Blue-green algae: What it is and why it’s so deadly

Dr. Moll is recommending this article as necessary reading for families of our avid canine swimmers.

Warmer weather brings with it the threat of blue-green algae poisoning

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By Lynn R. Hovda, RPh, DVM, MS, DACVIM

Dogs love to explore. No doubt about it, their snouts lead them into all sorts of places when they are out for a walk, including the picturesque pond or lake that happens to be a regular stop on its daily jaunt. A quick drink and it’s on its way. To many pet owners, however, the colour of the water may not have been noticeable or noteworthy, which is where the danger lies.

The onset of warm weather increases the threat of blue-green algae poisoning in people, pets, and livestock that swim in or drink from affected water. Although commonly referred to as blue-green “algae,” these organisms are not plants. Rather, they are bacteria—cyanobacteria, to be precise. So named for their bluish pigment, cyanobacteria are aquatic and photosynthetic, meaning they live in water and manufacture their own food.

An overgrowth of cyanobacteria is referred to as a “bloom,” which can occur in bodies of fresh, brackish, or saltwater. Blooms typically colour the water green (brilliant green, pea soup green, or iridescent), but some species of cyanobacteria produce colours such as orange/red or yellow/brown. These blooms have also been described as “paint floating on the water.” In addition to changing the colour of the water, blooms may also result in a foul odour and/or an abnormal taste. Bacterial colonies can float on the surface and, on windy days, may be blown into concentrated algal mats along the shore where livestock or pets can easily reach them.

Most cyanobacteria blooms are nontoxic and, of the 2,000-plus cyanobacteria species, only 80 produce toxins. Toxigenic blue-green algae blooms can occur throughout the year but are more likely to happen during hot summer and early fall days when water temperature rises, water becomes stagnant, and there is little rainfall. Eutrophic or hypereutrophic water (abnormally elevated phosphorus and nitrogen levels) encourages blooms. This most typically occurs in areas of agricultural or municipal runoff of animal waste and fertilizer. It is impossible to determine whether or not a bloom contains toxins simply by looking with the naked eye. Therefore, all blue-green algae blooms should be considered toxic until proven otherwise. Species of blue-green algae known to be toxigenic include AnabenaAphanizomenonLyngbyaMicrocystisOscillatoria, and Planktothrix.

A microcystin bloom in a pond. Animals ingesting these toxins typically become ill, often within 30 minutes after access to affected water.

All animals, including dogs, cats, horses, livestock, mammalian and avian wildlife, and humans, are susceptible to the toxins produced by cyanobacteria. Unfortunately, the toxic dose can be very small. In cases of highly concentrated algae, just a few mouthfuls of contaminated water may result in death. Absorption across the respiratory tract and skin may also result in exposure, although these are not primary routes.

Dogs, especially water-loving dogs that hunt or swim, are the most common domestic species affected. Cats are seldom affected, presumably because they rarely swim and are less likely to drink water that is not fresh. Common sources of poisoning for domestic animals include backyard ponds and stagnant water holes, as well as lakes and slow-moving streams. Poisoned grazing animals drinking from these affected water sources may be found dead near the shore. Cases of poisoning in dogs from water in small containers, such as discarded aquariums and neglected backyard fountains, have been reported.1

A closer look at toxigenic blooms
The most common and concerning toxins produced by cyanobacteria are microcystins and nodularins—which are potent hepatotoxins—and anatoxins (anatoxin-a and anatoxin-as), which are powerful neurotoxins.

Microcystins and nodularins (hepatotoxins): Animals ingesting these toxins typically become ill, often within 30 minutes after access to affected water. Early signs include anorexia, lethargy, vomiting, diarrhea, and weakness. Ingestion of microcystins often lead to rapid onset of shock secondary to intrahepatic hemorrhage and death; nodularins may not cause death for one to five days following exposure. Some animals develop restlessness, recumbency, and seizures prior to death. Laboratory abnormalities including hyperkalemia and hypoglycemia; increases in bilirubin and liver enzymes are common in those animals that survive for a few hours. Long-term hepatic issues, including secondary photosensitization, and renal failure may develop in animals that survive acute poisoning. These hepatotoxins can destroy the cytoskeletal structure of the liver to the point where hepatocytes transported by the portal vein can be found in the lungs at postmortem.

Anatoxins (neurotoxins): Anatoxin-a acts as a nicotinic agonist, resulting in a rapid onset neuromuscular blockade. In a matter of minutes, the animal can experience muscle rigidity, anxiety, tremors, seizures, paralysis, and respiratory failure. Death can occur within minutes to hours following exposure. A golden retriever succumbed to anatoxin-a poisoning near Reno, Nev., in early June 2010.2 The dog had been swimming in a manmade backyard pond and also ingested algae from a bucket used to collect water out of the same pond. Within an hour of ingesting algae from the bucket, the dog developed hypersalivation and anxiety, and presented to the hospital with ataxia, rear limb paraparesis, and muscle fasciculations. Over the course of two hours, the dog developed acute central nervous system (CNS) depression, tensor rigidity, absent menace and pupillary light reflexes, respiratory failure, and was euthanized due to poor prognosis. High concentrations of anatoxin-a were detected in the pond water, in the bucket the dog had drank from, its stomach contents, urine, and bile. In similar cases, three of three dogs developed seizures and died after swimming in a river in California, and three out of 11 dogs died within one hour of swimming in a natural pond in Ontario.3 As with the Nevada case, all dogs had high concentrations of anatoxin-a in their stomach contents at necropsy.

Exposure to anatoxins-as (“s” for salivation) results in rapid onset muscarinic signs such as salivation, lacrimation, excess urination, and diarrhea (SLUD), which are the same muscarinic signs seen with poisoning from organophosphate pesticides. Animals may die within 30 minutes of exposure. No significant laboratory abnormalities are associated with anatoxin toxicosis.

Water plants are often confused with algal blooms. The green substance floating in this tire water is just vegetation.

Poor prognosis
There is no specific treatment for poisoning from cyanobacteria. The rapid onset of clinical signs precludes most attempts. Once the signs of poisoning have developed, the prognosis is very poor. In severe cases, it is not uncommon to have the pet die while being transported to the hospital. Asymptomatic animals with very recent exposures should have emesis induced, provided it is safe and appropriate to do so. The instruction to induce emesis should only be given by an animal poison control center or veterinarian to avoid further harm to the patient. Animals should also be bathed to prevent additional ingestion from self-grooming. The use of activated charcoal has questionable effect in adsorbing the toxins, but cholestyramine was recently used successfully in a dog surviving the initial insult.4 Due to the potent anticholinergic signs caused by poisoning with anatoxin-as, atropine may be helpful. Further treatment is supportive and may include intravenous crystalloids or colloids for shock, blood products as needed for hemorrhage or coagulation deficits, anticonvulsants (diazepam, phenobarbital), methocarbamol for tremors, phytonadione (vitamin K1) for coagulation abnormalities, and hepatoprotectants such as silymarin and S-adenosyl-L-methionine (SAMe).

It is critical for veterinary staff to know blue-green algae can also be toxic to people. Individuals handling affected animals need to take special safety precautions to prevent respiratory irritation, contact dermatitis, or death. Protective clothing, including safety suits or aprons, long gloves, and eye protection, should be worn and good ventilation provided.
Consultation with veterinarians at animal poison control centers is recommended to provide current treatment options and assist with case management. Likewise, consultation with veterinary diagnostic laboratories is recommended for confirmatory testing. Water samples, or algal samples from the animal’s fur or gastric contents, should be refrigerated (not frozen) and preserved in 10 per cent formalin. Biologic samples such as serum, urine, or whole tissue samples from necropsied animals should also be submitted. If testing is positive, it is crucial local municipalities are informed so that appropriate public health measures can be instituted.

Lynn R. Hovda, RPh, DVM, MS, DACVIM, is the director of veterinary medicine and a founding partner at Pet Poison Helpline, a 24-7 animal poison control service available to both pet owners and veterinary professionals who require assistance with treating a potentially poisoned pet. Having managed more than one million cases, the veterinary experts at Pet Poison Helpline provide treatment advice for all species. For more information, visit petpoisonhelpline.com.

Emergency Pet Plan

When we experience our own healthcare emergency

What happens to our pets when we’re having an emergency?

The Coronavirus pandemic has me asking myself, “how do I plan for the worst while hoping for the best…even for my pets”?  Whether we’re hospitalized for illness or an unfortunate accident happens, we should have a plan for the most vulnerable members of our families.  There are a few very simple steps we can take to ensure our pets are cared for while we are away and tending to our health needs.

  • Determine who you trust to care for your pet and is also willing to keep your pet safe and happy while you cannot.
  • Supply them with everything they’ll need beforehand for your pet’s well-being.
    • The contact information for your veterinarian including, email address and phone numbers. 
    • The contact information for your local overnight veterinary emergency clinic. 
    • It is a good idea to keep an updated authorization form on file with your family veterinarian and the local emergency clinic.  This should include an agreed-upon form of payment as some hospitals require deposits for some emergencies. 
  • Food and medication needs can be tricky for some pets.  Be sure to give precise instructions for giving food and any medications your pets may be taking.  For new caretakers, the act of administering medications accurately may seem very daunting.  Be sure to keep an active list of medications. If there are several kinds of medications with varying directions, you may wish to create a calendar or schedule for giving meds and keep it updated as you never know when an emergency can happen. 
  • Be sure the caretaker has a key to your home and relationships with your pets.  There would be nothing more frightening for your pets than living with a stranger for a few weeks.  Remember, they haven’t a clue what is happening or why. 
  • Pack a bag for your critters.  You can put favorite toys, treats, and maybe something that smells of home for comfort.  When my father passed away, I kept the jacket he wore everyday draped over his dog’s crate and she was immensely comforted.  It didn’t replace Dad, but it did have the scent of safety. 

Using your local boarding facility, like the one here at Christensen Animal Hospital is also a great option.  If you make arrangements with a neighbor to drop off your pet in the event of an emergency and have pre-planned arrangements with the facility, the admission should be fairly stress-free.  For pets who require medical care in your absence finding a medical boarding facility may be crucial for your pet’s better health.  When using a boarding facility, it is best to name a caretaker on the account to make any important decisions on your behalf.  A form may be required at some facilities for a pet care proxy to make decisions when you cannot.  Give us a call if we’re your medical boarder of choice and we’ll be sure to have all of the required documents in place and ready to go, no stress involved.  Remember, being prepared for the worst allows us room to hope for the best.  We will get through this uncertainty together.  Just ask us for help. 

Linn
Practice Manager

Changes During COVID-19

Christensen Animal Hospital is a Wilmette community staple and that part is not changing.  We take seriously the human and animal bond and are very careful to help strengthen that bond when it is needed the very most.  Our pets provide a source of comfort that is unmatched and we are all they’ve ever known.  This is precisely why is it so very important to keep ourselves healthy for our families, including our pets.  In light of COVID19, we have made some changes and will continue to make changes as the situation evolves. Please check back for the lastest Christensen Animal Hospital News and COVID19 response updates.

  • We have switched to curbside service and have been practicing curbside service successfully for over a week.
  • We have changed our cleaning protocols to be sure we’re sanitizing behind ourselves and the pets we treat. 
  • We have begun offering transportation services for those who are ill and not able to transport their pets to us for treatment.
  • We have also started a delivery option for food and medication for the duration of the shelter-in-place order.
  • Our boarding facilities are available as usual and to welcome any pets whose owner is infected with COVID19 and/or hospitalized. 

The Bond: Jenn & Charlie

The Bond:  Jenn & Charlie

Jenn, our Client Service Manager, tells the story of how she and Charlie met and his introduction to the rest of the family.  Charlie had a rough beginning, but from rough beginnings often comes the strongest bonds…

I met this little man back in July of 2010.  We had our beagle, Rocky, and were looking to adopt a fellow pup.  We came across “Stallone”, as he had been named, at a local shelter.  He was estimated to be about a year and a half old.  I initially went by myself to the shelter to visit.  And I brought my family back later.  Rocky and he met and got along great!  We came to find out “Stallone” was diagnosed with kennel cough, so after our adoption application was approved (we were 1 of 21 families who applied!) he stayed the week for treatment.  Once that was completed, he was neutered and came home!  He now goes by Charlie.

Charlie is such a character!  He is goofy, fun, smart, and bullheaded all in one little body.  He is my son’s very best dog, and the bond they share is unbreakable.  Charlie simply loves him.  He also is very protective of our family.  He is not a huge fan of the mailman, the UPS man, or any person who walks through our yard without permission!  But if he’s with us and we introduce them, he’s fine.  He’s quite the guard dog for only being 20 pounds.

Every night, about 8pm, he goes through a crazy phase.  He begins to roll like an alligator while trying to “bite lick” my husband or me!  He is totally playing around and doesn’t bite anyone, but it’s his way to get our girls to play with him and they immediately join!  His favorite toy to play with is Jewels, our whippet.

He has added a whole lot of love and laughter to our lives.  Our days wouldn’t be the same without him and I’m SO glad the shelter chose us to be his furever family. We love you, Charles Barkley.  

The Bond: Linn & Thomas


Thomas – The day was just too much for him.

We often hear about the bond between humans and animals.  There is a certain connection we all share with animals and especially our own pets.  I’ve heard some say, “We had an instant bond”, or “It was love at first sight”.  One of my own experiences involving my now 10-year-old cat, Tom, was very similar.  I was working late at the clinic, and I looked up to see a team member in my office telling me, “You absolutely have to meet this kitten”.  Well, I wasn’t terribly fond of cats at the time so I reluctantly followed her over to the front lobby.  I watched as this very young kitten, probably about 6 weeks old was being passed from team member to team member and back to the officer who brought him to us. 

This little black disheveled kitten was screaming its little head off, all four legs and paws stretched out in distress and seemingly shouting, “Leave me alone!  Put me down!  Where is my mom!?”.  He was pretty cute I had to admit and suddenly the thing was passed to me!  I’d never held something so little, and he was already so angry and scared that I was sure he was going to bite me.  So, what do I do?  Of course, I accepted him into my hands and honestly thought I was going to drop him.  He ran up my blouse and hid under my hair.  He became quiet, so quiet I thought something happened to him on the journey up my blouse.  As we stood around listening to the officer tell us how he found him, the kitten rested on my shoulder, under my hair.  Our conversation with the officer and side conversations distracted from the kitten for about five minutes. Then, one of the gals on duty that night lifted my hair and saw he was fast asleep. 

“Looks like he found a mom”, one of them said.

…and so, he had.

Thomas is no longer the desperate, distraught, and disheveled itty-bitty soul he was; in fact, he is an avid defender of all things tidy, very demanding, and right where he was meant to be.  I was never a cat lover.  “Was” is the operative word in that sentence.  The bond Thomas and I share is unlike any bond I’ve experienced, and as pet owners, we know every pet is unique and the relationship, unique to us.

Over the next several months we’ll be exploring stories about the bond each of us shares with our pets and how each of those bonds is unique, compelling, and everlasting. In addition to our “The Bond” series, we’ll also be posting other series, articles, and snippets along the way.

Enjoy!

Linn
Practice Manager