A six month old, intact, male, mix breed dog (pothound) was presented to AcaseAweek Clinic with a history of anorexia, weight loss and lethargy. The dog has an indoor/outdoor lifestyle, is fed puppy Science Diet, is up to date on its vaccinations and is treated for ectoparasites with Adam’s spray. The owner was away during the summer and upon return found ticks on the dog. There are four other dogs in the household, one of them is showing similar clinical signs and happens to be this patient’s brother.
Physical examination revealed that the patient was mildly depressed, alert and responsive, had a temperature of 100.4ºF, heart rate was 100bpm, respiratory rate was 12bpm and weighted 18.2 kg.
Ears, eyes, nose, throat: mild black, thick, tarry exudate on both ears. No ocular or nasal discharge observed.
Mucus membranes: grey, pale and slightly yellow (icterus). CRT<2>
Lymph nodes: generalized lymphadenopathy.
Snap test: Ehrlichia, Heartworm, Anaplasma and Lyme disease negative.
CBC: unremarkable, except for mild eosinophilia.
- AP 1259 U/L (46-337)
- ALT 673 U/L (8-75)
- Glob: 4.1 g/dL (2.3-3.8)
- TBIL: 1.3 g/dL (0.0-0.8)
What is your tentative diagnosis? Give list of differentials.
What diagnostic test(s) will you perform to confirm your diagnosis?
How will you treat and manage this case?