Ehrlichiosis is a serious tick-borne disease seen in dogs, and early treatment is essential in order to prevent it from becoming more severe. In today's post, our Concord vets explain the stages, symptoms and treatments for ehrlichiosis in dogs.
What is ehrlichiosis in dogs?
Ehrlichiosis is a disease found throughout the United States and Canada that develops in dogs after they have been bitten by an infected brown tick. The organism which is spread by the ticks and causes the disease (Ehrlichia canis or E. canis) is considered endemic to the southeastern and southwestern states. Ehrlichia bacteria can be challenging to treat since most antibiotics are unable to reach the inside of the cell where they live.
What are ehrlichiosis symptoms in dogs?
There are 3 main stages of Ehrlichiosis in dogs and each stage has different symptoms, early disease (acute phase), sub-clinical (no outward appearance of disease), and clinical or chronic (long-standing infection).
The acute stage of ehrlichiosis can last 2 to 4 weeks, during which the infection is either eliminated or your dog will progress to the sub-clinical phase. Symptoms of the acute stage include:
- Swollen lymph nodes
- Weight loss
- Respiratory distress
- Bleeding disorders (spontaneous hemorrhage or bleeding)
- Neurological disturbances (meningitis or unsteadiness on feet)
The sub-clinical phase is often considered the worst phase of ehrlichiosis in dogs because there may be no outward sign of the disease, meaning that it is able to progress undetected.
In some cases the disease is detected when the vet notices prolonged bleeding from the injection site after taking a blood sample. If the organisms are not eliminated in this stage, your dog’s infection may move to the next stage - clinical ehrlichiosis.
Clinical ehrlichiosis occurs when the organism isn’t eliminated by the immune system in one of the previous stages. This stage can lead to serious symptoms, including:
- Swollen limbs
- Neurological problems
- Bleeding episodes
- Eye problems (such as blindness or hemorrhaging)
This phase becomes extremely serious if the dog's bone marrow (where blood cells are produced) fails, meaning that your dog will be unable to create any blood cells they need to sustain life (platelets, white blood cells and red blood cells).
How is ehrlichiosis diagnosed?
Dogs in the early stages of this disease may test negative for the condition, making the infection difficult to diagnose early on.
Because the immune system usually takes 2 to 3 weeks to respond to the presence of the organism, and for antibodies to develop, it may take testing at a later date to detect antibodies and properly diagnose the infection.
Your veterinarian may use a few different tests to find out which species of Ehrlichia are infecting your dog, then send the tests to our lab for analysis. Because we have an onsite lab and diagnostic testing at Carolina Veterinary Specialists in Charlotte, we’re able to get results quickly and efficiently.
The detection of antibodies, combined with certain clinical signs are your vet’s primary diagnostic criteria. More rarely, the organism will be detected in blood smears or cell samples from the spleen, lungs and lymph nodes. Baseline blood tests, including a blood cell count and chemistry should also be completed.
If anemia (low red blood cell counts, high levels of globulin protein or a low platelet count) are spotted in the blood, this is a good indication that ehrlichiosis is the problem.
How is ehrlichiosis treated?
If your pooch is experiencing severe bleeding problems or anemia due to ehrlichiosis, they may need a blood transfusion along with being treated for the disease.
Antibiotics such as the easily accessible and typically well-tolerated doxycycline may be used for about 4 weeks. Depending on your pup’s clinical state and blood parameters, different medications such as steroids may be prescribed.
What is the prognosis for ehrlichiosis treatment?
The short-term prognosis following effective treatment is typically quite good. You should be able to see improvement in your dog once they have started treatment – usually within 24 to 48 hours, if the disease was caught in its acute phase or mild chronic phase.
How can I prevent ehrlichiosis?
Prevention is always preferable to treatment when it comes to disease, and for dogs this is especially true regarding tick-borne diseases. Using vet-recommended tick prevention products for your dog can also prevent ticks from entering your dog's environment. The right tick prevention for your dog will depend upon your pup's risk of exposure to disease-causing ticks and other factors. Speak to your vet to find out more.
Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. For an accurate diagnosis of your pet's condition, please make an appointment with your vet.