Parasite induced anemia

Nassem N. Naimi ‎3 months Doberman puppy vaccinated 1 week ago, owner complaine was bloody diarrhea (only once) as soon as he saw he brought her.
everything was normal, except mild pneumonia (seems like chronic because no fever).
RBC 3.8 (low normal 6) WBC 6 (low normal 6) Differential count 2morrow morning.
given deworming on the 1st day of treatment in addition to Amoxiciline with Clavlunic acid.
No improvement yet!!

20 July at 23:31 · Comment · · Flag

• • 

    Nassem N. Naimi the dog was moderately depressed (I think cause of Anemia)
    2morrow b12 shoots :)
    Dx was Anemia caused by Internal parasite we will give Ivermectine 2morrow
    Do you agree?

    20 July at 23:32 ·
  • 

    Sheila C. Jamora

    consider canine distemper virus...and it would be good if you deworm your dog first before giving any vaccinations...
    -ivermectin SQ is good if your patient is vomiting but check first what worm you are treating... if it is flatworms then ivermectin is not recommended...

    21 July at 07:10 · · 2 people
  • 

    Nassem N. Naimi I used Ascaten by Alfasan 4 days ago so does it worth to take fecal sample now to look for eggs or larva??
    and btw 2day i will get differential count so Eosinophilia will be a good indicator for parasitic infection

    21 July at 08:08 ·
  • 

    Swarupmay Majumdar I agree with Dr Sheila. I want to add: plz dont forget about dehydration! Give some energiging drips as we discussed in HGE event. plus look out possible sources of bleeding. why not use Ciprofloxacin or some other antibiotics active against anerobes? Actually Amoxy-clav is a very broad antibiotic, so ther is chances that oportunistic bacteria may over grow. Plz supplement with lactobacillus also.

    21 July at 15:09 ·
  • 

    Nassem N. Naimi bleeding only once!!!
    not more!!!
    

    21 July at 18:31 ·