Canine Distemper Canine distemper is a highly contagious, systemic, viral disease of dogs commonly by observed in Ethiopia. It is characterized by a diphasic fever, leukopenia, GI and respiratory catarrh, and frequently pneumonic and neurologic complications. The disease occurs in Canidae (dogs, foxes, wolves). Infection occurs via aerosol. Some infected dogs may shed virus for several months. Clinical Symptoms Transient fever, 3-6 days after infection and leukopenia (especially lymphopenia). The fever subsides several days and second fever accompanied by serous nasal discharge, mucopurulent ocular discharge, and anorexia. GI and respiratory signs may follow, an acute encephalomyelitis with or without systemic disease and hyperkeratosis of the footpads (“hardpad” disease) and epithelium. Neurologic signs include: localized involuntary twitching of a muscle or group of muscles, such as in the leg or facial muscles; paresis or paralysis, often beginning in the hindlimbs evident as ataxia, followed by ascending paresis and paralysis; and convulsions characterized by salivation and chewing movements of the jaw (petit mal, “chewinggum fits”). In severe cases the dog may then fall on its side and paddle its legs, involuntary urination and defecation (grand mal seizure, epileptiform convulsion) often occurs. In Chronic distemper encephalitis (old dog encephalitis) ataxia, compulsive movements such as head pressing or continual pacing, and incoordinated hypermetria may occur. Diagnosis Clinical signs (febrile catarrhal illness with neurologic sequelae) plus serologic demonstration of virus-specific IgM or an increased ratio of CSF to serum virus-specific IgG. Treatment and Prevention Management Non drug treatment Good nursing and dietary supplements are essential. Drug treatment No specific treatment is available but for secondary bacterial complications. Supportive first line Procaine Penicillin + Dihydrostreptomycin Sulfate 2000,000IU:200mg/ml, 1-2ml/20kg, IM, q 24 h for 35days S/E: allergic reactions C/I: hypersensitivity and should not be administered by intrathecal injection D/F: injection, 200,000 IU and 200mg/ml respectively. D/I: chloramphenicol, tetracycline, phenylbutazone, calcium gluconate, heparin sodium, sodium bicarbonate and tylosin. or Sulfadiazine-Trimethoprim, 25:5 mg/ml, 1ml/10-20mg/kg, IM, q 24 h, for 3-5 days S/E: crystallization in urinary tract, hypersensitivity and anaphylaxis in cats and dogs; in dogs: hemolytic anemia, anorexia, cutaneous drug eruption, diarrhea, facial swelling, hepatitis, hypothyroidism, keratoconjuctivitis, neurologic disorder, polyarthritis, and polydipsia. Cats: salivation, thyroid function changes transient vomiting D/F: tablet , 100+ 20, 400+80 in mg; Injection, 200+40 and 400 + 80 in mg/ml; D/I: Detomidine and halothane or Oxytetracycline 2-10 mg/kg, IM, PO, q 24 h for 3-5 days; oral treatment is prefered; S/E, C/I, D/I, D/F, similar to tetracycline see tetracycline page 297. plus Lactated ringer solution 40-50 ml/kg q 24 h SC, IV, IP. Antipyretics e.g. acepromazine maleate 0.05-0.2 mg/kg, PO, SC, IM or IV q 12 h for three days. S/E, C/I, D/F, and D/I see page 289. or Metoclopramide, 0.2-0.5 mg/kg, q 6 h., PO or SC or 1-2 mg/kg/day, slow IV S/E: increases seizure effects and extra pyramidal effect C/I: don’t use with GI obstructions, phenothiazines or narcotic analgesics. D/F, D/I, see above. or analgesics Phenylbutazone 10-22 mg/kg PO, q 8 h for dogs and 6-8 mg/kg PO, IM q 1 2 h for cats every other week. S/E: Cardiac, hepatic, or renal impairment, anemia C/I: Prolonged use may cause gastrointestinal lesions D/F: Injection, 200 mg/ml; Bolus, 25, 100 and 200 mg D/I: Methotrexate, phenytoin, suphonylureas, thyroxine and warfarin Prophylaxis Vaccinate pups 6 wk old and at 2- to 4-wk intervals until 16 wk old, IM; repeat vaccinations annually.