Giardia

What is Giardia?

Giardiasis is an intestinal infection of man and animals caused by a protozoan parasite Giardia intestinalis (also known asGiardia lamblia).

“…it is not a “worm”, bacteria or virus.”

Giardia is a simple one-celled parasitic species; it is not a “worm”, bacteria or virus. The parasite occurs worldwide and is a common cause of “Traveler’s Diarrhea” in people. Outdoor enthusiasts who inadvertently consume contaminated water may develop “beaver fever”, which is another name for giardiasis in people. Other examples of protozoan parasites that can cause enteric (intestinal) disease are Coccidia, Cryptosporidia and Toxoplasma.

 

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Giardiasis can be an important cause of illness, especially diarrhea, in animals and man. However, the majority of dogs infected with Giardia do not have diarrhea, vomiting or any other signs of illness.

The Giardia organism has two forms. A fragile, feeding form exists in the gut of infected animals, while a hardy cystic form is shed in feces and can survive several months in the environment, particularly in water and damp environments.

How do dogs get giardiasis?giardia 2009 Giardia

A dog becomes infected with Giardia when it swallows the cyst stage of the parasite. In susceptible dogs, once the cyst passes into the dog’s intestines; it goes through transformation to the trophozoite or feeding form and attaches to the intestinal wall to feed. If sufficient numbers are present, clinical signs of damage to the intestinal wall will develop. Trophozoites reproduce by dividing, and some transform into the cystic form. Eventually, the dog passes cysts in its stool.

“Giardiasis can be transmitted by eating or sniffing the cysts from contaminated ground, or by drinking contaminated water.”

These cysts are immediately able to infect another animal. Giardiasis can be transmitted by eating or sniffing the cysts from contaminated ground, or by drinking contaminated water.

When Giardia cysts are found in the stool of a healthy adult dog without diarrhea, they are generally considered a transient, insignificant finding. However, in puppies and debilitated adult dogs, they may cause severe, watery diarrhea that may be fatal if left untreated.

The likelihood of developing disease increases when large numbers of cysts are present in the environment from fecal contamination. Giardiasis is a common occurrence in environments that are densely populated, such as kennels, pet stores, or animal shelters.

What are the clinical signs of Giardiasis?

These microscopic parasites attach themselves to the intestinal wall and the damage causes an acute (sudden-onset) foul-smelling diarrhea. The stool may range from soft to watery, often has a greenish tinge to it, and occasionally contains blood. Infected dogs tend to have excess mucus in the feces. Vomiting may occur in some cases. The signs may persist for several weeks and gradual weight loss may become apparent.

“The disease is not usually life threatening unless the dogs’ immune system is immature or immunocompromised.”

The diarrhea may be intermittent. Most dogs do not have a fever but may be less active. The disease is not usually life threatening unless the dogs’ immune system is immature or immunocompromised.

How is giardiasis diagnosed?

“…require a special zinc sulfate flotation solution for detection.”

A routine fecal flotation test may fail to detect these tiny cysts, which are shed inconsistently in the feces, and which often require a special zinc sulfate flotation solution for detection. Occasionally, the parasites may be seen on a direct smear of the feces. If your veterinarian suspects giardiasis, a sample of stool may be analyzed for the presence of Giardia specific antigens (cell proteins). Many cases are presumptively diagnosed on the basis of medical history and clinical signs suggestive of giardiasis.

How is giardiasis treated?

The most common drug used to kill Giardia is metronidazole, an antibiotic. It is normally given for five to seven days to treat giardiasis. Another antiparasitic drug, fenbendazole, is suggested as a potentially useful treatment, especially when used in conjunction with metronidazole. This combination is usually administered to cats with refractory diarrhea (diarrhea that hasn’t responded to treatment). Supportive treatment with other drugs may be needed as supplemental therapy if dehydration or severe diarrhea is present. Some dogs may require follow-up tests and treatments based on their condition and severity of infection.

What is the prognosis for Giardiasis?

The prognosis is good in most cases. Debilitated or geriatric animals and those with incompetent immune systems are at increased risk for complications, including death.

Can my dog give a Giardia infection to me or my family?giardia Giardia

Giardia can cause diarrhea in humans and can potentially be passed from dogs to humans. In the past, it was assumed that cats and dogs, along with wildlife, were an important source of infection for humans.

“…contaminated municipal water supplies are responsible for many outbreaks. “

However, human-to-human transmission is also important and contaminated municipal water supplies are responsible for many outbreaks.

If your dog is diagnosed with giardiasis, environmental disinfection and good personal hygiene are important to prevent accidental spread to humans. In particular, people with immunodeficiency, such as AIDS or cancer, or who are undergoing chemotherapy, should use extreme care, especially when handling feces or after administering medications.

For environmental disinfection, you can use chlorine bleach at 1:32 or 1:16 dilutions, or 1-2 cups in a gallon of water (60-120 mls/L). However, be sure that the affected surfaces can be safely treated with bleach. Lysol® and quaternary ammonium compounds (Parvosol®, etc.) are also reported to be effective in killing the cysts. Giardia cysts are susceptible to drying so try to keep your environment as dry as possible. For best results, thoroughly clean the pet’s living and sleeping areas and then allow the areas to dry out for several days before reintroducing pets.

This client information sheet is based on material written by: Ernest Ward, DVM
© Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

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What are “Hot Spots” in Dogs?

 What are Hot Spots in Dogs?play What are Hot Spots in Dogs?

The dog’s skin is the largest organ of the body, yet there is a very restricted number of ways in which it responds to trauma. “Hot Spots” or acute moist dermatitis are locations on the dog’s skin due to your dog’s itching, biting and scratching and may often arise quite suddenly. These places may become very large and may develop just about anywhere on the dog. I see it sometimes in the spring time once the temperatures are warmer as well as the humidity is high. The dogs with the thick undercoat, such as Labs, golden retrievers and rottweilers are susceptible to getting these spots on their face and neck. Typically, spots located at the base of the tail are very likely resulting from fleas simply because fleas choose to congregate in these areas. Quite a few dogs happen to be so hypersensitive to fleas, the bite of one flea is sufficient to induce the dog to itch all over. Almost any injury can begin the process which the dog then exacerbates by continual chewing and licking which in turn results in a vicious cycle and will cause the hot spot to spread.

The dog normally has bacteria that lives on their skin and so long as the skin is healthy, the microorganisms almost never result in any issues. However when something occurs, such as a fleabite, cut or allergies, the dog begins to lick, bite, chew and scratch which in turn disrupts the defensive layer of the skin. As soon as that takes place, the bacteria on the skin, as well as the germs in the mouth, set up housekeeping in the skin. This creates a swiftly spreading infection which may be quite painful. The area on the skin is red, raw and seems moist because the wound oozes serum and pus. The hair then mats down over the wound and the infection then spreads beneath the hair.

A visit to the veterinarian is usually called for. In many cases the fur must be clipped off to stop the spread of the infection. Sometimes, these hot spots are so painful, the dog may need to be sedated in order to have the region cleansed and shaved. Antibiotics are prescribed to take care of the infection and follow-up antibiotics are sent home. Sprays, ointments and medicated shampoos can also be prescribed to continue treatment at home.. For some dogs, a special collar may be used that can help deter the dog from chewing at the places.

The particular underlying reason for the insult should likewise be tackled. If fleas can be found, then year round flea control may be prescribed.(over-the-counter flea control is not recommended) Pollen, food, and other allergens can also precipitate an attack. Sometimes specific diets with essential fatty acids and a novel protein source for example salmon, lamb or venison may be recommended to help heal the skin. Blood and skin tests can be preformed to help discover what the dog is allergic to and special allergy injections or prescription diets is often given.

Check your dog daily for itchy spots and use flea control suggested by your veterinarian year round to help avert hot spots as a result of flea allergies. Daily grooming and brushing can keep mats from developing. If your dog is itching continuously, take him to the veterinarian to handle the itching before the infection can progress.

Cat Bite Wounds

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kittenwithrocks Cat Bite WoundsCats are highly territorial and often fight when they meet outside or, less commonly, within the household. During fights, cats inflict deep bite wounds that inject bacteria from the mouth into the internal tissues. Cat bite wounds frequently become infected and abscessed. An abscess is a pocket of infection that the body has walled off.

Signs of Abscesses
If you know your cat has been in a fight, its a good idea to examine him carefully for signs of injury. Bite wounds may leave only tiny puncture holes on the skin. Veterinary care is always recommended for cat bite wounds. More often, you wont know that your cat has been fighting until an abscess forms. Signs of an abscess include fever, lethargy, loss of appetite, pain and the appearance of a swollen area. Hair may be lost in the area, and the skin may rupture, leaking foul-swelling pus onto the fur. The most common areas for bite wounds and abscesses are the face, legs, and the base of the tail.

Your veterinarian can usually diagnose the abscess based on a physical exam. It may be necessary to shave hair from parts of the body to look for bite wounds.

Abscess Treatment
Cats typically require anesthesia for initial drainage and cleansing of the infected area. All of the pus and dead tissue will be removed. The wound is encouraged to heal without trapping bacteria under the skin again. This usually means that the wound is left open so that the internal tissues heal first, before the skin. Drains may be placed temporarily under the skin. In addition to giving oral medications, it may be necessary for you to administer topical antiseptics or antibiotics directly to the wound area. Hot packing the area with a warm, wet washcloth for 5-10 minutes twice daily is also beneficial. Most cats heal well with proper treatment.catbite Cat Bite Wounds

Even though an untreated abscess usually ruptures and drains on its own, recurrence is extremely common without professional care. Cats with abscesses can also get sick enough to stop eating and become severely dehydrated. Prompt medical attention is a must for all cat bite wounds and abscesses.

Biting is the most common means by which some serious cat diseases are spread. Feline Leukemia Virus (FeLV), Feline Immunodeficiency Virus (FIV), and Rabies can all be spread by bites. If your cat goes outside he should be vaccinated against FeLV and Rabies. Your veterinarian may also advise testing for exposure to FeLV and FIV after a bite.

Preventing Abscesses
The main mechanism for preventing abscesses is keeping cats indoors, where they are less likely to fight. Routinely checking your cat for injuries is also a good idea.

Debra Garrison, DVM

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