DEAR READERS: There is a flesh-eating fungus in the soils of California, Arizona and other states in the region -- and likely to spread elsewhere, due to climate change -- called Coccidioides. It causes a paralyzing, and sometimes fatal, illness in people called Valley fever, which takes its name from the San Joaquin Valley in California.
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This fungus thrives in warm soils, and grows billions of spores after a rainfall. The spores are later released into the air when the ground dries, stirred up by wind and by human activities -- especially the building of homes in desert areas with dubious water security.
Cats and dogs can get Valley fever when they inhale Coccidioides immitis fungal spores. They grow into spherules within the pet’s lungs, and if the animal’s immune system cannot wall them off, they eventually burst -- releasing hundreds of endospores that can spread throughout the lungs and other parts of your pet’s body, where the cycle will begin again. The condition will become increasingly severe, often ending in blindness and/or paralysis.
Treatment of Valley fever in pets takes time, just as it does with those people who have the misfortune of becoming infected. The treatment for both dogs and cats will typically include an antifungal medication such as fluconazole or itraconazole. Dogs may also be treated with ketoconazole, but this is not well tolerated by cats.
More than 90% of dogs treated for Valley fever will survive, according to the University of Arizona. Dogs with symptoms involving several parts of the body (particularly the brain), or those not responding well to antifungal medications, have a worse prognosis.
The best preventive measures are to avoid taking your dogs out on dry, windy days or letting them dig in the ground, especially in the Southwest region. Keep cats indoors, since they will dig in the ground if allowed out, hunting small prey and burying their feces.
DEAR DR. FOX: Friends of mine have a 6-year-old Bouvier des Flandres, and their vet suggests he be neutered since testicular cancer is common in this breed. What is your opinion? -- M.F., San Francisco
DEAR M.F.: I believe the veterinarian may or may not be right. If this dog has only one testicle, for example, the veterinarian is correct because the undescended one could become cancerous (such as with a Sertoli cell tumor) and should be surgically removed.
Bouviers are also predisposed to gastric carcinoma, a type of malignant stomach cancer. For details, see morrisanimalfoundation.org/article/dog-breeds-increased-cancer-risk. For documentation of other breed-specific incidences of various cancers, see “Breed-predispositions to cancer in pedigree dogs” by Jane Dobson, published in ISRN Veterinary Science, January 2013.
Male dogs of any large breed, in my opinion, should not be neutered because neutering, especially at an early age, can affect bone development. It may therefore play a role in bone cancer and the weakening of joint ligaments, especially around the hip joint and the knee cruciate ligaments.
VET RECOGNIZED FOR SERVING HOMELESS PEOPLE’S PETS
Veterinarian Dr. Kwane Stewart provides supplies and medical treatment to animals belonging to people experiencing homelessness in San Diego. Volunteers in other cities do the same, thanks to Project Street Vet, a nonprofit Stewart founded in 2020.
Stewart is one of 10 nominees for a 2023 CNN Heroes award, and will receive $10,000 for his work. If he receives the most votes, he’ll also win the grand prize of $100,000. (Full story: The San Diego Union-Tribune, Nov. 26)
(Send all mail to animaldocfox@gmail.com or to Dr. Michael Fox in care of Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. The volume of mail received prohibits personal replies, but questions and comments of general interest will be discussed in future columns.
Visit Dr. Fox’s website at DrFoxOneHealth.com.)