Puppy Strangles

(ALSO CALLED “JUVENILE CELLULITIS” OR
“STERILE GRANULOMATOUS DERMATITIS AND LYMPHADENITIS”)

puppy with strangles small

(Graphic from Dr. Patricia Lechten.
Used with permission)

Puppy strangles is a classical disease though fortunately not a very common one. It comes up suddenly manifesting as marked swelling of the muzzle, eyelids, and face in a puppy between the ages of 3 weeks and four months of age. The owner may be inclined to think the puppy was bitten by a stinging insect or a spider.

Ducky Love Leo Strangles

(original graphic by marvistavet.com)

Soon, the lymph nodes of the throat become spectacularly enlarged giving the puppy the appearance of having the mumps. It doesn’t take long for the swelling to give way to pimples which rupture, bleed, and crust. The inner surface of the ear flaps are commonly involved as well and occasionally lesions in other body areas occur. Lesions are painful more than they are itchy.

Fever, joint swelling, and loss of appetite occur in approximately 25% of patients. If treatment is delayed, permanent hair loss can result in the most severely affected areas. If the puppy is sick enough, the condition can be life-threatening.

Predisposed breeds include: the Golden Retriever, Dachshund, and Gordon Setter.

Golden Retriever head

Dachshund head

Gordon Setter head

Golden Retriever

Dachshund

Gordon Setter

TREATMENT

Despite the extreme inflammation and secondary infections the heart of treatment for this condition is immune-suppression. High doses of corticosteroids such as prednisone are needed as this condition appears to be an immune-mediated disease. In other words, the immune system of the puppy is acting excessively and inappropriately and it must be subdued. Antibiotics may be needed for the secondary infections but antibiotics alone will not treat this condition. Once suppression of the overly active immune system occurs, improvement is usually rapid.

Because the treatment involves suppression of the immune system, it is best to rule out conditions that might look similar but for which immune suppression would be inappropriate. Generalized demodectic mange, an infection involving mange mites, also has a facial orientation and can look similar to juvenile cellulitis. Skin scrapes can be performed to check for the presence of mites. A severe infection can be ruled out by looking at samples of the pimple contents under the microscope, noting that no bacteria are present despite the dramatic number of inflammatory cells. A secondary infection, though, can be present in which case the doctor must use clinical judgment about the appearance of the lesions and the patient’s history to make the diagnosis.

The condition generally resolves in 10-14 days and does not recur.

Page posted: 2/21/09
Page last reviewed: 6/26/2013