Rare clotting disease


  • Dear All, this is my first time posting after losing my boy Cassius (8 years old) 3 days ago...

    I'm trying to find some answers on what could have happened as he died of a rare disease the vets havent been able to identify.

    I'll share the chronological events of his case, and hopefully some of you might have some answers to help me understand what might have happened:

    • 4 weeks ago, i noticed that Cassius had struggle eating, his mouth was hurting and he would only eat soft food he didnt need to chew. My first thought was that he had some teeth pain so I took him to the vet. The vet said his teeth were fine, but he noticed his gums were pretty pale, so he run a blood test and we found out he was really anemic. He run parasites tests for Leishmania and tick-related infections, and started antibiotic treatment to cover them, but the tests came back all negative.

    • 3 weeks ago: he started developing clotting disorder symptoms, as we could see small hemorrhages in his gums (petechiae). This could be a sign of parasite infection so we mantained the antibiotic treatment, but additional tests where run to evidence that his clotting times where really really long, putting his life at risk, therefore a plasma transfusion was done in order to provide him with coagulation factors and treatment with vitamin K + tranexamic acid was initiated, we thought it might be a case of rat-poison injest (which i couldn't explain because i dont have any at home and i couldn't think of anywhere he could be exposed to any kind of raticide venom). After that his blood-tests improved a bit and I was able to take him back home, his state was good for 3-4 more days. Image tests where done, and both echograpies and x-rays didnt show anything abnormal. The jaw pain was stil present, but vets thought was something unrelated to what was happening in the blood.

    • 2 weeks ago, after a follow-up consultation to see his blood levels, his clotting capacity was back to critical, and his anemia got worst, showing that he was probably having internal difused bleeding. The tests shown that his capacity to regenerate red-cells and platelets was normal, therefore we focused our attention in the clotting factors. Von Willebrand disease is a known hereditary condition, but symptoms manifest at a really young age, he couldn't have survived 8 years without any treatment. Researching the litterature, we found some cases where immune-mediated conditions like Addison disease or Thyroiditis could affect hormone production and have a colateral effect on blood clotting, therefore tests where run and immunosupressive treatment was started with Prednisone before having any results, to gain some time. A second plasma transfusion was done as well, as the risk of internal hemorrhages in the brain or lungs was extremely high. This provided a small improvement in blood levels. The thought of an immuno-mediated condition took some relevance, and make us think that the initial jaw pain could be Myositis, which has an immunological component as well, but no cases have ever been described between myositis and blood disorders.

    -1 week ago, blood tests shown that he was getting worse again, and he suffered bleeding behind his eyes, causing retinal detachment, therefore he became blind... a third plasma transfusion was done at this point, to try to get some time to the hormonal treatment to improve the clotting issue (thyroid and suprarenal tests came back slightly low, but inconclusive to insure that he was a case of Thyroiditis or Addison). From this point everything came down pretty fast, after losing his sight, he lost his hearing and smell, stopeed eating and having troubles to stay up on his feet, indicating a possible brain hemorrage. We agreed to put him down, as we reached a point of no return of neurological damage...

    Many vets and university experts have been consulted along this process and I really think he received the best care possible. We treated all the possible options, parasites, poisoning, auto-immune disease, hormonal deregulation, symptomatic clotting, etc, and he fought until the end for his life, but it wasn't enough. For the note, he had never suffered any disease along his life, or presented symptoms of any kind (fanconi clear, and his renal function was good all along)

    Even if it is too late for Cassius, I'm stil looking for some answers and hopefully, his case might help other dogs that could go through something similar.


  • Deepest sympathy that you had to watch Cassius suffering like this. At least now you have the comfort of knowing he is beyond pain.

    You don't mention his age or if you have discussed his condition with his breeder in case there has been something similar elsewhere in the line.

    I wouldn't like to hypothesise as to any diagnosis and have certainly never come across anything like this in all my years with the Breed.

    But welcome to the Forum - and I hope you will get some answers or if not them, points to ponder and perhaps discuss with your vets.


  • Was there anything preceding the onset of his problems that could be significant? Any medications, vaccines administered, etc., and rambles through woods where there could have been ticks, any exposure to foods known to be toxic? When you have a condition with no obvious cause sometimes there are clues you can discover that could have been factors, but sometimes there just are no answers to be found. A friend had a dog (not Basenji) that developed hemolytic anemia after receiving a vaccine for leptospirosis. These things can happen, but fortunately are rare.

    So sorry for your loss. It is never easy, and much harder when they go before their time.


  • I am so sorry for your loss. I dare not imagine the turmoil you have been through, the thought breaks my heart.


  • @camlich Wow, camlich. I'm a bit tongue tied about what to say. First, I don't have the medical experience you're seeking, but I can understand why your heart is seeking answers. 8 years isn't nearly a long enough life for a dog. The last month must have been a roller coaster. I'm so sorry.

    Like you, I came to this site shortly after my pup had passed. For me, I found it extremely healing to be able to talk about it, post pictures and memorialize his life with us. Know that while we may not hold the answers you seek, we are here to support you nonetheless.


  • @camlich , I have no answer's for you either. Have you or vet do a necropsy? That could give you answers. I am so very sorry for the loss of your furbaby. 8 years is certainly way to young to have so many problems. I haven't heard of any of the symptoms that you mentioned. Someone asked if you have talked to the dog's breeder to see if they have had this problem with any of their pups before? I totally understand wanting answers. I hope you find them. Hugs to you.


  • I am so sorry for your loss and heart ache.


  • @camlich
    I can’t even imagine what you’ve been through in the last month. It is so heartbreaking- so sorry for your loss.🐾❤️


  • I'm so very sorry about your Cassius and that you tried everything to find a diagnosis. It's always hard and we cherish the time we had with them. Our hearts and thoughts are with you.
    It's good you posted about this condition as it may be helpful in case these symptoms show up in other doggies. And would definitely want to know the root cause.


  • I’m so very sorry you lost your boy. You certainly went above and beyond to try to save him. I don’t have anything to offer about the diagnosis.


  • @zande poisoning vs the discovery of a new disease favors poison. warfarin[rat poison]is no longer the most common 'blood thinner' but it has a distinctive 'coagulation panel' the rest are prescription medications. this sounds like multiple exposures.


  • @mister-science That's a really scary thought, and I'm not suggesting this is what happened to Cassius at all. I can imagine someone unknowingly dropping human prescription medications to the floor and creating a danger to a dog.


  • Hi everyone, thanks for the support messages it's being quite tough...

    Answering some of your questions, I did ask the breeder in France, and she never heard of anything like this before.

    Poisoning has been quite ruled out as I have another basenji boy (2 years old), and he could have been exposed too. Since the beginning of symptoms, the dogs have been 24h with me as I work home based, and I've been walking them on leash so the probability he would eat something repetedly witout me noticing is almost non-existent...

    Stil waiting for some additional tests that take longer to come back from the lab, let's see what the final theory from the vets will be.

    Thanks again everyone for the kind words and the interest


  • I am SO sorry for what you and your sweet boy went through. My heart broke just reading it. I know he could feel your love and knew you were doing everything to take good care of him. God bless you and your Cassius.

Suggested Topics

  • Cushings Disease

    Basenji Health Issues & Questions
    18
    0 Votes
    18 Posts
    2k Views
    tanzaT
    @gwen - It is not common Basenjis, many breeds, mixed breeds have/develop Cushings.
  • Cushings Disease

    Basenji Health Issues & Questions
    2
    0 Votes
    2 Posts
    634 Views
    B
    Yes, my Naomi had Cushing’s. You will need to work with your veterinarian for the best treatment. Lysodren was the first drug we tried. Trilostane was the drug that really worked for her. She regained her muscle tone and she strength and brightened back up. She did very well. She had her ACTH tested regularly, sitting quietly and patiently in the waiting room with me as she never liked the kennels at the veterinarian’s and threw unending basenji fits. I do remember the first signs of Cushing’s. Naomi’s tail developed a strange kink. None of the veterinarians in the practice could find anything wrong with her tail. She was otherwise healthy and bright. Next, she dropped a bar in agility. She never touched a jump before that, and could of course, jump much higher than her designated jump height. It did take a while for her to get to the point where she could be diagnosed. Naomi fought inflammatory bowel syndrome for a good part of her life. She often had bad tummy days. We did the best we could to keep her comfortable and happy. In the end, a tumor was detected in her bowel, and we made the difficult decision to euthanize. I don’t know how long she would have lived on the Trilostane protocol. She was a darling, beautiful little dog, and I miss her greatly. I do wish you the greatest of luck with your baby, and pray that your sweet pup and you have many, happy, healthy years ahead of you.
  • 0 Votes
    17 Posts
    3k Views
    senjisillyS
    One of my Basenjis is also diagnosed with early kidney disease. The vet prescribed Enalapril Maleate (generic for Vasotec). My vet allowed me to choose whatever prescription food I wanted to use. After some research I chose Blue Buffalo BLUE Natural Veterinary Diet KS Kidney Support. I looked into and tried a more holistic food, Dr. Harvey's - a dehydrated food, but Kushika couldn't manage to eat it without getting it all over the walls, kitchen floor, and herself so we went back to the kibble. I liked the Dr. Harvey food AND you can call to talk to Dr. Harvey, who asked me to send Kushika's lab results to him so he could make specific recommendations dependent on those results. Kushika came to live with us at almost 10 years old and was immediately diagnosed with kidney disease. At age 12+ she is still with us, going strong and looking better than when she arrived.
  • Cushings Disease

    Basenji Health Issues & Questions
    3
    0 Votes
    3 Posts
    2k Views
    D
    Here is the test information that Missy had done and an article with the portion that includes Melatonin for treatment. I have inlcuded the webpage for the entire article. She has not been on the Melatonin long and I am slowly increasing her dosage but she is definitely not as puffy in the intestinal area as she was. The Adrenal Panel with Combined Dex Supp/ACTH Stim Test for Dogs: The following hormones are tested in the adrenal panel: Cortisol, Estradiol, Androstenedione, 17-Hydroxyprogesterone, Progesterone and Aldosterone. REVIEW ARTICLES Steroid Profiles in the Diagnosis of Canine Adrenal Disorders Jack W. Oliver, Proceedings 25th ACVIM Forum, Pp. 471-473, Seattle, WA. 2007. http://www.vet.utk.edu/diagnostic/endocrinology/pdf/Steroids%20Profiles%20in%20the%20Diagnosis%20of%20.doc Melatonin. Results of in vitro cell culture (human H295R adrenocortical carcinoma cells) studies in our lab55 revealed that both 21-hydroxylase and aromatase enzymes were inhibited by melatonin. Also, in dogs with adrenal disease that are treated with melatonin, and repeat adrenal steroid panels are done, cortisol levels are consistently reduced, and estradiol levels are variably reduced.29 Inhibition of the 21-hydroxylase enzyme would lower cortisol levels, and inhibition of the aromatase enzyme would lower estradiol levels. Estradiol levels were decreased in a prior study of dogs treated with melatonin.31 Results of in vitro studies with human MCF-7 breast cancer cells also revealed that melatonin inhibited aromatase enzyme, which resulted in reduced estradiol levels.56 Melatonin treatment for cases of mild adrenal disease in dogs may be effective, and particularly in cases where sex steroids are increased. Jennifer
  • Disease

    Basenji Health Issues & Questions
    11
    0 Votes
    11 Posts
    3k Views
    Ninabeana26N
    Yea my vet told me that during our last appointment. He said not to let Dallas sniff other dogs poop no matter where we are because the poop can contain diseases. I see poop all around our community because people don't pick it up after their dogs but Dallas [so far] never really gets too near ti that I have to pull him away.
  • Fanconi Disease

    Basenji Health Issues & Questions
    28
    0 Votes
    28 Posts
    16k Views
    tanzaT
    @sharronhurlbut: As the test is easy and doesn't hurt the dog, why not test them all? Exactly… and hopefully before the end of the summer we will have a test for Fanconi....