Pit bull mix with Ehrlichia & chronic limping. What's the next step?

Hello and thank you for your post! I am sorry to hear that Spock has ehrlichia. This disease is treatable and can be cured. However, you should know that the test most veterinary clinics use is a snap test to detect antibodies against ehrlichia. If you are going back in 3 weeks to have this same test performed, Spock will likely continue to show a positive result. This is because his body has made antibodies against ehrlichia. If he had a previous infection and ehrlichia is not causing any of these symptoms, he will still show positive on this SNAP test so if you are going in to have the same SNAP test performed I would have your veterinarian send out a tick fever PCR test to the laboratory. This will detect DNA to ehrlichia and not antibodies. If Spock is positive on the PCR, it means that he has a current active infection. If you do not know if Spock has ever had your licio previously, I would still treat this with Doxycycline for 4 to 6 weeks total treatment time. I hope this helps, please feel free to contact me with any further questions or concerns you may have. I am also available via consultation

Unfortunately both lyme and erhlichia can cause an infection again, even after initial treatment. I would recommend treating her since she has clinical signs, but also ask your vet if they can run a PCR test to confirm active infection, rather than just exposure. That was you can be sure this infection isn't just from last year. I hope that helps. Thanks for using Petco Pet Education Center, formerly Petcoach!

Hello, sorry to hear about Maicah. It sounds like she may be dealing less likely with an infectious disease and more likely with an inflammatory disease. On her bloodwork her white blood cells, which are the first responders to an infection are in the normal range, hence why I would be less suspicious of something infectious. Her red blood cells are decreased, which could occur from a chronic inflammation, loss of red blood cells, and potentially destruction of red blood cells. On the other hand, if she has erlichia this could cause joint pain and anemia. However, you tend to see other changes in the bloodwork which are not shown in the pictures you posted. Doxycycline for 3 weeks should treat an erlichia that could be present. A snap test or a PCR for erlichia could confirm this diagnosis. The weakness in her hind end could be associated with a primary orthopedic disease or neurologic disease. Some neurologic diseases in poodles can arise from degenerative inflammatory diseases. An orthopedic and neurologic examination could test for these. X-rays could also outline a primary orthopedic issue or be suggestive of a neurologic issue as well. In summary, Maicah should be thoroughly evaluated for a primary orthopedic or neurologic issue. I am a little less concerned about the erlichia at this moment due to the lack of changes in her blood, however she should have a snap test or PCR performed to confirm this. Her albumin is elevated which could be an error from the machine or she could be dehydrated. If this is an inflammatory disease, the prednisone she was prescribed may help. I hope this helps and best of luck!

I'm sorry for your frustration, but there may be a solution. Most veterinarians use the Antibody test to detect Ehrlichia. Even with treatment, your dog may show a positive test for months or up to a year as the antibody is still being detected. In order to more accurately test if your dog has the disease, the newer blood test called a PCR assay can be submitted. This tests specifically for presence of the organism , not the antibodies. Please speak with your veterinarian about doing a different test as you may wait a very long time for the antibody test to be negative. I'm sure the newer test is probably more expensive, so be prepared to ask about the cost. Best of luck!

Hi there. If your dog has a history of Erlichia and Scout is already 11 I would encourage you to take him back for a re-evaluation. He may need fluid therapy, etc and your doctor will be familiar with your case. My best to you and Scout

Hello, and thanks for using Petco Pet Education Center, formerly Petcoach. You're right that Ghontu tested positive for Ehrlichia - but keep in mind that is an "antibody" test, meaning it tests for *exposure* to a disease and doesn't necessarily mean she has Ehrlichia. If a dog is exposed to Ehrlichia and their immune system does its job and successfully clears the body of the Ehrlichia infection, they will still show a positive result on that test. So it's not cause for panic! I defer to your regular vet to determine how worried they are, based on Ghontu's exam and other findings. If they feel treatment is appropriate, they will probably start Ghontu on a 4-week course of medication. The ALP is a bit elevated, but that elevation is quite mild and wouldn't have me too worried. Again, I would defer to your usual vet. But unless they had reason to worry about the ALP specifically, I wouldn't think twice about that ALP value. Hope this helps!

Hello, I'm sorry to hear that Riley is having this problem. I suggest you take him for a second opinion with a board certified veterinary internal medicine specialist. An MRI is not a bad idea but I think there are other less expensive tests that may be more applicable to run first like more extensive bloodwork to check for endocrine diseases, tick borne diseases, etc. Also, if he only had plain film X-rays, a contrast study might be a good idea. I suggest you ask your vet for a referral to a specialist in your area. Hope this helps. Best wishes.