Question:
I just found out my dog
"Harmon" has blastomycosis! My veterinarian says we live
in an endemic area for this disease and she looked for the organisms under
the microscope and showed me what they look like.
The vet says since we got the dog in before the
infection has advanced too far we stand a good chance of curing it but
there never can be 100% assurance that he will recover.
What is blasto, anyways? How come my dog
got it?
Human blastomycosis...
People almost never contract blastomycosis from a dog or cat... but under
unique conditions it could happen.
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Answer:
blastomycosis
what is... treatment... diagnosis
You and your dog are lucky that the doctor is
familiar with blastomycosis. Endemic means above average numbers of
the disease occur in your area. Blasto is a
microscopic yeast-like
single celled organism during the infection and a fungal organism in the
environment. Your dog probably got
blasto by inhaling spores from dried soil that contained
the fungal stage of the organism.
In dogs the disease is considered very dangerous
and often will be fatal if a diagnosis is delayed or if the patient is not
treated with specific anti-fungal medication. Commonly used
antibiotics for bacterial infections will not work against the infective yeast
phase of blastomycosis.
Diagnosis:
A positive diagnosis is made by seeing the organisms through the
microscope in a sample of tissue or fluid. Sending a serum sample
to a lab for a blasto titer may be misleading. And tissue specimens for a culture
of the fungus may take weeks to acquire.
Treatment: Some very sick dogs require hospitalization, fluid
therapy, and intravenous anti-fungal medications. Critical care in
the hospital for over a week may be needed. Oral medications
such as ketoconazole, itraconazole and fluconazole are often used in
addition to antibiotics to assist in controlling bacterial opportunists.
Prevention:
1.) Avoidance of close contact with disturbed soil near
waterways.
2.) Awareness of the usual signs especially if you live in a
geographic area where blastomycosis cases have been reported.
3.) Early examination and proactive pursuit of a diagnosis if your
dog is sick. |
Doctor's Notes
Dogs that have recovered from a blastomycosis
infection can become infected again. However, we are not certain
that the second infection is truly due to a new exposure!
It is possible that even after treatment
has stopped and a recovery is presumed, some blasto organisms can remain in the dog's body.
Over time they can reproduce and cause illness.
Most dogs that begin a second set of treatment
respond very well and can live a full life.
Get a diagnosis!
If your dog or cat is sick your veterinarian will need
specific data to establishing a correct diagnosis. Without
that data all your vet can do is make a judgment call such as
"it could be..." or "it probably is ..." so for you to
get a correct diagnosis your veterinarian will need your permission to do
certain tests.
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Related
Question:
My
dog was just euthanized because of blastomycosis; it got into his
lungs and spread into his eyes and skin. We thought he had cancer at
first but finally the diagnosis of blasto was made and he was doing so
poorly, and was blind, we elected to end his suffering.
Is
there any way to prevent blastomycosis or is there a vaccine against
it? I don't want my other dog to ever get it.
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Answer:
blastomycosis
what is... diagnose... treatment
There is no vaccine against blastomycosis, partly because
being a yeast organism when infective (and a fungus organism in the
environment) it is very difficult to create a vaccine against
it. In your dog's case if you know where he likely was
exposed, such as a stream side, topsoil for gardening, digging up a beaver
lodge or dam... anywhere there may be richly organic, moist soil could
harbor pockets of Blastomyces organisms.
Dogs that like to dig holes hunting for gophers
or chipmunks and dogs that dig themselves a dirt bed to lay in may have
greater exposure to inhaling blasto spores associated with the soil.
Blastomycosis does not grow "in the water" of a pond, lake or
stream but may grow in the shoreline soil and has been found in the dried
mud of beaver lodges and dams. Below are a few points to remember
about blasto...
Do not allow your dog to dig holes
Have an exam done if any cough, skin sore, or weight loss is noted
Swimming is OK but try to avoid boggy or muddy shorelines
Fever of 104 to 105 are common during a blastomycosis infection |
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