What is meant by the terms acute, sub-acute (sub-clinical) and chronic when referring to tick disease?
================================================================ ACUTE: Generally, in the acute phase of illness, 1-4 weeks post infection, the dog may present with a flu-like illness. Fever, lethargy, depression of appetite, diarrhea and/or lameness may be present. The dog may act like it is very painful to be touched and will yelp when picked up or when played with. The laboratory profile will be variable, showing decreased red blood cells and increased white blood cells (WBC) and/or platelets. Alkaline phosphatase (liver enzyme) may be elevated. Immunologically competent dogs may be able to eliminate the infection without treatment, however, antibiotic therapy is very effective during this stage of illness and is recommended to completely eliminate the organism. SUB-ACUTE (SUB-CLINICAL): Untreated, the disease may move into the sub-clinical phase. The dog’s body weight normalizes and laboratory abnormalities may be quite subtle. Thrombocytopenia (low platelets) may or may not be pre
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