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Kennel Cough in Dogs – It’s More Than You Think!

Kennel Cough

Almost every dog parent has heard the term kennel cough before. Perhaps their dog went to daycare or was recently boarded. Perhaps their fur baby played with some new dogs at the dog park or visited a grooming facility. Then, their dog started to cough about a week later. So, they brought the pet to their family veterinarian where the dog was diagnosed with kennel cough. But what is kennel cough? Well, this week I answer this question because this disease is actually quite complex. So, let’s dive right into this topic. Happy reading!

Kennel Cough – What is it?

Kennel cough is the lay term given to a syndrome called canine infectious respiratory disease complex or CIRDC. Multiple pathogens – both bacterial and viruses – have been implicated in this disease that causes acute upper respiratory clinical signs. Viral components of CIRDC are:

  • Canine distemper virus (CDV)
  • Canine parainfluenza virus (CPIV)
  • Canine adenovirus type 2 (CAV-2)
  • Canine influenza (CIV)
  • Canine herpesvirus (CHV)
  • Canine respiratory corona virus (CRCoV)
  • Pantropic canine corona virus
  • Canine reovirus
  • Canine pneumovirus (CnPnV)

Bacteria that have been implicated in CIRDC are Bordatella bronchisepticaMycoplasma spp., and Streptococcus equi subsp. zooepidemicus. The pathogen(s) involved vary based on geographic area. Interestingly, clinically healthy dogs may harbor these infective pathogens.

Kennel Cough – What does it look like?

There is no breed, sex, or age predilection for CIRDC. Dogs exposed to other dogs in boarding kennels, daycares, grooming facilities, dog shows, or dog park settings – especially those that are under-vaccinated or unvaccinated – are over-represented for developing clinical signs. Those receiving therapies to modulate their immune system are also predisposed to developing this complex.

Disease transmission most commonly occurs when a dog is exposed to aerosolized respiratory secretions or via direct contact with another infected dogs. Infection may also occur after exposure to contaminated objects (called fomites). The incubation period is 2-10 days, varying with each pathogen.

Kennel Cough

Dog parks often an environment that allows for the transmission of pathogens implicated in canine infectious respiratory disease complex (CIRDC).

Infected dogs typically have clinical signs referable to the upper respiratory, including:

  • Sneezing
  • Coughing
  • Ocular discharge
  • Nasal discharge
  • Tracheal sensitivity
  • Elevated respiratory rate
  • Difficulty breathing
  • Lethargy
  • Reduced (or loss of) appetite

Kennel Cough – How is it diagnosed?

A veterinarian will typically make a presumptive diagnosis of CIRDC based on a patient’s history and clinical signs. In the vast majority of patients, testing to identify the specific infective organism(s) is typically not needed. Thankfully, clinical signs are often mild and self-limiting. For those patients who don’t respond to empirical therapy or who develop severe clinical signs, diagnostic testing is recommended, and may include:

  • Blood & urine testing to evaluate major organ function
  • Chest radiography (x-rays) to look for evidence of pneumonia
  • Airway polymerase chain reaction (PCR) testing to look for evidence of viruses and bacteria
  • Tracheobronchoscopy & bronchoalveolar lavage to look inside the airway for infectious organisms and abnormal cells

Kennel Cough – How is it treated?

For patients with mild clinical signs, no specific therapy is indicated as the disease is self-limiting and resolves within 10-14 days. Furthermore, since the complex may be caused by a variety of viruses, antibiotic therapy could be ineffective in these situations. An antibiotic – typically doxycycline – is recommended within 10 days of the onset of clinical signs for patients who are lethargic, have reduced appetites, and/or develop fevers.

Anti-cough medications (called antitussives) may be used to reduce both the frequency and severity of a patient’s cough. Possible antitussives include hydrocodone, diphenoxylate/atropine sulfate, butorphanol, and codeine. Please know anti-cough medications are not recommended for patients with bacterial infections, especially bacterial pneumonia.

Some patients initially need temporary supplemental oxygen support, and many benefit from bronchodilators. Saline nebulization therapy may help those patients with a large volume of respiratory secretion. With appropriate interventions, the prognosis for CIRDC is very good.

Kennel Cough

The take-away message about kennel cough in dogs…

Canine infectious respiratory disease complex (CIRDC) – more commonly referred to as kennel cough – is a relatively common upper airway infection in dogs. With accurate diagnosis and appropriate therapies, most patients recover without incident.

Wishing you wet-nosed kisses,

CriticalCareDVM

Critical care DVM

Pet Talk: Why is my dog coughing?

Pet Talk: Why is my dog coughing?

Why is my dog coughing?

In my many years of practicing veterinary medicine here in the Vail Valley, I have seen innumerable coughing dogs, at all seasons of the year from many different causes, and some more life threatening than others.

As a pet owner, when should you get concerned when your pet is exhibiting a cough? What signs would you look for and what could this cough represent?

It’s normal for your pets to sniff and get their noses where perhaps they can be exposed to bacteria, viruses or even foreign material such as grass.

But why is your pet coughing now?

There are innumerable reasons for a cough in dogs, but these are the most common.

KENNEL COUGH

Kennel cough is a very common reason for the active pet who visits the dog park frequently or is often groomed or boarded in doggy day care where chances of exposure increases. Owners often confuse kennel cough with something caught in a pet’s throat, as the pet will try to cough up something with no success. Because this is highly contagious, your pet should be seen by your veterinarian and depending on the severity, may be treated with cough suppressants and potentially antibiotics for any secondary infections.

LUNG PROBLEMS

Lung problems or pneumonia can also cause a cough. Pets, just like people, can get respiratory disease, which is primarily infectious based. If your pet has an infectious lung disease, the cough will often be “productive,” meaning you will see discharge coming out both the nose and the mouth.

ALLERGIES

Allergic respiratory disease can also be present in a pet. Pets can have allergies resulting in an asthma-like condition, especially during times of the high allergy season, or after exposure to wildfires, dust and changes in environment. Allergic respiratory disease can be treated with both oral and inhalant medications and managed over time. The cough is often a dry, hacking, cough.

HEART DISEASE

Heart disease in pets can also be represented as a cough because as the heart begins to fail and fluid builds up in the lungs, making it uncomfortable for your pet to breathe. This is common in your older pets, but can be seen in younger pets with congenital heart disease. Often your pet will have a fluid sound when breathing, and the tongue color can become blue as your pet is less oxygenated.

INFECTIONS

Fungal infections can result in coughing as they can be picked up in the dirt or in the air in various parts of the country, and present themselves later when the owner has returned home.

HEARTWORM

Heartworm disease is often forgotten when we evaluate pets for a cough, but certainly has become more prevalent in our state in recent years in all ages of pets. Parasites, in addition to heartworm, can travel to the lungs and cause coughing and lead to life-threatening lung disease.

If your pet is coughing, think of the many reasons listed that could be the cause, but certainly see your veterinarian as quickly as possible. Chest x-rays, in addition to base line blood work will likely be performed to ascertain the cause and develop a treatment plan!

This article was written by Sheila Fitzpatrick DVM, owner of the Mountain Animal Hospital Center & Mobile Veterinarian.

Source: Vail Daily

 

 

The Shots Your Pets Need

Image: Pixabay

Making sure that your pet is kept up to date on vaccines is part of being a responsible pet owner. However, recommendations can differ between clinics and even between pets, and vaccine schedules can be confusing. Many owners also have concerns about overvaccination, and no one wants to cause their pet more harm than good. That said, it is important to understand which diseases you need to protect your pet against and why. In all cases, it’s best to work with your veterinarian to weigh the risks and benefits.

What Are Vaccines?
The purpose of a vaccine is to protect your pet against acquiring a specific disease. Vaccines contain antigens, which are essentially small segments of a disease-causing organism that, when given to your pet, stimulate his or her immune system to produce protective antibodies against the disease. Most vaccines generate only a mild response from the immune system. However, it is possible for some pets to have more severe reactions. Your vet can advise you of these reactions and what type of symptoms to watch for.

What types of vaccines are there?
Vaccines are generally broken down into two categories: core vaccines and non-core vaccines. Core vaccines protect against diseases known to cause significant illness in dogs and cats, those that are highly contagious and those that may be transmitted to humans. These vaccines are generally recommended for every healthy pet. Non-core vaccines are usually reserved for pets who are at higher risk for acquiring a specific disease. The vaccines that your pet requires to stay healthy will depend on age, health and lifestyle. Your veterinarian can help you determine which vaccines are appropriate for your pet. (Get details about vaccines for dogs and vaccines for cats.)
 
Why does my puppy or kitten require a series of vaccines?
When puppies and kittens are born, they acquire protective antibodies from their mothers through nursing. Before or around 16 weeks of age, these antibodies fade and no longer offer immunity. Without testing, it is impossible to know the level of antibody protection each pet has at any given time (some stray puppies and kittens, for example, might not have had the opportunity to nurse). The purpose of the vaccine series is to provide immunization during a time when your pet might not be protected. Adhering closely to this schedule is extremely important for proper immunity. If you miss a vaccine appointment during this series, your veterinarian might recommend additional boosters to ensure that your pet is adequately protected.
 
What if I don’t know my pet’s vaccine history?
If your pet is an adult with an unknown vaccination history, such as a newly adopted dog or cat, he or she should essentially be treated as an unvaccinated pet. One rabies vaccination and two sets of each core vaccine generally will be recommended.

Why do vaccine schedules differ among clinics?
Depending on the veterinary clinic, certain vaccines might be recommended annually or every three years. While research exists to show that some core vaccines offer protection past their one-year booster, some veterinary practices still adhere to an annual vaccination schedule. Thus, it is not uncommon to find variation among clinics. It is best to keep your pet on a consistent schedule and defer to your veterinarian’s recommendations.

Regardless of vaccine schedule, every pet should have a yearly wellness exam. Our pets age faster than we do, and regular veterinary check-ups are crucial for keeping optimum health and early detection of disease.

Should I be worried about vaccine reactions?
For commonly recommended vaccines, the risk of disease far outweighs the risk of any vaccine-associated complications. Most pets do not show signs of illness after a vaccine. Mild lethargy or itching in the area where the vaccine was given is common. In some cases, pets might have allergic reactions following vaccination. For this reason, it is best that owners schedule appointments when they are able to monitor their pet for 24 hours after vaccines are given.

Signs of a vaccine reaction can include vomiting, swelling of the face, difficulty breathing, lethargy or collapse. If your pet ever develops any of these signs following vaccination, seek immediate veterinary care. Generally, these types of reactions can be managed easily by your veterinarian. Pets that are known to have reactions can receive treatment before future vaccinations to minimize these responses.

When should my pet not receive vaccines?
There might be certain situations or medical conditions in which it is not safe for your pet to be vaccinated. If your pet is ever very ill, it is probably best to wait until he or she is healthy before receiving vaccines. The goal of any vaccination protocol is always to offer your pet the best protection for his or her health while minimizing the risk. Every case is unique, and vaccine requirements may vary over the course of your pet’s life as travel and other variables change. Always check with your veterinarian and defer to his or her recommendations.

Core Vaccines for Dogs

Canine Distemper and Adenovirus Vaccine
Distemper is an extremely contagious viral illness that can cause symptoms ranging from coughing and sneezing to vomiting and diarrhea, and even seizures. Infection with adenovirus leads to a condition called hepatitis (an inflammatory condition of the liver). Both of these viruses can cause significant illness in dogs, requiring lengthy treatment and supportive care. In many cases, infection can be fatal.

Puppies should be vaccinated for distemper and adenovirus every 3-4 weeks, beginning at 6-8 weeks of age, until they are at least 16 weeks of age. Adults should then be vaccinated at 12 months of age and every 1-3 years thereafter.

Canine Parvovirus Vaccine
Canine parvovirus, commonly known as parvo, is a highly contagious virus that destroys the lining of the small intestine. Symptoms include vomiting, diarrhea and lethargy. Parvo is an extremely serious condition. Dogs who become infected can require days of hospitalization receiving fluids and additional supportive care. Complications from parvo can include extreme dehydration and secondary bacterial infections which can be fatal. The virus is spread through the feces of infected dogs. Young, unvaccinated puppies are especially susceptible, although unvaccinated adult dogs can easily acquire the disease, too.

For best protection, puppies should be vaccinated against parvovirus every 3-4 weeks, starting at 6-8 weeks old until they reach at least 16 weeks of age. Dogs are then vaccinated at 12 months of age and every 1-3 years after that.

Canine Rabies Virus Vaccine
Rabies virus is the causative agent of a grave disease affecting the nervous system. Infection with rabies is universally fatal, meaning that animals who become infected will eventually die from the disease. Due to tightly regulated vaccination practices, the occurrence of rabies in domesticated dogs in the United States is rare. However, wild animals can serve as a reservoir for infection, so it is especially important that every pet be protected.

Rabies is most commonly spread by the bite of an infected animal. Rabies can be transmitted to humans; therefore vaccination for dogs is required by law. Every state has its own laws regarding rabies vaccination and licensure, so be sure to check the specific requirements in your area.

Puppies should receive a single rabies vaccine, generally around 12-16 weeks of age, which will be repeated at one year of age and then every 1-3 years after that.

Non-Core Vaccines for Dogs

Bordetella and Parainfluenza Vaccine

Bordetella bronchiceptica and parainfluenza are the bacterial and viral agents respectively involved in causing the upper respiratory disease in dogs commonly known as kennel cough. Although kennel cough is a highly contagious disease among dogs, symptoms are generally mild. Dogs most notably develop a rather dramatic-sounding hacking cough, often accompanied by sneezing and watery eyes. Some dogs might show more severe symptoms such as lethargy or a reluctance to eat or drink, and in some cases, secondary pneumonia is possible.

Like the common cold in people, kennel cough can be spread through the air and by coming into close contact with infected dogs. Dogs who take frequent trips to the dog park, grooming salons or doggy day care are more susceptible to acquiring kennel cough and should be vaccinated.

The recommended schedule for vaccination against kennel cough will depend on the type of product used, so check with your veterinarian. Please note that while the bordetella vaccine is generally considered by most veterinarians to be protective for one year, some kenneling and boarding facilities require it to be updated every six months.

Leptospirosis Vaccine
Leptospirosis is an infection caused by a microscopic organism known as a spirochete (a type of bacteria) that can cause liver and kidney disease in dogs and humans. While once thought to be primarily a rural disease, Leptospirosis is being diagnosed increasingly in dogs in urban and suburban areas.

Dogs generally acquire the disease by drinking or wading through contaminated water or by being exposed to infected wildlife (such as rodents, skunks and raccoons). Because the infection can be transmitted to humans, extreme care should be taken around any dog thought to have Leptospirosis. Several strains of Leptospirosis exist, so vaccination is not considered to be completely protective.

Talk to your veterinarian to see if your pet should be vaccinated for Leptospirosis.

Lyme Disease Vaccine
Lyme disease (also commonly known as tick fever) is an infectious disease of the blood that is transmitted by ticks. Lyme disease can affect both dogs and humans, although infected dogs cannot directly transmit the disease to people. Symptoms in dogs can include lameness, fever, depression and anorexia. Dogs who live near heavily wooded areas are more susceptible, however, any dog who comes into contact with an infected tick can acquire the disease.

Routine tick control is an important aspect of prevention against Lyme disease. Talk to your veterinarian to see if your pet should have additional vaccine protection.

Miscellaneous Vaccines for Dogs
Other, less common vaccines such as Giardia, canine influenza and the rattlesnake vaccine may be beneficial to some dogs in specific situations. As always, defer to your veterinarian for the best recommendations for vaccines for your pet.

Core Vaccines for Cats

Feline Viral Rhinotracheitis, Calicivirus and Panleukopenia Vaccine

Feline viral rhinotracheitis and calicivirus cause upper respiratory disease symptoms in cats such as fever, runny eyes and sneezing. Symptoms are generally mild, although kittens can develop corneal or oral ulcers and pneumonia. These viruses are spread through close contact with infected cats. Transmission can also be airborne, and spread, for example, through the droplets of a sneeze.

Feline panleukopenia is a highly contagious virus that causes a severe infection of the bone marrow and intestinal tract of cats, leading to fever, vomiting, diarrhea, dehydration and a dangerously low white blood cell count. The virus is spread through the feces as well as oral and nasal secretions of infected cats. Young kittens, especially strays who haven’t had an opportunity to be vaccinated, are particularly susceptible.

Kittens will generally receive a combination rhinotracheitis, calicivirus and panleukopenia vaccine beginning at 6 weeks old and then every 3-4 weeks until 16 weeks of age. After that, boosters are given every 1-3 years.

Feline Rabies Virus Vaccine
Rabies can affect cats just as it does dogs. Because wildlife can serve as a reservoir for infection, outdoor cats are particularly susceptible. Although indoor cats are at considerably lower risk for acquiring rabies, some states regulate feline rabies vaccine administration, so check with your veterinarian for recommendations.

A single dose of the rabies vaccine should be given to kittens at 12-16 weeks of age, at 12 months and then every 1-3 years thereafter.

Non-Core Vaccines for Cats

Feline Leukemia Virus Vaccine

Leukemia is a contagious viral disease of cats that can result in immune system suppression, blood abnormalities, and even cancer in some cases. Infected kittens will show signs of fever, lethargy and loss of appetite. Adult cats can carry the virus in their system for years and can be prone to chronic infections and illness resulting from a suppressed immune system.

Feline leukemia virus is highly contagious and can be spread by infected to non-infected cats through grooming, sharing food and water dishes or simply being in close contact. Every cat should be tested for feline leukemia virus before introducing new cats into a multiple-cat household. Outdoor cats are considered at high risk for infection and should be protected.

All kittens receive two sets of leukemia vaccine 2-3 weeks apart. After the kitten series, if a cat is to remain indoors and not exposed to other cats of an unknown health status, further leukemia vaccination is not necessary or recommended. Outdoor cats should be vaccinated annually.

Miscellaneous Vaccines for Cats
In special circumstances, vaccination against diseases such as FIV (feline immunodeficiency virus) or other conditions may be beneficial. Check with your veterinarian for his or her recommendations.
 
Source: Spark People