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Rocky Mountain Spotted Fever
By: Glenn Robinson
Case Example
• “Three”
– 3 year old, spayed female, canine, Goldendoodle
• History:
– Presented for diarrhea and anorexia for one week
– Depressed
– Has been known to eat things she should not eat
“Three”
• Physical Exam:
– Depressed in nature, some pain on abdominal palpation, bright gums with rapid capillary refill time
– Concerned about possibly eating something
– Fever (over 106.1 degrees)
• Diagnostics:
– Blood work (CBC, Panel, cPL, 4Dx, and Rocky Mountain Spotted Fever titers)
• CBC/Panel- Low platelets, low white blood cells, mild anemia, elevated ALP enzyme
• Rocky Mountain Spotted Fever- takes a few days for results
– Radiographs:
• No signs of foreign materials in gastrointestinal system
– Ultrasound:
• Nothing unusual seen
– Urine test:
• Checking for Leptospirosis
“Three”
• Treatment:
– Started on intravenous fluids (fluid therapy)
– Anti-vomiting medication
– Started antibiotics
• Summary:
– No foreign material in gastrointestinal tract
– inconclusive information from initial blood work
– Had to develop a plan to rule out causes of fever
“Three”
• Urine test results:
–Showed recent vaccination for Lepto
• Rocky Mountain Spotted Fever
(RMSF) Titers results:
–Positive for RMSF!
What is Rocky Mountain Spotted
Fever?
• RMSF is a condition caused by a
bacterial infection
• The bacteria is an intracellular
bacteria called Rickettsia rickettsii
• This bacteria is transmitted via
infected tick bites
• It can be found in dogs, cats,
humans, and other vertebrates
Symptoms
• Fever
• Anorexia
• Depression
• Coughing
• Muscle pain
• Neurological symptoms
• Nose bleeds
• Blood in the stool or urine
Typical Diagnostics
• History:
– Seasonal with tick population
– Tick exposure
• Physical Exam
• Blood work
• Confirm with direct immunofluorescent testing
• RMSF Titers
Treatment
• Antibiotics
–Tetracycline
–Doxycline
• Fluid Therapy
Conclusion
• Three’s symptoms were similar to many disease processes
– Many tests had to be performed to rule out other causes of the
symptoms
• Even though Three had limited exposure to ticks, it is important to
test for RMSF when the symptoms are presented
• Three responded well to the antibiotics, and had a full recovery
• It is important to remember that RMSF is a zoonotic disease and
precautions should be taken to protect yourself and your pet from
ticks

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Rocky mountain spotted fever

  • 1. Rocky Mountain Spotted Fever By: Glenn Robinson
  • 2. Case Example • “Three” – 3 year old, spayed female, canine, Goldendoodle • History: – Presented for diarrhea and anorexia for one week – Depressed – Has been known to eat things she should not eat
  • 3. “Three” • Physical Exam: – Depressed in nature, some pain on abdominal palpation, bright gums with rapid capillary refill time – Concerned about possibly eating something – Fever (over 106.1 degrees) • Diagnostics: – Blood work (CBC, Panel, cPL, 4Dx, and Rocky Mountain Spotted Fever titers) • CBC/Panel- Low platelets, low white blood cells, mild anemia, elevated ALP enzyme • Rocky Mountain Spotted Fever- takes a few days for results – Radiographs: • No signs of foreign materials in gastrointestinal system – Ultrasound: • Nothing unusual seen – Urine test: • Checking for Leptospirosis
  • 4. “Three” • Treatment: – Started on intravenous fluids (fluid therapy) – Anti-vomiting medication – Started antibiotics • Summary: – No foreign material in gastrointestinal tract – inconclusive information from initial blood work – Had to develop a plan to rule out causes of fever
  • 5. “Three” • Urine test results: –Showed recent vaccination for Lepto • Rocky Mountain Spotted Fever (RMSF) Titers results: –Positive for RMSF!
  • 6. What is Rocky Mountain Spotted Fever? • RMSF is a condition caused by a bacterial infection • The bacteria is an intracellular bacteria called Rickettsia rickettsii • This bacteria is transmitted via infected tick bites • It can be found in dogs, cats, humans, and other vertebrates
  • 7. Symptoms • Fever • Anorexia • Depression • Coughing • Muscle pain • Neurological symptoms • Nose bleeds • Blood in the stool or urine
  • 8. Typical Diagnostics • History: – Seasonal with tick population – Tick exposure • Physical Exam • Blood work • Confirm with direct immunofluorescent testing • RMSF Titers
  • 10. Conclusion • Three’s symptoms were similar to many disease processes – Many tests had to be performed to rule out other causes of the symptoms • Even though Three had limited exposure to ticks, it is important to test for RMSF when the symptoms are presented • Three responded well to the antibiotics, and had a full recovery • It is important to remember that RMSF is a zoonotic disease and precautions should be taken to protect yourself and your pet from ticks