Page 18 - Boca Club News - January '25
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Page 18, Boca Club News

                Pet Matters
                Pet Matters


      You and Your Pet: Leptospirosis




      By Cindy Krane, DVM, Calusa Veterinary Center, 6900   may never fully recover and may suffer permanent kidney   Consensus Statement emphasizes the importance of regular
      Congress Avenue, Boca Raton, FL 33487, (561) 999-3000,   damage. These dogs will require a special low-protein diet,   vaccination to prevent Leptospirosis. The vaccination, once
      www.CVCBoca.com.                                  kidney supplements and frequent monitoring.        considered a” lifestyle” vaccine, is now considered a “core”
         Leptospirosis is a bacterial disease that initially causes fever,      Leptospirosis poses a significant zoonotic risk, meaning it   vaccination. The updated guidelines recommend that all
      chills and flu-like symptoms before progressing to severe,   can be transmitted from infected dogs to humans. Pet owners   dogs, regardless of lifestyle or geographic location, should be
      life-threatening kidney or liver failure. All breeds of dogs are   may contract the bacteria through direct contact with their   vaccinated against Leptospirosis. This is due to the zoonotic
      susceptible to Leptospirosis, with young to middle-aged, active,   dog’s urine, saliva or other bodily fluids. Symptoms in humans   potential of the disease and its expanding geographic prevalence.
      large-breed, male, outdoor dogs at higher risk of contracting   can range from mild flu-like illness to severe complications,   Vaccinating dogs not only protects them but also minimizes the
      the infection. The organism thrives in warm, humid and wet   including kidney or liver failure. To reduce the risk pet owners   risk of human exposure to this dangerous zoonotic pathogen.
      climates, including South Florida.                should practice strict hygiene, including wearing gloves      By following these updated guidelines, and making lifestyle
         Transmission can occur through both direct and indirect   when cleaning up after their pet and thoroughly washing   changes, such as limiting activity in marshy, muddy areas with
      pathways. The bacteria reside in slow-moving, stagnant water,   hands after handling potentially contaminated materials.  stagnant water and controlling rodents, veterinarians and pet
      which becomes infected when rodents, foxes, squirrels, skunks,      Preventing disease is primarily centered on vaccination.   owners can better protect dogs from the devastating effects of
      raccoons and opossums void in it. Dogs may contract the disease   Updated AAHA Vaccine Guidelines from the ACVIM 2023   Leptospirosis.
      by coming into direct contact with infected urine, from bite
      wounds or by ingesting affected tissues. Indirect contact can
      occur as the bacteria remain stable in the environment (soil,
      food, water and bedding) for long periods–up to six months.            NOW ACCEPTING NEW PATIENTS
         The bacteria enter the bloodstream through minor breaks
      in the skin, exposed or abraded skin, softened skin, or mucous
      membranes of the nose, lips and eyes. This infection leads to
      fever, anemia (low red blood cell count), thrombocytopenia          Boca Raton Concierge Medicine Doctor
      (low platelet count), and leukocytosis (high white blood
      cell count). Bleeding develops, the dog becomes jaundiced
      (yellow tinge to the skin), electrolytes are depleted, and                Board Certified in
      renal (kidney) and liver values rise. The infection localizes
      and spreads to its primary target organ (the kidneys) and the             Internal Medicine
      secondary target organ (the liver), causing massive damage.        with Added Qualifications in
      The infection may result in an acute crisis, set up chronic
      disease or cause nephritis (inflammation of kidneys) and                  Geriatrics (2002).
      hepatitis (inflammation of the liver).
         Clinical signs range from acute kidney injury to chronic        Steven E. Reznick, MD, FACP
      disease to sudden death. Patients typically present dehydrated,
      urinating and drinking excessively, with fever and gastrointestinal     Voted a “Best Doctor”
      signs. In rare cases the eyes and central nervous system may be               by his peers.
      affected. The severity of disease depends on the form (acute,
      subacute or chronic), the serovar (subtype), and the age and
      immunity of the patient.                                                Call to request a complimentary meeting
         In addition to the above findings, any patient with acute kidney
      injury or liver failure should be screened for Leptospirosis. There                     with Dr. Reznick.
      are various blood and urine tests to determine if Leptospirosis
      is the cause of the dog’s illness.
         Treatment focuses on supportive care, including administering                      561.368.0191
      large amounts of IV fluids to combat dehydration and shock,
      support kidney function, and flush toxins from the system.
      In severe cases kidney dialysis may be indicated. Blood                         7280 W. Palmetto Park Road | 205N
      transfusions may be needed for bleeding patients with anemia                            Boca Raton, FL 33433
      and thrombocytopenia. Antibiotics are crucial to fight bacteria.                   www.bocaconciergedoc.com
      These patients should be isolated and handled with extreme
      caution due to the zoonotic potential (risk of transmission to
      humans). Proper hygiene, including wearing gloves and safely
      disposing of waste, is essential.
         The prognosis ranges from guarded to good, with an
      approximate 70% survival rate. With aggressive treatment most
      dogs recover from the acute disease. However, some patients

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