ACVIM Small Animal Consensus Statement on Lyme Disease in Dogs: Diagnosis, Treatment, and Prevention -2006
Consenso de Pequenos Animais ACVIM sobre Doença de Lyme em Cães: Diagnóstico, Tratamento e Prevenção-2006
Meryl P. Littman, Richard E. Goldstein, Mary A. Labato, Michael R. Lappin, and George E. Moore
The purpose of this report is to offer a consensus opinion of ACVIM diplomates on the diagnosis, treatment, and preventionofBorrelia burgdorferiinfections in dogs (canine Lyme disease). Clinical syndromes known to commonly be associated withcanine Lyme disease include polyarthritis and glomerulopathy. Serological test results can be used to document exposure toB.burgdorferibut not prove illness. Although serum enzyme-linked immunosorbent assay/indirect fluorescent antibody assaytiters can stay positive for months to years after treatment, quantitative C6 peptide antibody paired tests need more study.Serological screening of healthy dogs is controversial because it can lead to overdiagnosis or overtreatment of normal dogs,most of which never develop Lyme disease. However, serological screening can provide seroprevalence and sentinel data andstimulate owner education about tick infections and control. Although it is unknown whether treatment of seropositivehealthy dogs is beneficial, the consensus is that seropositive dogs should be evaluated for proteinuria and other coinfectionsand tick control prescribed. Tick control can include a product that repels or protects against tick attachment, thereby helpingto prevent transmission of coinfections as well asBorreliaspp. Seropositive dogs with clinical abnormalities thought to arisefrom Lyme disease generally are treated with doxycycline (10 mg/kg q24h for 1 month). Proteinuric dogs might need longertreatment as well as medications and diets for protein-losing nephropathy. The ACVIM diplomates believe the use of Lymevaccines still is controversial and most do not administer them. It is the consensus opinion that additional research is neededto study predictors of illness, ‘‘Lyme nephropathy,’’ and coinfections in Lyme endemic areas.
Arthritis;Borrelia burgdorferi; Glomerulonephritis; Polyarthropathy; Retriever.
Artrite; Borrelia burgdorferi; Glomerulonefrite; Poliartropatia; Retriever, artrite, glomerulonefrite, poliartrite