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Only every fifth dog had known tick exposure
This is one of the interesting results of this large retrospective study about infections with Rickettsia rickettsii, known as Rocky Mountain Spotted Fever. Also the very pleomorph clinical signs are described. Good news: the survival rate in this study was 100 percent!

Rocky Mountain spotted fever (RMSF) was diagnosed in 30 dogs examined at North Carolina State University, Veterinary Teaching Hospital between 1984 and 1997.

Historical, physical examination, and laboratory abnormalities were reviewed.

Diagnostic criteria included a four-fold rise in antibody titer to Rickettsia rickettsii (R. rickettsii) (n=15) or a single R. rickettsii antibody titer of 1:1,024 or greater (n=15; when this initial titer was determined one week or more after the onset of clinical signs).

Fifteen (50%) dogs were greater than seven years of age, and 13 (43%) dogs were between two and seven years of age.

There was no sex predilection.

Only five (17%) dogs had a history of known tick exposure.

Presumably due to delayed diagnosis, dogs with antibody titers of 1:1,024 or greater at the time of presentation had a higher incidence of more severe neurological dysfunction (e.g., ataxia, hyperesthesia, vestibular disease, and seizures) and cutaneous lesions (e.g., hyperemia, edema, petechiae, ecchymoses, and necrosis).

Laboratory findings included anemia, leukocytosis accompanied by toxic granulation of neutrophils, hypoalbuminemia, and coagulation abnormalities; signs were generally more severe in the 15 dogs with R. rickettsii antibody titers of 1:1,024 or greater at the time of presentation.

Twelve (40%) dogs in this study were severely thrombocytopenic (less than 75 x10(3) platelets/microl; reference range, 200 to 450 x 10(3)/microl), without clinical evidence of fulminant disseminated intravascular coagulation.

In this study, the survival rate following R. rickettsii infection was 100%.


Source: AM Gasser, AJ Birkenheuer, and EB Breitschwerdt (2001): Canine Rocky Mountain Spotted fever: a retrospective study of 30 cases. In: Journal of the American Animal Hospital Association, Vol 37, Issue 1, 41-48


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SMALL ANIMAL PRACTICE

Microbiota of traumatic, open fracture wounds and the mechanism of injury
Open fractures are characterized by disruption of the skin and soft tissue, which allows for microbial contamination and colonization. Preventing infection‐related complications of open fractures and other acute wounds remains an evolving challenge due to an incomplete understanding of how microbial colonization and contamination influence healing and outcomes. Culture‐independent molecular methods are now widely used to study human‐associated microbial communities without introducing culture biases. This recently online published study describes the fascinating association between the mechanism of injury and the microbiota of the wounds.

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