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A Primer on Leptospirosis

by Nancy Kay, DVM on 08/03/2011

 

 
Of all the vaccination questions I receive, the most common one is from folks questioning whether or not to vaccinate their dogs for Leptospirosis. And I am so pleased they are asking- I love when people recognize that simply handing their dog over for “the works” in response to a vaccination reminder card (or these days, perhaps an email reminder) simply doesn’t make sense.

Unlike canine distemper and parvovirus- infectious bad guys that are ubiquitous in the environment and against which all dogs should receive vaccine protection- not all dogs come into contact with Leptospirosis. Exposure is truly dependent on where you and your dog live and his or her extracurricular activities- in medical jargon this is referred to as “biolifestyle”. Leptospirosis organisms are bacteria that thrive in warmer, wetter climates. Wild animals (particularly deer and rodents) and some domesticated animals (cows, sheep, pigs) can be Leptospirosis carriers. Although infected, they manage to maintain good health while shedding Leptospirosis organisms in their urine. Dogs can develop the disease by coming into contact with the infected urine or urine contaminated soil, water, food, or bedding. So, if your dog’s biolifestyle includes roaming on rural property or drinking from creeks, streams, lakes, or rivers the potential for exposure to Leptospirosis is far greater than if your pup is a couch potato and your yard is devoid of trespassing wildlife.

Not all dogs become sick when exposed to Leptospirosis, but for those that do, the results can be devastating. Symptoms associated with kidney failure (lethargy, vomiting, diarrhea, loss of appetite) are most common. The liver and lungs are also targets for this disease. Your veterinarian will suspect Leptospirosis based on the history your provide, abnormal kidney and/or liver enzymes on blood testing, and specific blood and/or urine testing for Leptospirosis.

Successful treatment ideally consists of aggressive round the clock intravenous fluids and antibiotics. If the kidneys become so inflamed that urine production diminishes, temporary dialysis may be recommended. Infected dogs should be housed in an isolation ward to protect other hospitalized patients and personnel are advised to wear protective garb (gloves, gown, goggles) as Leptospirosis is considered a zoonotic disease (humans can become infected via contact with infected urine). Yes, such therapy is expensive- far more costly than the price of a vaccination- and in spite of everyone’s best efforts, some dogs do succumb to Leptospirosis.

The Leptospirosis vaccine provides adequate protection for one year and, in theory, the risk of adverse reactions is no different than reported with other vaccinations. However, some vets feel strongly that the Lepto vaccine is more likely to produce transient “post-vaccine blues” than are other vaccinations.

Is the Leptospirosis vaccination appropriate for your dog? Talk to your vet to find out whether or not the disease has been reported in your neck of the woods. Next consider your doggie’s biolifestyle. Does your pup live in a pristinely kept environment or does he go camping and hiking with you? If your pup lives in an environment with no standing water or exposure to wildlife, the risks of vaccinating clearly outweigh the benefits. If you and your best buddy love to hike and camp together, vaccinating may be a no-brainer. As I routinely advise whenever discussing vaccines: Administration of vaccinations is no different than any other medical procedure- they should not be administered without individualized discussion and consideration of the potential risks and benefits.

Have you considered vaccinating your dog for Leptospirosis? If so, whereabouts do you live and how did you (will you) decide whether to say “yea or nay” to the vaccine?

Best wishes for good health,

Nancy Kay, DVM
Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot. There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot is available at Amazon.com, local bookstores, and your favorite online book seller.

Comments (9) -

ellen lauber
ellen lauber United States
4/18/2012 7:38:39 AM #

I have a dog, Magee - English Golden Retriever, who's breed is historically allergic to the Lepto vaccine.  Magee's half sister had a bad reaction to her shot and so the breeder has recommended not vaccinating for Lepto.  Our vet (who is also the breeder's vet) has approved of that recommendation.  My issue is that I do take my dogs to lakes and rivers on the weekends.  He LOVES rompinf through and occasionally biting at the water.  How can I keep him from contracting Lepto - short of keeping away from these fun activities?  I don't like vaccinations but this one makes me nervous for him not to have.

Wendy Courtney
Wendy Courtney United States
4/18/2012 8:08:17 AM #

I have the same question. I have a yorkie, who had a bad reaction to the Lepto vaccine. He is prone to pancreatitis, so cannot be treated with steroids for bad reactions. We live in the country and he walks outside. We know there is wildlife around us, but are not comfortable getting the vaccination due to the severity of his reaction to it. Are there any other preventative measures that can be taken?

sonia
sonia United States
4/18/2012 8:12:48 AM #

The only place our dog would be on a trail/wilderness is in the Lake Tahoe area - both Nevada and California.  I wonder if there is any threat of Lepto there since it is usually very cold air and water, even in the summer.

Mariana Kramer
Mariana Kramer Mexico
4/18/2012 9:55:52 AM #

I live most of the year in Mexico, as volunteer director of one of the largest dog and cat shelters in the country. I spend a couple of months in the States with my family. Our shelter recently had an outbreak of Lepto and even though our workers wear sturdy boots, rubber gloves, masks and goggles, 4 of them are infected. It is a horrible disease and they will have the virus for life. They don't get paid enough to afford the medicine, which is expensive for them or for anybody for that matter. It's awful. Be careful!

Doug
Doug United States
4/18/2012 10:17:05 AM #

Is there a down side to getting this vaccine? We live in central TX. Long hot summers and moderate cool winters are common. My dog Callie is a house pet in an urban yard. We have opposums, racoons, armadillos, squirrels, and other rodents visiting our fish pond and our yard. There are deer in the area but not in our fenced yard.

Callie loves to drink standing water. She prefers planters or standing water outside to her water bowl. We visit the dog park every week so the community dog bowl is a popular stop for her. We asked about adding this vaccine as a precaution. The vet said sure we can do that, it seems like a good idea. We figured why not, better to be safe.

Judith  Mills
Judith Mills United States
4/18/2012 10:56:11 AM #

Thank you for writing this.Ihave lyme that went undiagnosed for several years despite my trying to get help.Now am planning to move to tropical climate with best friends-dogs.When I ask about lepto it is ALWAYS played down.The ponds,lakes,streams waterfalls look wonderful,but will only the ocean be safe? What to do for humans and dogs-solooking forward to the move.

Marlene E DeTour
Marlene E DeTour United States
4/18/2012 11:31:32 AM #



I live in Northern Michigan and recently bought a Bichon Frise.  He was a 7 month old puppy when I got him.  The breeder, who lives in Ann Arbor, belongs to the Bichon Frise Club in the area and she
she gave me a print out of the clubs feelings on vaccinating puppies.  DON'T DO IT! There have been too many Bichon puppies that have died after having received the vaccine.

Marlene DeTour

Susannah  St.  Clair
Susannah St. Clair United States
4/18/2012 3:24:37 PM #

My Jack Russell puppy was very allergic  to the puppy shots but the main problem I see with with this particular organism is the fact that it mutates  and has several different strains, There is not a vaccine that can cover them all. Its a tricky deal.

Donna
Donna United States
4/20/2012 7:35:41 AM #

I insist on this vaccine - we almost lost a dog (wire-hair fox terrier) to this disease.  Our dogs routinely are in deer/tick infested areas as we train/upland bird hunting.  They routinely retrieve through ponds etc frequented by other animals.  It is a no-brainer for me

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NOTE: The views and opinions expressed by anyone posting on the “Veterinary Expert Blog” do not state or reflect those of AAHA. Content provided on HealthyPet.com, including the veterinary blogs and Ask-a-Veterinarian entries, is meant for educational purposes on health care and medical issues that may affect pets and should never be used to replace professional veterinary care from a licensed veterinarian. This site and its services do not constitute the practice of any veterinary medical health care advice, diagnosis or treatment.
 
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