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Reply To: Interesting Case

Emma Holt

I have never seen a case of heart worm. Did you do any imaging of the dog in this case or did you go straight to treatment after a positive ELISA?

I’ve just been looking at how you would treat Dirofilariosis. From what I’ve read the treatment is melarsomine dihydrochloride (I have never used this drug, Diroban, can we get it in the UK?) anti-inflammatory doses of steroids and then a macrocyclic lactone is needed to kill immature larvae. Some articles mention using Doxycycline alongside this. What did you use in this case?

It looks like thromboembolism is a big risk, but aspirin/clopidogrel aren’t recommended and this risk is just managed with glucocorticoids, is this correct?