Dog tested positive for Ehrlichia and high ALP. Should I be concerned?

If Lacey was found to be positive on a routine screening test as part of her yearly exam, it could be indicative of exposure to Ehrlichia but not an active infection. Ehrlichia is a type of tick borne disease that infects the white blood cells in a dog. If she isn't sick, I would recommend she have a blood test done called a complete blood cell count, or CBC. This measures and examines the red and white blood cells. If normal, she has been exposed and no further treatment is needed at this time. If abnormal her veterinarian may start her on a course of an antibiotic (doxycycline).

Hi there. Thanks for rescuing Fallon from the shelter. I would not treat him for Ehrlichia unless he was showing symptoms. Did he have the PCR test or the antibody test? I can tell you that many, many, many dogs test positive but we do not treat unless they have the clinical signs. This is because a positive test only indicates exposure and not clinical disease. Lethargy or "calmness" is not really considered a symptom. He would have to be showing more than that such as: 1. inappetence 2. enlarged lymph nodes 3. decreased platelet count on bloodwork 4. elevated globulin count on bloodwork 5. fever Here is a link to an article about Ehrlichia that may answer more of your questions. http://www.veterinarypartner.com/Content.plx?A=2103 If you still have more questions after reading that you are welcome to post again. Best wishes!

Hello and thank you for your post! I am sorry to hear that Spock has ehrlichia. This disease is treatable and can be cured. However, you should know that the test most veterinary clinics use is a snap test to detect antibodies against ehrlichia. If you are going back in 3 weeks to have this same test performed, Spock will likely continue to show a positive result. This is because his body has made antibodies against ehrlichia. If he had a previous infection and ehrlichia is not causing any of these symptoms, he will still show positive on this SNAP test so if you are going in to have the same SNAP test performed I would have your veterinarian send out a tick fever PCR test to the laboratory. This will detect DNA to ehrlichia and not antibodies. If Spock is positive on the PCR, it means that he has a current active infection. If you do not know if Spock has ever had your licio previously, I would still treat this with Doxycycline for 4 to 6 weeks total treatment time. I hope this helps, please feel free to contact me with any further questions or concerns you may have. I am also available via consultation

This is a tricky situation because there isn't a definitive answer with these circumstances. If a dog is positive for either (or both) Anaplasma and Erhlichia, then at a minimum, a CBC (complete blood count) should be run to check on the red & white blood cells, and platelets. Both of these diseases can affect blood cells, which can lead to bleeding issues. If any blood cell lines are affected, then yes, the dog should be treated. If all blood cell counts are normal and the dog is asymptomatic, then there's a bit more of a gray area. As in human medicine, veterinary medicine tries to be cautious in our use of antibiotics, which are the drugs used to treat these infections. Obviously, it's important to use antibiotics when they're needed. If they aren't absolutely necessary, then we should avoid overuse because this leads to bacterial resistance, meaning that the antibiotics may not work when we really need them. Personally, I tend to not treat positive dogs that are asymptomatic with normal CBCs, but other vets may have different preferences. https://www.petcoach.co/dog/condition/anaplasmosis/ https://www.petcoach.co/dog/condition/ehrlichia/

I'm sorry for your frustration, but there may be a solution. Most veterinarians use the Antibody test to detect Ehrlichia. Even with treatment, your dog may show a positive test for months or up to a year as the antibody is still being detected. In order to more accurately test if your dog has the disease, the newer blood test called a PCR assay can be submitted. This tests specifically for presence of the organism , not the antibodies. Please speak with your veterinarian about doing a different test as you may wait a very long time for the antibody test to be negative. I'm sure the newer test is probably more expensive, so be prepared to ask about the cost. Best of luck!

It is possible but very rare for the test to be wrong (false positive) - repeat testing in 2-3weeks would provide more information. The test looks for antibodies (made by the dogs immune system in response to infection), some dogs become what is termed 'sub-clinical' - infected but without any clinical signs or alterations in blood cells, a phase which can last months or years before signs of disease are detected; regular blood counts should be considered to monitor for changes in such cases

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Unfortunately ALP is such a vague value and does not tell us much in the way of specific diseases that it is not a very useful value. In older dogs with a high ALP, this may be a normal finding not related to any disease. Cushing's disease can cause an elevated ALP along with many other causes. If the ALP continues to rise or does not resolve, I would consider testing for Cushing's disease and have an abdominal ultrasound performed. Bronchitis and a tooth infection generally would not cause an increase in this value in my experience. I hope this helps! Please let me know if you have any other questions or concerns and I would be more than happy to help you further.