Fallbeispiele

Apis

Kuky: a clinic case of Leishmaniosis in a dog

Francesca Pisseri

 

Kuky: a nine-year-old crossbreed small size, male dog

First visit: June 1999.

The dog suffers from leishmaniasis with cutaneous and ocular symptoms, the protidogram is altered and presents hypergammaglobulinemia and hypoalbuminemia.

His left eye is affected by uveitis with a complete opacification of the crystalline lens while there is a keratic precipitate which increases progressively in the right eye.

The skin suffers from dandruff and itching, especially on the head, and a generalized lymphadenopathy.

According to the owners, Kuky is a quiet dog who prefers the company of the lady, he is “the darling of the house”, he is treated like a child, sleeping in the bed with her.

The dog is obedient to the lady whilst he takes advantage of the others. He is nagging to obtain what he wants, on the contrary he is submissive to the lady, he is jealous and possessive of her.

He does not care for other dogs, he runs towards cats without biting them but he moves them aside with the muzzle. He walks erect, he barks at strangers and avoids them. He does not trust anyone.

He likes to sniff and crawl into the bushes.

He wants to go out on Sundays at 11 o’clock as usual, the other days  at 8.30 o’clock.

He puts his nose in shopping bags with curiosity.

When he has to take the bath, he senses in advance and he hides. He likes gnawing and destroying his things especially fluffy toys.

He suffers terribly from the heat, looking for the shadow. He wants to come back home immediately if it is raining.

He easily understand  if there are females in heat. He brings the stones home from the park. He is possessive of her things and it is impossible to take them away.

No one could approach him if he has a boiled bone.  He is the chief of his own house, he does not want anyone in the house.

He tries to get to the birdcage skipping like a spring.

If he wakes up in the night he urinates on the floor.

When the granddaughter was born he guarded the cradle, no one could get close it.(TO)

He has his place where defecates. He is anxious and agitated out of his environment. He loves to be cuddled, he looks for snuggles.

During the visit he is in constant motion, turns and sniffs, then tips up a puppet and begins to bark without being able to stop it.

Apis Mellifica 200 K once a week for 2 months is prescribed.

In the days following the administration of the remedy he has a purulent dermatitis which regressed spontaneously.

Two months later there is a check of the dog. The owners say that Kuky is more calm, and the coat too is improved. The lymphonodes are normal, the eyes steady, the protidogramm is improved and has stabilized. He urinates no more on the floor.

Apis 0.6 Lm is prescribed, administered once a day in 3-week cycles, separated by a week of rest.

In November 2000, the test continues to be normal and Kuky is fine.

Given the stability of the situation, I decided to suspend the remedy and to prescribe a placebo.

After about a month Kuky has a severe itching, linfoadenomengalia, significant worsening of the glaucoma  on the left eye, muscular hypotonia, episodes of polyuria and polydipsia. He is nervous, barking for nothing, sleeping too much. The protidogramm worsens: albumin lowers and beta globulins raise as consequence of the exacerbation of leishmaniasis (albumin/globulin rate 0.83).

Apis 0.18 Lm in 3-week cycles is prescribed. In two months the symptoms are remised and blood test has completely normalized (albumin/globulin rate 1.27).

In 2004 Leishmaniasis is stable although with positive antibody titer.

The themes that raise from a careful study of the clinical case are:

- strong affection aimed at the whole family and special attachment to a female figure (Mrs.), the female figure is much loved and highly respected at the same time;

- family 's attention is directed chiefly to the family (not interested in the dogs, or strangers)

- stubborn, headstrong, wants to get what he wants, his only point of reference is the woman to whom he obeys

- Jealousy, possessiveness (for objects and family members)

- territoriality

- Fussiness (times, places for needs, etc.)

- Aversion to tap water, rain, etc.

- Destructive tendency with objects)

These themes are characteristic of the homeopathic remedy Apis Mellifica.

The presence of the “recognized leader” is crucial to the balance of the “animal Apis”, the role of the boss, hierarchically adopted, has a reassuring function: Kuky is quiet just with the lady; for example, if the daughter takes him to the vet, he is more shy. If someone takes him out of his environment, he has a lot of anxiety and agitation.

In the case of Apis subjects the the reference figure is often a female one.

Repertorial symtoms :

MIND; CAREFULNESS

MIND; OBSTINATE, headstrong

MIND; JEALOUSY

GENERALITIES; BATHING, washing; agg.

EYE: inflammation, gen.