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-   -   Sick yorkie w confused Vets (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/287854-sick-yorkie-w-confused-vets.html)

ejmick 05-03-2016 05:34 AM
Sick yorkie w confused Vets
 
1 Attachment(s)
9 mo old Lola (pictured w brother Moose)first started w eye ulcers. while being treated for them she started to stumble, as if her front legs didn't work anymore. top notch animal hosp suspected encephilitis after MRI and spinal tap. has been on prednisone 2x day since. shows improvement the takes a step back. the whites of her eyes are bloody and she seems to have a new scab/cut every day and bruising on her side. tested positive for Rocky Mountain spotted fever and is now on antibiotic in addition to prednisone and eye meds. both family vet and hospital are admittedly scratching their heads because any improvement is slight. she shakes constantly, tips over and cries one day and runs through the park like a gazelle the next (although it's been a week since she last did that). anyone have any experience w something similar?

pstinard 05-03-2016 10:56 AM
Quote:
Originally Posted by ejmick (Post 4633702)
9 mo old Lola (pictured w brother Moose)first started w eye ulcers. while being treated for them she started to stumble, as if her front legs didn't work anymore. top notch animal hosp suspected encephilitis after MRI and spinal tap. has been on prednisone 2x day since. shows improvement the takes a step back. the whites of her eyes are bloody and she seems to have a new scab/cut every day and bruising on her side. tested positive for Rocky Mountain spotted fever and is now on antibiotic in addition to prednisone and eye meds. both family vet and hospital are admittedly scratching their heads because any improvement is slight. she shakes constantly, tips over and cries one day and runs through the park like a gazelle the next (although it's been a week since she last did that). anyone have any experience w something similar?
I don't have any personal experience with Rocky Mountain Spotted Fever, but here is a very good article from PetMD: Rocky Mountain Spotted Fever in Dogs | petMD

The symptoms, especially the eye symptoms and difficulty in walking, sound similar to what is described in this article. Hopefully your vets are on top of this. If you think they are not, you might want to find a specialist.

ladyjane 05-03-2016 11:17 AM
Sounds like you have seen a specialist since there was a MRI and also a spinal done.

I don't have any experience to share .. Hopefully someone else might.

Please keep us posted. I do hope things are getting better ...

Maximo 05-03-2016 02:07 PM
Praying for your baby Lola. When did her problems start and when was she diagnosed?

I have only known one other Yorkie with a different tick borne disease as serious as Rocky Mountain Spotted Fever. It took a month of antibiotics and rest to recover from.

Please keep us updated.

sandy simpson 05-03-2016 02:31 PM
dog
 
Pray over your dog. I believe the Lord hears our cries for help. My Yorkie was ready to pass on. He wasn't eating had kidney problems. I decided to pray and my friend did too. Then I just let him eat the little wellness chicken petite casserole food my Jojo eats. That dog got better, he is still doing well. There is so much power in prayer.

Wylie's Mom 05-04-2016 05:16 AM
I wish I had some info to share -- but I just wanted to wish you well and am hoping for the very best for your precious kiddo.

ejmick 05-04-2016 05:26 AM
she was diagnosed w encephalitis three weeks ago. tested positive for RMSF last Friday but they started her on antibiotics a day before the test results came back. she's got a follow up appt w neurologist and ophthalmologist Friday. just when I thought I saw some improvement yesterday...this morning she was constantly shaking (which is probably the most unnerving part) and staring w eyes wide open. following me w her eyes only not moving her head. for two hours. I woke up to find her that way. I don't know if I can wait until Friday. I'm tempted to take her to another highly rated animal hospital but they'll want to do another MRI, spinal tap, blood work, etc. she's only 4 lbs and I don't know how she'll fare. only positive note is that she has maintained a healthy appetite. but the constant shaking is killing me.

sandy simpson 05-04-2016 05:31 AM
dog
 
I would call and tell them she is shaking constantly. Maybe they can fit her in. Prayers for you and precious lola

pstinard 05-04-2016 06:11 AM
Quote:
Originally Posted by ejmick (Post 4633885)
she was diagnosed w encephalitis three weeks ago. tested positive for RMSF last Friday but they started her on antibiotics a day before the test results came back. she's got a follow up appt w neurologist and ophthalmologist Friday. just when I thought I saw some improvement yesterday...this morning she was constantly shaking (which is probably the most unnerving part) and staring w eyes wide open. following me w her eyes only not moving her head. for two hours. I woke up to find her that way. I don't know if I can wait until Friday. I'm tempted to take her to another highly rated animal hospital but they'll want to do another MRI, spinal tap, blood work, etc. she's only 4 lbs and I don't know how she'll fare. only positive note is that she has maintained a healthy appetite. but the constant shaking is killing me.
Don't wait until Friday. You should be able to get her in on an emergency basis. They shouldn't need to do another MRI or spinal tap. The records can be transferred from one vet to the other. RMSF is very serious and can progress rapidly if it is not properly treated. They may need to change antibiotics, or give extra treatment to alleviate symptoms. Here is an excerpt from a veterninary journal (Rocky Mountain spotted fever. Ronald D. Warner and Wallace W. Marsh. JAVMA, Vol 221, No. 10, November 15, 2002. Vet Med Today: Zoonosis Update):
Treatment of RMSF in Dogs

The antibiotics of choice for treating RMSF in dogs are tetracycline (25 to 30 mg/kg [11.3 to 13.6 mg/lb]), doxycycline (10 to 20 mg/kg [4.5 to 9.1 mg/lb]), or chloramphenicol (15 to 30 mg/kg [6.8 to 13.6 mg/lb]). Of course, adequate supportive care must be provided if the dog has evidence of dehydration, kidney failure, shock, or a hemorrhagic diathesis. In dogs, mortality from RMSF is directly related to incorrect treatment, delayed diagnosis, or both. Appropriate antibiotics promptly reduce the severity of illness only if they are given before tissue necrosis (thrombotic lesions) or coagulation disorders develop. Naturally acquired immunity most likely plays a role in limiting or protecting against clinical illness. Healthy dogs from endemic areas often possess anti-SFG antibodies, possibly a result of prior R rickettsii infection or exposure to nonpathogenic SFG rickettsiae.

pstinard 05-04-2016 06:32 AM
Here's another vet journal article about RMSF that I think is not behind a paywall. It sounds like if the correct antibiotic is used, the symptoms are supposed to start to clear up within a couple of days...

PLOS ONE: Clinical Presentation, Convalescence, and Relapse of Rocky Mountain Spotted Fever in Dogs Experimentally Infected via Tick Bite

Maximo 05-04-2016 07:18 AM
There shouldn't be any need for another MRI or spinal tap. The records should be transferred if you go to another hospital or doctor.

Keeping your little girl and you in my prayers.

ladyjane 05-04-2016 06:47 PM
Praying for your baby girl.....

lillymae 05-04-2016 08:26 PM
Did they take pics (x-rays) of her neck to check for AAI ? It sounds like there may be a problem in the neck as you said she follows you with her eyes & not moving her head. You deff need to mention this symptom to your vet.

gemy 05-05-2016 08:43 AM
Just wanted to say I am thinking about you and your gal and praying that she is better today,

mikajo 05-05-2016 11:29 AM
Sending prayers..I am also going having my girl diagnosed with encephalitis.. They switched her from predasone to dexamethasone and she is doing a lot better.. We are coming up on the 2 week mark in a few days, and that's usually when she would crash on predasone.


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