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<h1 class="Hdr1">

Case Report


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Journal of Animal Health and Production 1 (4):38


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<h2 class="Hdr2">

Ehrlichiosis in a German shepherd; a Case Report

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<p class="p3">

<strong>Muhammad Iqbal Yatoo</strong><span><sup>*</sup></span>, 

<strong>Pankaj Kumar</strong><span><sup>*</sup></span>,
<strong>Umesh Dimri </strong><span><sup>*</sup></span>

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<div class="p4">
Division of Medicine Indian Veterinary Research Institute, Izzatnagr Barielly UP 243122 India 

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  <p><span class="Author">*Corresponding author:iqbalyatoo@gmail.com</span></p>

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<span><b>ARTICLE CITATION:</b></span>


 Yatoo MI, Kumar P and Dimri U (2013). Ehrlichiosis in a german shepherd; a case report. Res. j. vet. pract. 1 (4): 38. 


<br>
<span><b>Received: </b></span>2013–10–04, <span><b>Revised: </b></span>2013–11–02, <span><b>Accepted: </b></span>2013–11–04<br>

The electronic version of this article is the complete one and can be found online at 

(<a href="http://www.nexusacademicpublishers.com/journal/11">http://www.nexusacademicpublishers.com/journal/11</a>)
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited </p>
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     <h3 class="Hdr3">Abstract</h3>

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A 2 year old German Shepherd dog suffering from Ehrlichiosis was presented at Referral Veterinary Poly clinic at Indian Veterinary Research Institute. It was diagnosed with Ehrlichiosis on clinical and laboratory examination. Treatment was started with doxycycline, paracetamol, metaclopromide and revici. Animal showed good improvement in two weeks.   
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Ehrlichiosis is characterized by fever, hemorrhages, bleeding; petechial hemorrhages sub cutaneously, anaemia, vomiting and diarrhoea (<a href="http://nexusacademicpublishers.com/table_contents_detail/11/127/html/#Greene1998" target="_self">Greene, 1998</a>). It is caused by a rickettsia, Ehrlichia canis (E. canis), which is a small pleomorphic gram–negative coccoid bacteria that parasitizes circulating monocytes intracytoplasmically in clusters of organisms called morulae. Ehrlichia canis is transmitted by the brown dog–tick Rhipicephalus sanguineus and rarely by other ixodid ticks (<a href="http://nexusacademicpublishers.com/table_contents_detail/11/127/html/#Breitschwerdt2000" target="_self">Breitschwerdt, 2000</a>).
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A 2 year old German shepherd dog was presented at Referral Veterinary Poly clinic at Indian Veterinary Research Institute with the complaint of anorexia, weakness and depression. Animal was having vomiting and diarrhoea a few days ago. On clinical examination heart rate was 62/minute; respiration rate 32/minute and rectal temperature 104.2 <sup>o</sup>F.  Mucous membrane was pale and anaemic. Animal was dehydrated. Ticks were noticed on animal. Blood smear was prepared by taking blood from ear vein. On blood smear examination, Ehrlichia were detected on Giemsa staining from typical parasitological, morphological and staining characteristics. Small, cocco–bacillary shaped, intracellular Ehrlichia were noticed within circulating monocytes. Hematology revealed low monocyte percentage (1.8%), low total erythrocyte count (TEC) (4.45 mcm) and hemoglobin concentration (Hb %), (8.4%).
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Doxycycline (Doxy® tablet) at a dose of 10mg/kg once daily was prescribed for a period of three weeks to control infection. Paracetamol (paracetamol® tablet) at a dose rate of 10mg/kg was given to prevent fever. Owner was advised to give metaclopromide (perinorm®) injection at a dose of 0.2 mg/kg or 1ml of injection in case of vomiting intravenously. Revici® 2ml intravenously to check haemmorhages. Normal saline 500 ml were given intravenously. Owner reported on 5th day after treatment and improvement in condition was notice. Animal was taking food and water normally. On re examination of blood smear no parasites were found. But still doxycycline was continued and other medicines were stopped.
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Ehrlichiosis is important disease affecting dogs (<a href="http://nexusacademicpublishers.com/table_contents_detail/11/127/html/#Ettinger2000" target="_self">Ettinger and Feldman, 2000</a>). It affects monocytes and granulocytes causing immune system impairment. It also results in anaemia due to blood loss (<a href="http://nexusacademicpublishers.com/table_contents_detail/11/127/html/#Greene1998" target="_self">Greene, 1998</a>). Diagnosis usually depends on history, clinical signs and laboratory tests. These include blood smear examination, differential leukocyte count (DLC), total erythrocyte count (TEC) and hemoglobin concentration (Hb%). As it is transmitted from affected dog to normal dogs via ticks hence proper guidance to owners is essential for control of Ehrlichiosis.
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<h3 class="Hdr3">REFERENCES</h3>


<p class="p2"> <a name="Breitschwerdt2000"></a>
Breitschwerdt EB (2000). The Rickettsioses; in Ettinger SJ, Feldman EC (eds): Textbook of Veterinary Internal Medicine. Diseases of the Dog and Cat. Philadelphia, WB Saunders Co, pp. 400–408. – Saunders – Amazon.
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<p class="p2"> <a name="Ettinger2000"></a>
Ettinger SJ and Feldman EC (2000). Textbook of Veterinary Internal Medicine. Diseases of the Dog and Cat. Philadelphia, WB Saunders Co, pp. 400–408. – Saunders – Amazon.
</p>


<p class="p2"> <a name="Greene1998"></a>
Greene CE (1998). Infectious diseases of the dog and cat. Philadelphia, WB Saunders Co, pp 139–154. – Saunders – Amazon.
</p>


<p class="p2"> <a name="Waner2000"></a>
Waner T and Harrus S (2000). Recent Advances in Canine Infectious Diseases, L.E. Carmichael (Ed.) Publisher: International Veterinary Information Service.<br>
PMCid:PMC2640868
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