing Ehrlichiosis in Dogs

There is currently no vaccine. Prevention relies upon comprehensive tick control:
  • Use veterinary-approved tick collars or spot-on treatments
  • Administer monthly oral tick preventatives
  • Maintain yard and home environments to reduce tick habitats
  • Inspect dogs daily for ticks, especially after walks
Prompt removal of ticks reduces the risk of transmission.

Additional Considerations

While ehrlichiosis is not contagious between dogs or to humans directly, infected dogs may carry disease-spreading ticks. German Shepherds and Siberian Huskies can show more severe symptoms. Infected dogs should not be used as blood donors. Regular veterinary check-ups and tick screening are vital, especially in endemic areas.

Conclusion

Early detection is key. If your dog displays any of the symptoms mentioned, especially after a tick bite or known tick exposure, seek veterinary care immediately. Effective tick prevention, routine monitoring, and adherence to prescribed treatments are your best tools against ehrlichiosis.

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