Pamlico Animal Hospital

Most Common Intestinal Parasites seen in dogs and cats:

CAUTION!  Intestinal parasites of dogs and cats are potential health hazards for humans, too.  If hookworm larvae penetrate the skin they can cause "cutaneous larval migrans", a potentially serious and scarring inflammation results.  Ascarid (roundworm) eggs if ingested can cause a disease called "visceral larval migrans" where tiny worm larvae migrate through the person's intestinal wall and into the body tissues.  They then grow to larger size almost anywhere in the body.  Ocular disease is a common sequel "visceral larval migrans".  Children are at most serious risk especially if play behavior is in an environment where dog, cat, or raccoon feces may be present... such as in a sandbox.  A single adult Toxicara canis female can shed up to 100,000 eggs a day which pass into the dog or cat's environment with the stool.  Please take the worming advice of your veterinarian seriously and adhere to strict sanitation principles whenever pets and children are in close contact.  Note... roundworms are not spread to people simply by close contact with dogs or cats.  The individual must ingest (eat!) the infective stage of the roundworm eggs; since the eggs are primarily associated with feces, humans would somehow need to consume the egg contaminated feces for contagion to occur.


Whipworms (Trichuriasis)

Whipworms

Whipworms

Whipworms are small thread-like parasites that embed deep within the lining of the colon (large intestine) and cecum. Trichuris vulpis, the canine whipworm, is a common parasite and is a major cause of diarrhea in the dog. The feline whipworms, Trichuris campanula and Trichuris serrata, are uncommon and usually do not produce any clinical symptoms.

Whipworms infect dogs of all ages. Clinical symptoms often depend upon the number of parasites embedded in the colon and cecum. Symptoms can range from slight diarrhea to massive rectal bleeding. In most dogs, a mucoid-like diarrhea is generally observed.

The diagnosis of whipworm infection is made by observing the characteristic parasite eggs under a microscopic. This test is routinely performed at most veterinary hospitals. A small stool sample is necessary in order to run the test.

Medication is available for the treatment of whipworm infection. Very often, pets need multiple treatments in order to eliminate the parasite.

Whipworm is extremely difficult to eliminate from infected soil. Dogs that have access to these areas often reinfect continuously. A specific treatment protocol is usually required for these dogs.




Hookworms

Hookworms have a direct life cycle meaning that they do not necessarily need a host to be transmitted. In pets, hookworm ova(egg) are passed in the host's feces and develop to the first larval stage if the temperature and humidity are adequate. Ova can hatch in 10-12 hours at 30 degrees centigrade and in 9 hours at 37 degrees centigrade. Infection can occur via ingestion or skin penetration(commonly infested thru the feet) followed by a pulmonary migration, a developmental stage in the gastric glands, or an arrested state in the muscular tissue in older animals. Migration and maturation occur in 17 days. Transport hosts, especially rodents, may play a role in the transmission of this parasite.

Clinical signs may be one or more of the following:

1. Intestinal blood loss causing anemia
2. Bloody diarrhea
3. Weight loss
4. Poor hair coat
Young dogs and cats are affected more severely,since they are less able to cope with depleted iron reserves.

Hookworms are diagnosed by fecal flotation(Veterinarian). The ova are unembryonated and must be taken from a fresh specimen since they hatch rapidly in warm weather. Therefore, unless you are going to the veterinarian quickly it is best to refrigerate stool samples or better yet have the vet extract the stool sample at their office. Your pet may not like that idea but it will yield the more accurate result.

There are many de-wormers available over-the-counter but they contain medications that are designed to "flush out" the parasite. But as the name implies, Hookworms hook onto the intestinal wall and "do not come off without a fight". Many pets experience mild to severe distress because of these de-wormers. These de-wormers were used by veterinarians decades ago, but veterinary medicine has come a long way since then.

Today, many anthelmintics are effective against hookworms in both dogs and cats. An aggressive treatment and prevention program as defined by your veterinarian normally entails two initial treatments 2 weeks apart(killing the hatched eggs and before they can hatch again and reproduce administering a second dose), plus an aggressive preventive program. Since the medication can only kill whats in the system monthly checkups for 3-4 months are needed until a pattern of negative tests results are established. Because of the life-cycle of the hookworm, monthly combo preventative can help control but not usually eliminate the problem.

Also, it is extremely important to thoroughly clean and disinfect the affected areas. If this is not feasible walk your pet in a different area and if possible away from where other pets go. ALWAYS, pick up after your pet goes to the bathroom to minimize the chance of reinfection.

The most important aspect of hookworms is that they could pose a health hazard to humans. Especially if you have children, it is imperative to keep on top of the situation and have your pet regularly tested. In humans, hookworms causes cutaneous larval migrans. The parasite can penetrate human skin and cause a linear, tortous, erythematous, and pruritic dermatitis(kids are more susceptible). Therefore, if you own a pet good hygiene, prevention and management of stool area should be #1 on your list.


Roundworms 

 A large percentage of puppies and kittens are born with microscopically small roundworm larvae in their tissues.  The larvae got
Roundworms... Click to enlarge in a new window.Roundworms... Click to enlarge in a new window. there via migration through the mother's tissues right into the developing pup or kitten in the mother's uterus!  The worm larvae can also be transferred to the nursing pup or kitten from the mother's milk. The larvae make their way to the intestinal tract where they can grow up to five inches in length.  They start shedding eggs and try desperately to keep house in the small intestine of the pup or kitten.  The eggs that the adult worms pass in the stool can now reinfest the same pup or kitten or other dogs and cats if somehow the egg-bearing stool is eaten.  When the worm eggs hatch, larvae  are released internally to migrate to the animal's lungs where the larvae (remember, the larvae are microscopic in size) are finally coughed up, swallowed, and finally grow up to adults in the small intestine.   So you can see that repeated exposures to egg-bearing stool or stool-contaminated soil can cause additive numbers of parasites to a dog or cat's load.  Not good!   NOTE:  If the mother has no Puppies are at risk of worm infestation. intestinal parasites and no encysted larvae in her tissues...the pups or kittens will be born worm free.


Roundworms are active in the intestines of puppies and kittens, often causing a pot-bellied appearance and poor growth. The worms may be seen in vomit or stool; a severe infestation can cause death by intestinal blockage. Females can produce 200 thousand eggs in a day; eggs are protected by a hard shell and can exist in the soil for years.

Roundworms can infest adult dogs and cats, too. However, as mentioned above, the larvae can encyst in body tissue of adult dogs and cats, remain dormant for periods of time, and can activate during the last stages of pregnancy to infest the puppies and kittens. Worming the mother has no effect on the encysted larvae in the body tissues and cannot prevent the worms from infecting the newborn.  Almost all wormers work only on the adult parasites IN THE INTESTINAL TRACT.


Tapeworms

Finding a tapeworm in a pet's stool can be a concerning event for some people. Tapeworms are  intestinal parasites that can be found in varying percentages of dogs and cats. A common tapeworm (at least in North America) in dogs and cats is called
Dipylidium caninum, and it can be found in a high proportion of dogs and cats in some regions, particularly animals that go outside and are infested with fleas. There is minimal concern about transmission of this tapeworm to people. Taenia pisiformis (dogs) and Taenia taeniaeformis (cats) are also common, and neither of these can infect people.

People typically realize their pet has tapeworms when they see small tapeworm segments in the animal's stool. These whitish, rice-sized pieces (called proglottids, see the picture on the right) are parts of the adult tapeworm, which break off and are passed in the stool.

Tapeworms are not usually harmful to dogs and cats, particularly if only one or a few worms are present. In some situations, weight loss can occur. Affected animals may 'scoot' (drag their rear end across the ground) because of irritation from tapeworm segments that are passed in the stool.
Diagnosis of a tapeworm infestation is easiest through identification of tapeworm segments in stool. Identification of tapeworm eggs in stool samples through routine testing used for other intestinal parasites is less useful, as the bare eggs are infrequently shed in stool.  Therefore, a negative fecal egg examination does not rule out tapeworms.

Dipylidium infections are extremely rare in people. Children are at greatest risk. Disease in people, if present, is usually mild and easily treated. However, finding tapeworms in a person's stool can be distressing to the individual (and their family). Dipylidium cannot be transmitted directly from animals to people. People and pets get infected by ingesting a flea that is infected with tapeworm larvae. Therefore, flea control is the most important aspect of tapeworm prevention. People that find tapeworm segments in their stool should contact their physician to determine whether they are actually tapeworms (people often mistake other things for tapeworm segments) and to determine whether any treatment is needed.



Coccidia

Coccidia are small
protozoans (one-celled organisms) that live in the intestinal tracts of dogs and cats. They cause disease most commonly in puppies and kittens less than six months of age, in adult animals whose

 

In dogs and cats, most coccidia are of the genus called Isospora. Isospora canis and I. ohioensis are the species most often encountered in dogs. Regardless of which species is present, we generally refer to the disease as coccidiosis. As a puppy ages, he tends to develop a natural immunity to the effects of coccidia. As an adult, he may carry coccidia in his intestines, and shed the cyst in the feces, but experience no ill effects.

How are coccidia transmitted?

A puppy is not born with the coccidia organisms in his intestine. However, once born, the puppy is frequently exposed to his mother's feces, and if the mother is shedding the infective cysts in her feces, then the young animals will likely ingest them and coccidia will develop within the young animal's intestines. Since young puppies, usually those less than six months of age, have no immunity to coccidia, the organisms reproduce in great numbers and parasitize the young animal's intestines. Oftentimes, this has severe effects.

From exposure to the coccidia in feces to the onset of the illness is about 13 days. Most puppies who are ill from coccidia are, therefore, two weeks of age and older. Although most infections are the result of spread from the mother, this is not always the case. Any infected puppy or kitten is contagious to other puppies or kittens. In breeding facilities, shelters, animal hospitals, etc., it is wise to isolate those infected from those that are not.

What are the symptoms of coccidiosis?

The primary sign of an animal suffering with coccidiosis is diarrhea. The diarrhea may be mild to severe depending on the level of infection. Blood and mucous may be present, especially in advanced cases. Severely affected animals may also vomit, lose their appetite, become dehydrated, and in some instances, die from the disease.

Most infected puppies encountered by the authors are in the four to twelve week age group. The possibility of coccidiosis should always be considered when a loose stool or diarrhea is encountered in this age group. A microscopic fecal exam by a veterinarian will detect the cysts confirming a diagnosis.

It should be mentioned that stress plays a role in the development of coccidiosis. It is not uncommon for a seemingly healthy puppy to arrive at his new home and develop diarrhea several days later leading to a diagnosis of coccidia. If the puppy has been at the new home for less than thirteen days, then he had coccidia before he arrived. Remember, the incubation period (from exposure to illness) is about thirteen days. If the puppy has been with his new owner several weeks, then the exposure to coccidia most likely occurred after the animal arrived at the new home.

What are the risks?

Although many cases are mild, it is not uncommon to see severe, bloody diarrhea result in dehydration and even death. This is most common in animals who are ill or infected with other parasites, bacteria, or viruses. Coccidiosis is very contagious, especially among young puppies. Entire kennels may become contaminated, with puppies of many age groups simultaneously affected.

What is the treatment of coccidiosis?

Fortunately, coccidiosis is treatable. Drugs such as sulfadimethoxine (Albon®) and trimethoprim-sulfadiazine (Tribrissen®) have been effective in the treatment and prevention of coccidia. Because these drugs do not kill the organisms, but rather inhibit their reproduction capabilities, elimination of coccidia from the intestine is not rapid. By stopping the ability of the protozoa to reproduce, time is allowed for the puppy's own immunity to develop and remove the organisms. Drug treatments of one to three weeks are usually required.

How is coccidiosis prevented or controlled?

Because coccidia is spread by the feces of carrier animals, it is very important to practice strict sanitation. All fecal material should be removed. Housing needs to be such that food and water cannot become contaminated with feces. Clean water should be provided at all times. Most disinfectants do not work well against coccidia; incineration of the feces, and steam cleaning, immersion in boiling water, or a 10% ammonia solution are the best methods to kill coccidia. Coccidia can withstand freezing.

Cockroaches and flies can mechanically carry coccidia from one place to another. Mice and other animals can ingest the coccidia and when killed and eaten by a dog, for instance, can infect the dog. Therefore, insect and rodent control is very important in preventing coccidiosis.

immune system is suppressed, or in animals who are stressed in other ways (e.g.; change in ownership, other disease present).

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