Yes the vet did three different skin scrapings.  He has a yeast infection and 
generalized demodectic mange..of long standing.  It affects his face, throat, 
legs and belly.I am going to go out tomorrow and get a more natural food.  They 
had him on science diet puppy and I can do better than that..But he is eating 
and drinking well and is perkier today.  Tomorrow I start his baths..special 
shampoo and he is on antibiotics so the sores don't turn into staph.  I am 
researching some natural mange treatments..something to try before they dump 
the poisons on him..I am keeping him isolated in the other side of the house..a 
little lonely but he doesn't need the stress of dealing with the other dogs..he 
needs sleep..I will get some Lipiderm and start him on that.  

He is such a loving little guy..he curled up on my chest and gave me many 
kisses tonight..and he does this little sad whimper thing when I put him back 
in his playpen.  Starved for love that one is..And we had a mother/son talk 
about being strong and each one doing our part to get him back to health and 
said a prayer together lol..And he loves hubby.  When he walks into the room 
his tail goes crazy and he grabs his hand to give him hand kisses..So sweet..



________________________________
 From: Peggy & The Girls <[email protected]>
To: [email protected] 
Sent: Thursday, February 16, 2012 6:50 PM
Subject: Re: [Chihuahuas] Valentino -Mange Treatments
 

  
Hi Pam!
 
Actually I thought he looked a lot better then you previously posted. He is 
thin, but not starved. He has a tenderness about him, which is so cute! 
I would suggest a good natural kibble with a high protein and fat content for a 
month or so, just to get the weight on him and build up his immunity system. 
Also, strongly recommend Lipiderm (omega fatty acids) in his food once per 
day.  You know he must be a strong little fellow to have survived all that has 
been done to him so far, so personally.......I have a good feeling about him 
and think that he will bounce right back within a couple of months. He does 
have a long way to go for that.  Besides, too many good prayers have been said 
by so many of us in agreement and I believe that God has been answering these 
prayers and will continue to do so.....have faith my friend and believe with no 
doubt that God can and does perform miracles. That good positive energy will be 
picked up by Valentino and that will help him to keep on fighting.
 
It's good to know that this is not contagious to other dogs (unless their 
immune system is weak) or people......but If it were me, I would still keep him 
quarantined until you see a noticeable difference that the mange is finally 
disappearing on him.
 
Here's what I found on the subject, and it does state that there is a special 
shampoo that can be used to help him, as well as other treatments once his 
immune system is built up.  Which type of demodectic mange did the Vet say he 
has??  Did he do a skin scrapping to be positive that he diagnosed it 
properly?? Only a microscope can make a positive ID of which type of mites he 
has.
 
This is well worth the reading!
 
http://pets.webmd.com/dogs/mange-dogs-canine-scabies     (I removed any info on 
scaroptic mange, since he doesn't have that)
 
Mange is a skin disease caused by several species of tiny mites, common 
external parasites found in companion canines. Some mange mites are normal 
residents of your dog’s skin and hair follicles, while others are not. All 
mites can cause mild to severe skin infections if they proliferate.


What Causes Mange in Dogs?
All dogs raised normally by their mothers possess demodectic mange mites 
(Demodex canis), which are transferred from mother to pup via cuddling during 
the first few days of life. Most dogs live in harmony with their mites, never 
suffering any consequences.

There are three types of demodectic mange that affect canines. (Scroll Below 
for better explanation) Localized cases occur when these mites proliferate in 
one or two small, confined areas. This results in isolated scaly bald 
patches-usually on the dog's face-creating a polka-dot appearance. Localized 
demodicosis is considered a common ailment of puppyhood, and approximately 90% 
of cases resolve with no treatment of any kind.

Generalized demodectic mange, in contrast, affects larger areas of skin or a 
dog’s entire body. Secondary bacterial infections make this a very itchy and 
often smelly skin disease. This form of mange could also be a sign of a 
compromised immune system, hereditary problem, endocrine problem or other 
underlying health issue. Treatment depends on the age at which the dog 
developed the disease.

One of the most resistant forms of mange, demodectic pododermatitis is confined 
to the foot and accompanied by bacterial infections. Deep biopsies are often 
required to locate these mites and make a proper diagnosis. 

Is Demodectic Mange Contagious?
Current thinking is that Demodex mites can be transferred from one dog to 
another-but as long as the dog is healthy, the mites simply add to the dog's 
natural mite population and no skin disease results. Isolation of dogs with 
even the most severe cases is still felt to be unnecessary-though in rare 
circumstances, contagion is possible. While there are still different theories 
about dog-to-dog transmission of Demodex mites, it is accepted that mites 
cannot be transmitted to humans or to cats. 
What Are the General Symptoms of Mange in Dogs?
The symptoms of mange depend on which type of mite is present. Demodectic mange 
tends to cause hair loss, bald spots, scabbing and sores. Secondary bacterial 
infections can make demodectic mange an itchy and uncomfortable disease.

.What Should I Do If I Think My Dog Has Mange?
Take your dog to a veterinarian, who will perform a physical exam, analyze skin 
scrapings and try to confirm the presence of mange mites with a microscope. It 
can be difficult to identify mange mites if they’re buried deep in a dog’s 
skin, so your vet may rely on clinical signs or your pet’s history to make a 
final diagnosis.


Are Certain Dogs Prone to Mange?
        *  Puppies and dogs less than 18 months old are especially prone to 
developing localizeddemodectic mange, which often clears up on its own.
        * Generalized demodectic mange, the more serious, pervasive kind, can 
be hereditary in dogs. Old English sheepdogs and shar peis are prone to a 
severe form of demodectic mange affecting the feet. Older dogs who have an 
underlying illness may also be more prone.How Is Mange Treated?
Depending on the type of mange and the breed of your dog, medication may be 
given orally or applied topically, by injection, or via shampoo and dip.

Medications and managing physiological stress are essential when treating 
demodectic mange. Some infected dogs may also require special treatment-such as 
medicated shampoos-for secondary skin infections.

Please note, many skin treatments can be toxic to dogs and should not be 
repeated frequently, so check with your vet before beginning any treatment 
program for mange.

Is There a Cure for Mange?
Younger dogs often recover fully from mange, but adult dogs often require 
long-term therapy to control the disease. Dogs with demodectic mange should not 
be bred, as this condition is thought to be hereditary.

Treatment, no matter which option is chosen, should be accompanied by skin 
scrapes every two weeks. After two consecutive scrapes are negative, medication 
is discontinued, but a final scrape should be performed one month after 
treatment to ensure there isn’t a recurrence. 


How Can I Prevent a Recurrence of Mange?
        * If you suspect a neighbor’s dog may be infected, keep your pets away 
to keep the disease at bay.
        * Bring your dog to the vet periodically as recommended for recheck 
skin scrapes to ensure the mites have been eradicated.
________________________________________________________________________________________________________
http://pets.webmd.com/dogs/demodectic-mange-dogs
 
Demodectic Mange in Dogs
Demodectic mange is caused by a tiny mite, Demodex canis, too small to be seen 
with the naked eye. Nearly all dogs acquire mange mites from their mother 
during the first few days of life. These mites are considered normal skin fauna 
when present in small numbers. They produce disease only when an abnormal 
immune system allows their numbers to get out of control. This occurs primarily 
in puppies and in adult dogs with lowered immunity. A high incidence of mange 
in certain bloodlines suggests that some purebred dogs are born with an 
inherited immune susceptibility.
Demodectic mange occurs in localized and generalized forms. The diagnosis is 
made by taking multiple skin scrapings and looking for the mites. Demodectic 
mites are usually easy to find.
Localized Demodectic Mange
This disease occurs in dogs under 1 year of age. The appearance of the skin is 
similar to that of ringworm. The principal sign is thinning hair around the 
eyelids, lips, and corners of the mouth, and occasionally on the trunk, the 
legs, and the feet. The thinning progresses to patches of ragged hair loss 
about 1 inch (2.5 cm) in diameter. In some cases the skin becomes red, scaly, 
and infected.
Localized mange usually heals spontaneously in six to eight weeks, but may wax 
and wane for several months. If more than five patches are present, the disease 
could be progressing to the generalized form. This occurs in approximately 10 
percent of cases.
Treatment: A topical ointment containing either benzoyl peroxide gel (OxyDex or 
Pyoben), or a mild topical preparation used to treat ear mites can be massaged 
into affected areas once a day. This may shorten the course of the disease. The 
medication should be rubbed with the lay of the hair to minimize further hair 
loss. Treatment may cause the area to look worse for the first two to three 
weeks.
There is no evidence that treating localized mange prevents the disease from 
becoming generalized. The dog should be checked again in four weeks.
Generalized Demodectic Mange 
Dogs with the generalized disease develop patches of hair loss on the head, 
legs, and trunk. These patches coalesce to form large areas of hair loss. The 
hair follicles become plugged with mites and skin scales. The skin breaks down 
to form sores, crusts, and draining tracts, presenting a most disabling 
problem. Some cases are a continuation of localized mange; others develop 
spontaneously in older dogs.
When generalized demodectic mange develops in dogs under 1 year of age, there 
is a 30 to 50 percent chance that the puppy will recover spontaneously. It is 
uncertain whether medical treatment accelerates this recovery.
In dogs older than 1 year, a spontaneous cure is unlikely but the outlook for 
improvement with medical treatment has increased dramatically in recent 
decades. Most dogs can be cured with intense therapy. Most of the remaining 
cases can be controlled if the owner is willing to commit the necessary time 
and expense.
Treatment: Generalized demodectic mange must be treated under close veterinary 
supervision. Therapy involves the use of medicated shampoos and dips to remove 
surface scales and kill mites. Shave or clip hair from all affected areas to 
facilitate access to the skin.
The FDA protocol involves first bathingthe dog with a medicated benzoyl 
peroxide shampoo (OxyDex or Pyoben) to remove skin scales. Allow the shampoo to 
remain on the dog for 10 minutes before rinsing it off. Completely dry the dog.
Amitraz (brand name Mitaban) currently is the only miticide approved by the FDA 
for use on dogs. Make up an amitraz dip by adding Mitaban to water, according 
to the directions on the label. Be sure to treat the dog in a well-ventilated 
area and wear rubber or plastic gloves to keep the chemical off your skin. 
Sponge on the dip over a 10-minute period, allowing the dog’s feet to soak in 
the rinse. Allow the dip to dry on the dog. Repeat every two weeks, or as 
directed by your veterinarian. Try to keep the dog from getting her coat and 
feet wet between dips. Continue this protocol for 60 days beyond the day when 
skin scrapings first became negative.
Side effects of Mitaban include drowsiness, lethargy, vomiting, diarrhea, 
dizziness, and a staggering gait. Puppies are more susceptible than adults to 
these effects. If such a reaction occurs, immediately remove the miticide by 
thoroughly rinsing the coat and skin.
If the FDA protocol is not completely effective, your veterinarian may suggest 
an alternative treatment. Oral milbemycin and ivermectin have been used as 
off-label treatments, and require close cooperation between your veterinarian 
and you since they are not officially approved for treating this problem.
Secondary skin infections should be treated with antibiotics, based on culture 
and sensitivity tests. Corticosteroids, often used to control severe itching, 
lower the dog’s immunity to the mites and should not be used to treat this 
disease.
 
 
 
 
 
 
 
------Original Message-------
 
From: Pam Dean
Date: 2/16/2012 12:05:14 PM
To: [email protected]
Subject: Re: [Chihuahuas] (unknown) [3 Attachments]
   
Ok all.  Back from the vets.  Don't know all but know some.  Think he is 1-2 
years old..but hard to tell exactly and weighs just under 3 lbs..  Does not 
have kennel cough..heart and lungs sound good..but obviously immune system 
compromised.  Could have been from birth or from lack of care.  Has yeast skin 
infection and demodectic mange.  This type of mange is heriditary and common in 
some breeds like Chihuahuas if their immune system is compromised.  It is very 
entrenched and he has had it for a long time.  Treatment will be problematic as 
he is so emasciated etc.  and it is in essence a poison, which requires muliple 
applications and can cause vomiting and diarrhea and lethargy.  If his immune 
system does not come back, we will not be able to get rid of it.  He did not do 
blood work today..he wants to see how he eats and drinks etc and see his 
progress next week. I did get a shampoo to get his bacterial levels down and an 
antibiotic. He did
 eat a big breakfast and drank some water, yeah, and is sleeping again which I 
expect him to be doing a lot of. So we will see how the week goes, see how the 
blood work goes, and then decide our course of action.  He was so sweet at the 
vets..wagging his tail and giving the vet tech kisses..what an angel.
Attached some pictures..



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