February Pet of the Month

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Now introducing, the beautiful German Sheppard, Nell.   Nell is our honored pet of the month for February 2011!

 

Nell is a two year old female dog.  She was adopted in June of 2010 and moved to Columbia with her new mom Paula.  They both came to meet us last summer at Rock Bridge Animal Hospital.   Nell was, to all appearances, a healthy pet but in June of 2010 Nell was diagnosed in our hospital with heartworms disease.

 

What is heartworm disease? Heartworm disease is a serious and potentially fatal disease. It is caused by a blood-borne parasite. The adult heartworms are found in and around the hearts of infected dogs and cause disease by clogging the heart and compromising the blood supply to the organs of the body.  Young heartworms circulate in the blood stream and can block the blood flow of the small blood vessels. The lungs and liver are primarily affected.


Nell was a rescue dog with a happy, healthy attitude. She had never been on heartworm prevention. She was tested for heartworm disease in January of 2010, and the test results were negative and she was started on heartworm prevention, which she took for 6 months.  So then how did she get heartworms?

 

Heartworms start as babies in the blood stream of a dog. They are passed from dog to dog by MOSQUITOS! A mosquito that bites an infected dog can ingest a baby heartworm (or a few hundred). After a few weeks the babies will grow up inside of the mosquito.  Now when the mosquito bites a new dog (your dog!) it can give them the young heartworms. At this stage the new dog has heartworms. 

 

But Nell was on heartworm prevention! What happened? Heartworm prevention is designed to eliminate the immature worms after they infect your pet.  It only kills the worms that are 30-45 days old, or younger, which is why it must be given every 30 days.  If a dose is late, missed or not digested (vomited up, spit back out) then there is an opportunity for any young worms presently in your dog to develop into adults and become much more difficult to kill.

 

Heartworm tests can only detect worms once the worms have matured, which takes 5-7 months.  In Nell's case, she likely had already been infected, but the worms were too young to be detected with the available test in January, and too old to be killed with the heartworm prevention (i.e. 2-5 months old). When she was retested 7 months later they had matured enough to show up on our tests. It is for this reason that we recommend repeating a heartworm test in 6 months for all pets that have not been on heartworm prevention, even if their initial test is negative.  To confirm a newly tested dog is truly heartworm free when they have not been on a heartworm preventative, they must test negative on the initial test and again at 6 and 12 months after starting heartworm prevention. They must have three negative heartworm tests.

 

Fortunately, heartworm disease takes a little bit longer to develop. So, because of regular testing we were able to detect and treat Nell early- before a lot of damage was done. Heartworm disease means that problems have developed from the presence of the growing heartworms. Since the body compensates so well for damage that we can't see, signs of disease often do not develop until the disease is advanced. It can take a number of years before dogs actually show outward signs of infection. However, the body of an infected dog will immediately begin to experience problems from the presence of this parasite; but the body is an amazing thing, and can deal with quite a bit of damage before it starts to show disease. 

 

How can you tell if your dog is carrying this deadly parasite? TEST! TEST! TEST! It is important to test, even in healthy dogs. Nell is an excellent example of a dog that looked healthy and happy but was still infected. If you suspect that your dog is ill, or they are showing signs of heartworm disease, guess what your veterinarian will want to do?! TEST! TEST! TEST! If your dog is a happy healthy pet, guess what your veterinarian will want to do?! TEST! TEST! TEST!

 

It is best to detect and treat heartworms BEFORE your pet shows signs of the disease.

 

Treatment

Nell and Paula started life saving treatment immediately.  Nell had not had the disease for very long and the damage to her body systems was minimal. Since she had been on heartworm prevention, Interceptor, she did not have any baby heartworms in her bloodstream. She was given an injection of medication to kill the adult heartworms and started on a medication at home that will help to weaken the heartworms by killing a parasite (Wolbachia) that lives on the heartworms. She needed to stay here at the hospital for a whole day to be monitored for allergic reactions to the medications. It was a dangerous and delicate time for her. Nell returned again in one month for two days in a row for a second and third injection of medication to kill the heartworms.

 

Nell had to be restricted to her kennel at home for 60 days while the adult heartworms died and left her body.  That is two whole months! Excess activity can cause the worms that are dying to break apart inside of your dog.  The little pieces of worm will float along in the blood stream and can create clots in the lungs- which can be life threatening. The long days of inactivity were difficult for Nell and for Paula, but it was very important for Nell's safety.  Dogs that are under treatment for heartworms risk many complications, including sudden death!

 

Today

 

Nell is doing very well today. She enjoyed many romps through the park last fall.  She and her mom are enjoying the snow. Paula makes sure that Nell gets her heartworm prevention, Interceptor, EVERY 30 DAYS.