Francisella tularensis infection in dogs: 88 cases (2014–2016)

Natalie A. Kwit 1New Mexico Department of Health, 1190 S St Francis Dr, Santa Fe, NM 87505.

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Nicole A. Middaugh 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Elizabeth S. VinHatton 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Sandra D. Melman 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Lisa Onischuk 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Adam S. Aragon 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Christina A. Nelson 1New Mexico Department of Health, 1190 S St Francis Dr, Santa Fe, NM 87505.

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Paul S. Mead 1New Mexico Department of Health, 1190 S St Francis Dr, Santa Fe, NM 87505.

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Paul J. Ettestad 2CDC, 3156 Rampart Rd, Fort Collins, CO 80521.

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Abstract

OBJECTIVE

To characterize the epidemiology, clinical signs, and treatment of dogs with Francisella tularensis infection in New Mexico.

ANIMALS

87 dogs in which 88 cases of tularemia (1 dog had 2 distinct cases) were confirmed by the New Mexico Department of Health Scientific Laboratory Division from 2014 through 2016 and for which medical records were available.

PROCEDURES

Dogs were confirmed to have tularemia if they had a 4-fold or greater increase in anti–F tularensis antibody titer between acute and convalescent serum samples or F tularensis had been isolated from a clinical or necropsy specimen. Epidemiological, clinical, and treatment information were collected from the dogs' medical records and summarized.

RESULTS

All 88 cases of tularemia were confirmed by paired serologic titers; the first (acute) serologic test result was negative for 84 (95%) cases. The most common reported exposure to F tularensis was wild rodent or rabbit contact (53/88 [60%]). Dogs had a median number of 3 clinical signs at initial evaluation; lethargy (81/88 [92%]), pyrexia (80/88 [91%]), anorexia (67/88 [76%]), and lymphadenopathy (18/88 [20%]) were most common. For 32 (36%) cases, the dog was hospitalized; all hospitalized dogs survived.

CONCLUSIONS AND CLINICAL RELEVANCE

Dogs with F tularensis infection often had nonspecific clinical signs and developed moderate to severe illness, sometimes requiring hospitalization. Veterinarians examining dogs from tularemia-enzootic areas should be aware of the epidemiology and clinical signs of tularemia, inquire about potential exposures, and discuss prevention methods with owners, including reducing exposure to reservoir hosts and promptly seeking care for ill animals.

Abstract

OBJECTIVE

To characterize the epidemiology, clinical signs, and treatment of dogs with Francisella tularensis infection in New Mexico.

ANIMALS

87 dogs in which 88 cases of tularemia (1 dog had 2 distinct cases) were confirmed by the New Mexico Department of Health Scientific Laboratory Division from 2014 through 2016 and for which medical records were available.

PROCEDURES

Dogs were confirmed to have tularemia if they had a 4-fold or greater increase in anti–F tularensis antibody titer between acute and convalescent serum samples or F tularensis had been isolated from a clinical or necropsy specimen. Epidemiological, clinical, and treatment information were collected from the dogs' medical records and summarized.

RESULTS

All 88 cases of tularemia were confirmed by paired serologic titers; the first (acute) serologic test result was negative for 84 (95%) cases. The most common reported exposure to F tularensis was wild rodent or rabbit contact (53/88 [60%]). Dogs had a median number of 3 clinical signs at initial evaluation; lethargy (81/88 [92%]), pyrexia (80/88 [91%]), anorexia (67/88 [76%]), and lymphadenopathy (18/88 [20%]) were most common. For 32 (36%) cases, the dog was hospitalized; all hospitalized dogs survived.

CONCLUSIONS AND CLINICAL RELEVANCE

Dogs with F tularensis infection often had nonspecific clinical signs and developed moderate to severe illness, sometimes requiring hospitalization. Veterinarians examining dogs from tularemia-enzootic areas should be aware of the epidemiology and clinical signs of tularemia, inquire about potential exposures, and discuss prevention methods with owners, including reducing exposure to reservoir hosts and promptly seeking care for ill animals.

Contributor Notes

Dr. Kwit's present address is Vermont Department of Health, 108 Cherry St, Burlington, VT 05402.

Address correspondence to Dr. Kwit (natalie.kwit@vermont.gov).
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