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Dog Parasites - Giardia, Giardiasis
Giardia
Beaver Fever or Giardiasis
Zoonotic aspects of
Giardia
also see Dog Parasites
also see Infectious Disease
also see Diarrhea
Giardia
Giardia is a protozoan parasite that lives in the intestine of affected
animals. It is unclear whether there are several species of this parasite
or whether there is one species that affect several different animals,
including people. These small parasites are very easy to miss on a fecal
exam and may not be present in the stool of animals infected with the organism.
Repeated fecal exams are sometimes necessary to identify this parasite.
Not all animals in which infection can be demonstrated have clinical signs.
This leads some people to believe that the parasite may not cause disease
. Most vets think that there may just be other factors, like the animal's
immune response to the parasite that cause some animals to develop disease
and not others. Clinical signs of giardia include weight loss, inability
to gain weight appropriately during growth, diarrhea, vomiting, lack of
appetite and greasy appearing stools. Them most commonly used medication
for giardia infection is metronidazole (Flagyl). The organisms come from
the environment and live in moist to wet areas. They are susceptible to
quatenary ammonium disinfectants, Lysol and dilute chlorine bleach. Keeping
the dog's environment dry helps a lot.
This disease may be contagious to people from infected dogs so good
sanitary practices, like washing your hands after handling an infected
puppy, are very important. If a family member develops similar clinical
signs, a physician should be consulted.
Mike Richards, DVM
Beaver Fever
or giardiasis
Question: Dr. Richards,
Please tell me ALL you can about "Beaver
Fever," in dogs.
1. What are the symptoms at initial
onset?
2. What is the prognosis and,
does it differ depending on
the age
or breed of the dog?
3. Is this term interchangable
with "Valley Fever"?
(or a
disorder completely different).
4. Can it be transmitted to humans
and, if so, how?
5. Is it contagious to other pets,
i.e., dogs.
6. HOW is it diagnosed?
7. What are the preferred methods
of treatment?
8. What are treatment OPTIONS?
10. Which part of the country is this
most prevelant?
11. Is isolation of the infected dog
necessary and, if so,
for how
long?
12. Does it (typically) recurr once
cured?
13. IS it "curable?"
14. Where does it gets it's name?
Does contact with
(only)
a Beaver cause this?
15. Is it viral, bacterial, fungal,
etc.?
Anything you can add would be appreciated.
Thanks, Vox
Answer: Vox-
There is a chance that "beaver fever" is used as a name for more than
one condition but the only one
I am familiar with is giardiasis, an infection with the organism Giardia
lamblia. The Giardia organisms
can infect a number of species. Humans who drink water in which beavers
have "done their
business" sometimes become infected with this organism, which produces
flu like symptoms in
humans, sometimes including diarrhea and vomiting and less commonly
resulting in death. Beavers
are not the only animal that can pass this infection on to humans.
Infected dogs and cats have to be
considered as potentially capable of infecting humans.
In dogs, giardiasis is most commonly an inapparent infection. There
are all kinds of estimates of the
number of dogs infected with this parasite, ranging from a a small
percentage up to 70%. The
infection rate probably varies really widely by region, resulting in
the variations in reported infection
rates. In any case, since the organism can be found in a lot of dogs
with no apparent symptoms it is
safe to assume that most dogs do not have clinically apparent disease
when they have giardia.
Young puppies, young kittens, immune compromised patients and dogs with
multiple parasite
infections are more likely to actually have clinical signs associated
with giardiasis.
Giardia can be very hard to find through fecal examinations so it is
hard to be sure that it isn't present
when clinical signs of diarrhea, poor weight gain or unthriftiness
are present. It is best to run several
fecal examinations when this infection is suspected but does not show
up in the initial stool sample(s)
run.
Treatment options include metronidazole ( 25 to 30mg/kg for at least
5 days), fenbendazole (Pancur
Rx) at 50mg/kg for 3 days, albendazole and furazolidone. So far, we
have not tried the last two
options in our clinic because one or the other of the first two has
worked to eradicate the giardiasis.
Giardiasis occurs almost everywhere there is water (the most common
way for it to be transmitted,
but direct contact also occurs). I think that it is probably most common
around the Great Lakes, but
that is only my impression based on watching postings on the veterinary
message boards on the
Veterinary Information Network (VIN) and noticing a lot of them on
this condition from Wisconsin
and that general region.
I think that some dogs and cats get this condition several times in
their lifetime. There is a vaccine
that helps to prevent the symptoms from occurring in dogs that are
very susceptible and in puppies
that are likely to be exposed.
I hope that this helps some.
Mike Richards, DVM
1/18/2001
Zoonotic aspects
of Giardia
Q: If a person has had contact with a giardia-infected
dog but was unaware of
the bacteria's presence and didn't practice good sanitation, what can
be
done?
Please respond, someone very close to me has infected dogs and many
people
have played with them unwittingly (though none have shown signs of
it, based
on the symptoms I was taught in Boundary Waters MN), and we do not
want
to be infected.
What are the signs in people, and can you refer me to good informative
sites about this?
Thank you,
Erik
A: Erik-
There is still controversy over whether or not giardiasis is a zoonotic
disease -- a disease that can be passed from pets to humans.
According to
Drs. Leib and Zajac, writing in Kirk's Current Therapy XII, the dog
and
human strains of giardia have different characteristics while the cat
and
human strains are more similar. However, until there is definite proof
one
way or the other it is a good idea to consider contact with fecal material
from infected dogs to be potentially infective to humans.
As you point out, good sanitation, such as hand washing after playing
with
the dogs and avoiding contact with the dog's feces is the best defense
against this condition. Giardia species are water-borne protozoans
and
contaminated water sources are probably the most likely source of infection
for both pets and people.
Metronidazole and fenbendazole are reasonably effective at eliminating
Giardia organisms from infected pets so treatment of the dogs would
be a
good idea. Metronidazole is inexpensive so financial concerns shouldn't
prohibit treatment in most cases.
I am not sure if people have the same signs as dogs but the giardiasis
in
dogs is often asymptomatic (i.e. the dogs are not sick at all) but
it may
cause diarrhea.
You can probably find a lot of information on giardia at the PubMed
site.
We have a link to it from our link page.
Mike Richards, DVM
Last edited 08/30/02
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