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UKVETJH, Dog Veterinarian
Category: Dog
Satisfied Customers: 1022
Experience:  BVetMed MRCVS since 2004, Cert Vet Acupuncture. High caseload of canine patients.
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5 month old puppy has 2 large grape size swollen lymph nodes

Resolved Question:

5 month old puppy has 2 large grape size swollen lymph nodes symetrical, each side of his cheek.appeared over night.No fever,appetite great,nothing wrong with ears, eyes,teeth,mouth,or any other symptoms.Nothing on face or around his eyes,lymph nodes on neck/hind legs are fine.He has two quarter size round scabs on belly missing fur(potentially be from his daily wrestling matches at dog park-lots of rocks)-which almost healed b4 lymph nodes swelled gave him a shot of cortisone, and prescribed benadryll.tested negative for mites,fungus, bacteria in his belly scabs.No other symptoms-vet was day, no change,I asked for a general antibiotic.He's still on benadryll,clavamox-gave him a puppy asprin hoping the anti-inflamatory would help it go down-no change in the size of his swollen bumps. Aside from rubbing his face,he is 100%acting normal. infection?Allergic Reaction?Puppy Strangles?Tetanus?Toxoplasmosis?How do we get the lymph nodes to go down?What could be wrong w/him?
Submitted: 7 years ago.
Category: Dog
Expert:  UKVETJH replied 7 years ago.

Hi there,


The symptoms that you describe do sound like puppy strangles, although it is very difficult to tell without examining him. The last case I saw though had very similar signs, especially with the facial itching too. The best way to be sure is to have your vet take a small needle aspirate of the lymph node and get it examined - strangles should come back as a sterile lymphadenopathy ie the lymph nodes are reactive but not due to an infection. If this is the case then steroids are needed, but a cortisone injection by itself is not enough - they need low doses orally by mouth daily for 1 week and then every other day. However, in such a young dog, it is important to have the diagnosis before using steroids - so get the lymph nodes checked first. If this isn't the cause, then the lymph node aspirate should give a much better idea of what is going on.

Customer: replied 7 years ago.
is that the first sign of puppy strangles? because he has absolutly no other symptoms what so ever. If it wasn't for those bumps, he'd be 100% himself.
Expert:  UKVETJH replied 7 years ago.
Often that's all there is. I've seen some with the itchy face, some with conjunctivitis and hair loss around the eyes, but very often they're eating and drinking and very bright. It's definitely worth testing for as it's so simple to do and not distressing for the pup at all.
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