Dotti was referred to North Shore Veterinary and Specialty Hospital from a referring vet with breathing changes secondary to tick paralysis. The offending tick had already been removed prior to Dotti’s arrival. Dotti had also received tick serum therapy which is an integral part of treatment. This treatment is designed to neutralise the neurotoxins produced by the tick and support recovery.
Upon arrival, Dotti was assessed and required immediate intervention. Due to respiratory muscle paralysis, it was crucial Dotti was placed on a ventilator to maintain oxygenation. Dotti remained in critical care for three days, intubated with a tube in her airways and on the ventilator while receiving ongoing treatment and monitoring. Throughout her stay, Dotti required up to eight IV drips, including anaesthetic agents and nutritional support.
Nutrition is an important part of recovery of all types of illness – there is a clear association with poor nutrition and impairment of the immune system. Since Dotti was unable to eat for several days, we placed her on Total Parental Nutrition (TPN) which includes amino acids, glucose, and fats administered through a jugular catheter. This ensured she continued to receive necessary nutrients to aid her recovery. Under the WSAVA guidelines, the provision of nutrition should commence within 4-5 days of the onset of the illness, ensuring Dotti received optimal care.
After three days in intensive care, Dotti showed signs of improvement. She began a rehabilitation program that included physiotherapy to support her recovery. During her recovery, her owners visited her in the intensive care unit, helping to comfort and support her during her critical care stay.
Upon discharge, Dotti’s condition had stabilised and she was able to breath independently. A follow-up appointment was scheduled two weeks later, during which Dotti’s health continued to improve, and she was deemed fully recovered.
Dotti is now back home and thriving having successfully overcome tick paralysis. We’re so pleased and wish her and her owners all the best in the future.
This case highlights the need for timely intervention, comprehensive treatment, and supportive care in managing tick paralysis in pets.
When to Refer
As you are aware tick paralysis can be fatal, if any of your patients experience any of the following symptoms, please refer immediately:
- Difficulty breathing & aspiration pneumonia
- Reflux / megaesophagus
- Respiratory failure
- Tick serum drug reaction
If possible please call ahead on
Reminder for Pet Owners
It can take as little as one tick bite to result in muscle weakness, respiratory distress and secondary infections. Ensure your pet is up-to-date with preventative care, monitor for ticks and seek immediate veterinary assistance when symptoms arise.
If your pet is exhibiting any of the following symptoms, please seek medical attention immediately.
- Weakness or lethargy
- Loss of coordination or unsteady gait
- Difficulty breathing or labored breathing
- Coughing
- Reflux
- Change in voice or reduced vocalisation
- Dilated pupils
- Altered reflexes
- Reduced appetite
24/7 Emergency Care at North Shore Specialist & Emergency Centre
In a pet emergency, you can come directly to 63 Herbert St, Artarmon, NSW 2064. If possible, please call ahead on and advise that you are on your way.