Intraoperative bleeding in dogs from Grenada seroreactive to Anaplasma platys and Ehrlichia canis

J Vet Intern Med. 2014 Nov-Dec;28(6):1702-7. doi: 10.1111/jvim.12442. Epub 2014 Oct 1.

Abstract

Background: Frequent exposure of Grenadian dogs to Rhipicephalus sanguineus results in Anaplasma platys, and Ehrlichia canis seroreactivity. During elective surgeries, substantial intraoperative hemorrhage occurs in some seroreactive dogs.

Objectives: To assess hemostatic parameters and bleeding tendencies as well as prevalence of PCR positivity in apparently healthy A. platys and E. canis seroreactive and seronegative free-roaming dogs from Grenada.

Animals: Forty-seven elective surgery dogs allocated to 4 groups: Seronegative control (n = 12), A. platys (n = 10), E. canis (n = 14) and A. platys, and E. canis (n = 11) seroreactive.

Methods: Preoperatively, hemostasis was assessed by platelet count, prothrombin time, activated partial thromboplastin time, and buccal mucosal bleeding time. Intra- and postoperative bleeding scores were subjectively assigned. Blood, spleen, bone marrow, and lymph node aspirates were tested by PCR.

Results: Bleeding scores in dogs coseroreactive for A. platys and E. canis were higher (P = .015) than those of seronegative dogs. A. platys DNA was amplified from 7/21 (33%) A. platys seroreactive dogs and from 1 E. canis seroreactive dog; E. canis DNA was amplified from 21/25 (84%) E. canis seroreactive dogs. E. canis DNA was amplified most often from blood, whereas A. platys DNA was amplified most often from bone marrow.

Conclusions and clinical importance: Apparently healthy, free-roaming dogs coseropositive for A. platys and E. canis may have increased intraoperative bleeding tendencies despite normal hemostatic parameters. Future investigations should explore the potential for vascular injury as a cause for bleeding in these dogs. Improved tick control is needed for dogs in Grenada.

Keywords: Hemostasis; Infection; Rickettsia; Ticks.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anaplasma*
  • Anaplasmosis / blood
  • Anaplasmosis / complications*
  • Anaplasmosis / epidemiology
  • Animals
  • Blood Loss, Surgical / veterinary*
  • Dog Diseases / blood
  • Dog Diseases / epidemiology
  • Dog Diseases / etiology
  • Dog Diseases / microbiology*
  • Dogs
  • Ehrlichia canis*
  • Ehrlichiosis / blood
  • Ehrlichiosis / complications
  • Ehrlichiosis / epidemiology
  • Ehrlichiosis / veterinary*
  • Female
  • Grenada / epidemiology
  • Male
  • Partial Thromboplastin Time / veterinary
  • Platelet Count / veterinary
  • Prothrombin Time / veterinary