| 
              
              
              Open Access  
 
              
              
              Research 
              
              
(Published 
				online: 
				13-01-2016) 
              
              8. 
				
				Retrospective analyses of dogs found serologically positive for
				
				
				Ehrlichia canis 
				
				in Cebu, Philippines from 2003 to 2014 -
				
				
				Adrian P. Ybañez, Rochelle Haidee D. Ybañez, Rex R. Villavelez, 
				Honey Pearl F. Malingin, 
				
				Dana Natasha M. Barrameda, Sharmaine V. Naquila and Shiella Mae 
				B. Olimpos 
              
              Veterinary World, 9(1): 43-47   
              
   
                
                
doi: 
              
				
				10.14202/vetworld.2016.43-47 
                  
				
				Adrian P. Ybañez: 
				
				Biology and Environmental Studies Program, Sciences Cluster, 
				University of the Philippines Cebu, Lahug, Cebu City, 
				Philippines; Southwestern University, Villa Aznar, Urgello St., 
				Cebu City 6000, Philippines; GPY Veterinare Animale – Group of 
				Veterinary Clinics, Cebu City 6000, Philippines; 
				dr.adrianpybanez@gmail.com 
				
				Rochelle Haidee D. Ybañez: 
				
				Biology and Environmental Studies Program, Sciences Cluster, 
				University of the Philippines Cebu, Lahug, Cebu City, 
				Philippines; rochelledybanez@gmail.com 
				
				Rex R. Villavelez: 
				
				Southwestern University, Villa Aznar, Urgello St., Cebu City 
				6000, Philippines; rexvillavelez@gmail.com 
				
				Honey Pearl F. Malingin: 
				
				Southwestern University, Villa Aznar, Urgello St., Cebu City 
				6000, Philippines; hp_dvm@yahoo.com 
				
				Dana Natasha M. Barrameda: 
				
				Biology and Environmental Studies Program, Sciences Cluster, 
				University of the Philippines Cebu, Lahug, Cebu City, 
				Philippines; datbarrameda@gmail.com 
				
				Sharmaine V. Naquila: 
				
				Biology and Environmental Studies Program, Sciences Cluster, 
				University of the Philippines Cebu, Lahug, Cebu City, 
				Philippines; sharmaine_naquila@yahoo.com 
				
				Shiella Mae B. Olimpos: 
				
				Biology and Environmental Studies Program, Sciences Cluster, 
				University of the Philippines Cebu, Lahug, Cebu City, 
				Philippines; olimpos.shiellamae@gmail.com   
				
				Received: 04-09-2015, Revised: 28-11-2015, Accepted: 06-12-2015, 
				Published online: 13-01-2016 
				  
				
              	
              	Corresponding author:Adrian P. Ybañez, e-mail: dr.adrianpybanez@gmail.com 
 
              Citation: Ybañez AP, Ybañez RHD, Villavelez RR, Malingin HPF, Barrameda 
				DNM, Naquila SV, Olimpos SMB (2016) Retrospective analyses of 
				dogs found serologically positive for 
				
				Ehrlichia 
				
				canis 
				
				in Cebu, Philippines from 2003 to 2014, 
				
				Veterinary World, 9(1): 
				43-47. 
 
              
				Abstract 
 
				
				
				Aim: 
				
				The study aimed to document the clinical and hematological 
				observations of dogs found serologically positive for 
				
				Ehrlichia canis 
				
				and to identify parameters or factors that are associated with 
				the disease with focus on the anemic and thrombocytopenic state 
				of the infected dogs. 
				
				
				Materials and Methods: 
				
				From 7 participating veterinary establishments, a total of 913 
				cases from 2003 to 2014 were initially assessed using inclusion 
				criteria, including 
				
				E. canis 
				
				diagnosis by the attending veterinarian and the presence of 
				ticks or history of infestation, thrombocytopenia, and/or 
				anemia. From these, 438 cases that were found serologically 
				positive for 
				
				E. canis 
				
				using commercial test kits were selected. Profile, clinical 
				observations and hematological test results were obtained from 
				the selected cases. Computations for statistical associations 
				between the anemic and thrombocytopenic state of the infected 
				dogs and their profile, observed clinical signs and other 
				hematological values were performed.  
				
				
				Results: 
				
				Most of the dogs were purebred (60.0%) and female (51.1%) and 
				were within the age range of 1-5 years (38.4%). The mean packed 
				cell volume (PCV), red blood cell (RBC) count, and platelet 
				count were lower than the normal values while the absolute count 
				of basophils were higher than normal values. Creatinine and 
				blood urea nitrogen (BUN) appear to be elevated. The most common 
				clinical signs observed were inappetence (41.3%), 
				lethargy/depression (35.6%), vomiting (32.4%), fever (18.5%), 
				paleness (8.2%), and epistaxis (6.6%). Analyses showed that 
				there were no significant differences on the hematological 
				values and clinical signs between thrombocytopenic and 
				non-thrombocytopenic seropositive dogs. Moreover, very weak 
				correlations between platelet count and RBC count, absolute 
				lymphocyte count, and neutrophil count were found. On the other 
				hand, only paleness (p=0.008) and epistaxis (p=0.004) were found 
				to be significantly different between anemic and non-anemic 
				patients. This coincided with the linear regression results 
				where PCV (p=0.000, R=0.787, R2=0.619) was moderately correlated 
				with the RBC count. In addition, eosinophil count was found 
				weakly correlated. 
				
				
				Conclusion: 
				
				E. canis 
				
				infection in dogs may produce varied clinical signs that may be 
				influenced by the thrombocytopenic and anemic states of affected 
				animals. Complete blood counts remain important in the diagnosis 
				of the disease, especially the platelet and RBC counts. 
				Creatinine, BUN and alanine aminotransferase can be of value in 
				the diagnosis of the infection. Several cases were lost to 
				follow-up and appeared to be a challenge for handling 
				veterinarians to monitor compliance of owners and progress of 
				infected patients. 
				
				Keywords: 
				
				Cebu, clinical signs, dog, 
				
				Ehrlichia canis, 
				hematology, Philippines. 
 
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