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Memorials/Survivors

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Learning Heartworm Cycle

 

Details below
Positive Difil Test
Heartworm Surgical Extraction
Patency: produce offspring (6-7 months post infection - L3)
(L1) Microfilariae are produced by adult, fertile female heartworm(s).. Microfilariae is what is found with a Difil heartworm test. Microfilariae may exist for several years. Microfilariae is what a mosquito (vector) ingests during a blood meal from an infected animal..
(L2) Once microfilariae are in the mosquito (vector), it will mature for 14 days or longer. Providing the temperature is warm enough. Cold temperatures will delay maturing.
(L3) Infective larvae. When a mosquito bites a dog, it will deposit the L3. It must travel down into the bloodstream as it matures.
(L4) Juvenile heartworm migrate towards the heart in the bloodstream. This can take 2-3 months while still developing.
(L5) Young/Junior adult. It can take 3-4 months to reach the heart and pulmonary vessles and reproduce. This stage may be detected by Knott's heartworm test.
(L6) Older adult. Without treatment a worm can mature to this stage while still able to reproduce and live for years before dieing naturally.
Canine patients will be staged for Heartworm Disease as part of the evaluation. This helps the practitioner decide which method of treatment would be best for the elimination of the Heartworms:

Stage I Lowest risk... young healthy dogs with minimal Heartworm disease evident on X-rays and all other tests are normal.

Stage II Moderately affected dogs... some coughing is noticed, some difficulty breathing, changes are seen on X-rays, and blood work may reveal some kidney and/or liver damage.

Stage III Severely affected dogs... the patient has weight loss, coughing, difficulty breathing, more damage visible on x-rays, and blood tests shows kidney and/or liver damage.

Stage IV Vena Cava Syndrome or Caval Syndrome... the dog is collapsing in shock, all of the above abnormalities are more intense and the dog is dying. They are initially treated with surgical jugular removal of some worms if possible. There is no guarantee this treatment will be successful and many patients with Caval Syndrome die in spite of attempts to treat.

Timing Heartworm Preventatives