Update: Rudy seems to be doing well. In many ways, he seems healthier than before his near-death encounters with Blasto. He’s more energetic than ever & continually wags his tail like never before-almost to say he’s thrilled to be alive & with us. We make every day with him a celebration. Yet, we feel far from finished with the repercussions of this illness & are wondering if you could advise us on what the next steps are?
The results of his cytology test showed that he was clear of all infections (viral, bacteria & fungal). Our vet suggested lung x-rays as the next step but because Rudy has had over 14 x-rays this summer, I preferred the antigen test to start with. From what I understand, he has to be below #1 anyway to take him off Itraconazole, no matter the x-ray results. His reading came back in the 40’s- still very high but better than the previous 62.9 in July. (FYI: There’s been no satisfactory answer to why the cytology test came back negative when clearly he’s still infected.)
From your experiences, what do we do next? What follow-up tests would you suggest i.e. liver enzymes test to make sure there’s no major damage happening from the meds? How often? Should other organs be tested since I read on site that even though they can recover from Blasto, there can be permanent organ damage? Are there things we can do to protect/promote/restore his health especially re. his lungs, liver and kidneys? He runs like the wind without any difficulty but he does snore now & has a runny nose again- I’m not sure if that’s a concern. (We’ve been giving him milk thistle for his liver, & pro-biotics & vitamins to boost his immune system.) Should the level of Itraconazole in his system be checked to make sure the dosage is enough to reduce the Blasto? Or maybe a higher dosage would be more damaging since his general health/energy seems good?
Our vet has suggested that Rudy should be neutered; she figures he has Blasto throughout his entire body & this would remove some of it. I’m not sure when she wanted this done but I’m thinking it’s way too soon to stress his body with surgery & anesthetics: he didn’t even get his rabies shots or heartworm pills this summer because the vets felt it would add more strain to his body.
Blasto is not commonly diagnosed in our area, so the vets haven’t had much experience with it. Our vet has been great though: if it wasn’t for her immediate hunch re. diagnosis at Emerg, the consensus is that another day would have been too late. (It had already been a month of diagnostic tests etc with our regular vet without any idea of why Rudy was getting so sick.) She does her research and has been consulting other vets/experts in the field to provide Rudy the best care possible. And while we appreciate all she has done, I feel her experience and ours is limited especially compared to all you on this site.
We deeply value your experiences & consider you as our best resource and support. If it wasn’t for you, we wouldn’t have been as strong to make the decisions we did; we definitely wouldn’t have made it this far. So any advice you have would be greatly appreciated.
Thank you once again,
Sheila