Canine Angiostrongylosis in Naturally Infected Dogs: Clinical Approach and Monitoring of Infection after Treatment

Table 3

Clinical and paraclinical findings at diagnosis in Angiostrongylus vasorum naturally infected dogs (𝑛=10) and remission time after specific therapy. The bold data cells indicate dogs that where included in the study “a posteriori.”

Case	1	2	3	4	5	6	7	8	9	10
History and clinical complaint	Routine visit	Routine visit	Routine visit; sporadic coughing	Routine visit; sporadic coughing	Routine visit	Exercise intolerance and cough for 2 months	Epistaxis, hemoptysis cough, and depression for 2 months, inappetence and unilateral hyphema for 2-3 days	Cough, fever, depression, inappetence for 1 month, several respiratory crises for 2 days	Cough for 5 months, progressive abdomen distension for 2 months	Decreased vision for 1 year, sporadic coughing
Clinical findings	Normal	Normal	Normal	Normal	Normal	Expiratory dyspnea	Unilateral hyphema, pale mucous	Dyspnea, fever	Abdomen distention	Partial retinal detachment
Thoracic auscultation	Normal	Normal	Normal	Normal	Normal	Rales and wheezing	Normal	Muffling of the heart sounds, loud bronchovesicular sound	Few rales at the end of inspiration	Rales on stimulation of coughing, loud bronchovesicular sound
Thoracic radiographs	Normal	Circular areas of radiopacity	Circular areas of radiopacity	Circular areas of radiopacity	Circular areas of radiopacity	Diffuse interstitial-bronchial pulmonary pattern, dilatation of the right heart	Diffuse interstitial-bronchial pulmonary pattern, dilatation of right heart	Moderate bilateral pleural effusion, diffuse interstitial pulmonary pattern, alveolar pattern in the cranial left lobe	Diffuse interstitial-bronchial pulmonary pattern, pulmonary artery trunks, dilatation of the right heart	Diffuse interstitial pulmonary pattern
Diagnosis	L1 with Baermann	L1 with Baermann	L1 with Baermann	L1 with Baermann	L1 on direct fecal smear	L1 with Baermann	L1 on direct fecal smear	L1 in the pleural effusion and faeces	L1 on direct fecal smear	L1 with Baermann
Therapy	Im/Mox every 15 days for 3 times	Im/Mox every 15 days for 3 times	Im/Mox every 15 days for 3 times	Im/Mox every 15 days for 3 times	Im/Mox every 15 days for 3 times	Fenbendazole 25 mg/kg, OS q 12 h for 21 days	Fenbendazole 25 mg/Kg, OS, q12 h for 21 days	Fenbendazole 25 mg/kg, OS q 12 h for 21 days	Fenbendazole 25 mg/kg, OS q 12 h for 21 days	Fenbendazole 25 mg/kg, OS q 12 h for 21 days
Clinical recovery	n.a.	n.a.	n.a.	n.a.	n.a.	After 1 week	1 week (ocular problems solved in 2 months)	After 1 week	After 2 weeks	After 2 weeks
Remission of radiographic signs	—	2 months	N.K.	3 months	2 months	5 months	N.K.	N.K.	N.K.	N.K.

∗n.a: not applied; ∗∗N.K.: not known.