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 bathing the 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]
 
  
[Attachment(s) from Pam Dean included below]
 
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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