Instead, dogs should receive supportive care and treatment that helps
prevent additional infections from developing while the white blood cells are suppressed (lymphopenia).
The coughing up of green phlegm may be due to a worsening of symptoms (including
additional infections by opportunistic pathogens), without listening to the lung sounds it would be impossible to say if there is any improvement.
Health authorities confirmed 44 total infections in Virginia, where the outbreak first appeared, and
additional infections in Maryland (4), West Virginia (4), North Carolina (1), Oregon (1) and Wisconsin (1).
Generally, dogs should be treated with Immiticide ® to kill the adult heartworms, although ivermectin often along with the antibiotic doxycycline is still used to kill the larva and
prevent additional infections.
Just over a decade ago, anthrax was sent through the mail to high profile individuals, resulting in five deaths,
additional infections, and millions of dollars in cleanup costs.
Screening the entire population every three years would require an additional $ 21.9 billion over 20 years to avert only 11,600
additional infections.
The possibility that TNF inhibitors — which include popular drugs such as Humira and Enbrel — pose
no additional infection risk is a «very new and heretical idea,» says David T. Felson, MD, a professor of medicine and epidemiology at the Boston University School of Medicine, who cowrote an editorial accompanying the study.
Antibiotics are also included in treatment to prevent
additional infections.
So the answer to this question is that while a recovered dog does not need distemper vaccination, there is no harm in continuing to give the vaccine and reaping the benefit of
the additional infections typically covered in the product.
In most cases, the dog should be treated with Immiticide ® to kill the adult heartworms, although ivermectin is still used to kill the larva and prevent
additional infections.