Pneumonia - IRISH WOLFHOUND HEALTH GROUP

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Pneumonia

Pneumonia in Irish Wolfhounds is often 
misunderstood and misdiagnosed.



Downloads                           
Guidelines for owners and vets           

Pneumonia survey form                        

The typical stance of an Irish Wolfhound
in the early stages of pneumonia.
In America the drug of choice for wolfhounds is Rocephin (ceftriaxone), a third generation cephalosporin, which is not licensed in the UK. Excenel is the drug recommended by wolfhound people in the UK who have had experience of pneumonia. Excenel is also a third generation cephalosporin, available in the UK, licensed for pigs, but not licensed for dogs. To obtain it, a waiver needs to be signed by you and this can be requested from your vet.

Note on Dosage: Anecdotal evidence suggests Excenel is given as a 4.5ml subcutaneous injection every 24 hours – and is often combined with Antirobe. This dosage is based on experience and a history of success using the drug for pneumonia in the Wolfhound. It has been observed that treatment length can vary from five days to six weeks, depending on the severity of the infection. It is strongly recommended that you discuss your dog’s requirements with your veterinary surgeon, ideally before the need for it arises, as not all veterinary surgeries will keep Excenel in stock.

Note to Veterinary Surgeon: Excenel is marketed as Naxcel in the US. Naxcel is licensed for UTIs in dogs, information regarding Naxcel can be found on the Pfizer website. Wolfhounds are unique in their presentation of pneumonia. They may have a normal temperature and their lungs may appear clear on x-ray for several days after the dog first shows signs of illness There have been a number of cases of vets misdiagnosing pneumonia as heart failure. If your wolfhound has clear lungs, does not have a raised temperature, but does have atrial fibrillation, some vets will put the difficulty in breathing down to heart failure, and treat that, not the pneumonia.

Recognizing pneumonia
  • Sudden onset.
  • Difficulties in breathing.
  • Head lowered and stretched forward level with the back, neck extended to expand the airway as much as possible.
  • Dog reluctant/unable to lie on its side.
  • Dog may or may not be coughing.
  • Temperature may be very high – but a normal temperature does not necessarily preclude a diagnosis of pneumonia.
  • Lungs may appear clear on x-ray.

There have been cases of pneumonia in wolfhounds following a lungworm infection. Lungworm is no longer restricted to the south of England, and is present in most areas).




A PICTURE OF PNEUMONIA
This is the typical stance of an Irish Wolfhound with pneumonia, with the head and neck stretched forward. The eyes are preoccupied and dull, she is reluctant to lie down and if she does is unable to lie on her side. The photograph was taken as soon as the dog became ill. Her owner, who knew the signs of pneumonia, said "When the photo was taken she had difficulty breathing, couldn't lie down, and had a temperature of 40.2 degrees C".

Remember though that not all pneumonia cases will have a raised temperature and not all will show any lung congestion on X-ray. Immediate treatment is absolutely essential regardless. Please see our Pneumonia Guide for more information.



Treating pneumonia
  • URGENTLY If there is any doubt, treat with the antibiotics first, and argue later – do not take a wait and see attitude.
  • Most vets will want to administer an antibiotic intravenously, as it is important to hit it hard and fast.
  • Fluids intravenously should be considered – but care should be taken if your wolfhound has a heart condition.
  • Excenel is the drug recommended by wolfhound people who have had experience of pneumonia in the UK.
  • Other antibiotics have been used – Ceporex, Baytril and Antirobe, Cefuroxime, Zithromax, Marbofloxacin and Trimethoprim sulfa, but there is a better chance of preventing a recurrence with Excenel.
  • Drug treatment needs to continue for at least four weeks.
  • Steam and coupage* can assist in moving the congestion from the lungs.

If your wolfhound has had pneumonia, it is more likely to have it again.

Convincing/alerting vets
BEFORE THIS HAPPENS – Please have a conversation with your veterinary surgeon to ascertain their views on using Excenel should the situation arise. When a dog is already sick, it is not a good time to find out that your veterinary surgeon will not consider alternative treatments from the mainstream.





The IWHG comprises members of each of the breed bodies. None is a qualified veterinarian: any suggestions made are based purely on the personal experience of those wolfhound owners who have had to use the drugs mentioned and are a guide only for you to discuss with your own vet. It is the responsibility of the owner to make a decision on any course of action they take with their hound and we strongly recommend that this is done in conjunction with your vet.

* For those unfamiliar with the technique of coupage ( also known as percussion therapy), we have found this video demonstration that you might find useful.



April 2014
PNEUMONIA SURVEY PROGRESS
As it is almost one year to the day that we started work on this survey I felt you should have some information on our progress so far. Although Angela Bodey is keen to receive details of any hound who develops a recurrence of pneumonia having filled in an initial survey, 31 March was the cut-off date for all new surveys and she is now starting to analyse all the information received.

On 8 May she is seeing Mark Dunning from the School of Veterinary Medicine and Science, Nottingham University to meet the Evidence Based Medicines team to look at software which would be suitable to use with her data and enable her to do robust statistical analyses and create something that will stand up in a scientific arena with the goal of publishing in a peer-review journal, probably the Journal of Small Animal Practice. Following this meeting she will then have a month to further prepare her data and conclusions before she gives the presentation in Finland in June.

Many, many thanks to all who have completed survey forms. Hopefully we are getting closer to being able to produce an evidence-based protocol for the treatment of pneumonia in Irish Wolfhounds which can be given to all vets.
Anne Wilson



June 2015
Great news. The pneumonia study is moving into the next phase. Mark Dunning of Nottingham University and Angela Bodey, who undertook the first stage of the study for the Health Group, are expanding the survey to include all cases of acute respiratory disease in the Irish Wolfhound. Whether diagnosed as pneumonia or not, all such cases carry an equal risk to the Wolfhound and should be investigated immediately so the right treatment can be prescribed. More details to follow on how you can help with the research so - watch this space!

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