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Anaplasma phagocytophilum positive....

Discussion in 'Diseases & Illnesses' started by VallejoSheltie, Apr 30, 2014.

  1. VallejoSheltie

    VallejoSheltie Forums Enthusiast

    Oct 12, 2011
    OK, so just had Boots in for his annual.
    Happened to ask if there was anything more inclusive test wise than the standard heartworm test. Probably because the night before we'd pulled the rare dog-tick off of him.

    Apparently there is a 4-in-1 PCR test Accuplex 4 (code AC100).

    So, paid the extra and just got the results.
    Anaplasma phagocytophilum positive....

    Boots seems asymptomatic, can't remember any times when we saw possible symptoms.

    Now our vet is suggesting either treat with Doxycycline, or sending out a blood sample to probably check white blood cells for deformation ?

    He indicates there is controversy on whether to treat an asymptomatic case or not, and suggested I do some personal research on it before talking with him.

    From my research today, I gather its a 30 day treatment period, and am inclined to treat as doxycycline reactions seem mild if any.

    Anyone have any reasons to not do so?

    Not sure if they will price match Dr. Fosters $25 100mg/100 count. Also, felt a little bad about price matching as I know vets have to make their money somewhere.

    However found the following diagnostics pricing from Antech with Vets cost, and now not feeling so bad.
    My cost $109, vet's cost ~$12.00.
    And thats for a PCR test, not a simple SNAP, wow.

  2. Ann

    Ann Moderator

    Feb 25, 2008
    Western Connecticut
    Vet prices on doxy have gone through the roof since last year's shortage. I'd certainly ask for a script so you can get the Foster/Smith price...that's a really good price!

    My Barkley has been treated with doxy many times for Lyme, sometimes for the 30-day period and sometimes longer. We've never had any problems with it, although I do supplement with milk thistle any time my dogs take an antibiotic. It helps protect the liver and kidneys. It's an OTC herbal that you can find online or in drugstores for humans, although I prefer it compounded for dogs.
  3. ClantyreSheltie

    ClantyreSheltie Forums Sage

    Feb 24, 2010
    Was this just the regular snap test?

    I was talking to a retired vet friend of mine over the weekend about those. She says they are "instant gratification", but not overly useful for diagnosing any of the diseases, especially the tick-born ones. She prefers the blood tests that give actual data.

    My protocol has been this: In the absence of symptoms, do not treat based on the 4DX test. If the dog is symptomatic, AND tests positive, then treat for 30 days and titer a few months later.

    I've had two test positive for Lyme. One was symptomatic and popped positive on the snap test. He got 30 days of Doxy, and to this day, 5 years later, he tests negative (my vet tells me this is not common). The other popped positive without symptoms, no treatment, was negative the next several tests.

    As a former MRSA patient, I prefer to not use antibiotics when not necessary, since that is how we get resistant strains.
  4. VallejoSheltie

    VallejoSheltie Forums Enthusiast

    Oct 12, 2011
    Ann, thanks and good to know!

    ClantyreSheltie, the was the PCR one which is far superior in everything I've read about it. Just noticed Boots isn't his normal hungry self last night and this morning, although he is frisky enough.

    Going to the Doxy, script if I must.

  5. mellie

    mellie Forums Enthusiast

    May 18, 2011
    East Coast
    Treat him. The price of Doxy has leveled out some and the pros out weigh the cons in this case. Just my 2 cents.
  6. Sharon

    Sharon Forums Sage

    Feb 27, 2008
    Southeastern Ct

    I just had Sting tested for heartworm last Monday and they did the Snap test and he came back positive for Ehrlica and they put him on Doxi for 28 days and I paid 54.00 for the pills.$282.00 later but that was the test and heart meds and flea meds and also a $50.00 rebate.
  7. The Quahog

    The Quahog Forums Enthusiast

    Dec 1, 2009
    Rhode island
    This one would take about ten pages to answer fully.
    The question of testing and treatment of asymptomatic dogs is complex and controversial.
    Here is our discussion from our website. Please read the article referenced, it is of far more value than what I wrote.

    Just to show this is also a question in human medicine, to discourage the practice they made a law in Virginia that physicians had to explan about false negatives and false positives, prompting the following-

    EJHUNTL Forums Enthusiast

    Aug 11, 2013
    Ontario, Grand Bend
    Thanks for those links - the park we hike in has ticks and we usually find some on Hanna ( and ourselves as well - we do a tick check after every walk), so we got her the vaccine this year.
  9. mellie

    mellie Forums Enthusiast

    May 18, 2011
    East Coast
  10. sable

    sable Premium Member

    Oct 2, 2008
    I am reading the posts and I thank my lucky stars I have never had to go through this.

    Hopefully all improves.

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