Ehrlichiosis and Demodicosis in Bali Local Dog

A 2-year-old male local breed dog weighing 8 kg presented with severe hair loss and intense itching, rated 8/10. Clinical examination revealed alopecia, scales, erythema, tick infestation, anemic mucosa, and swollen lymph nodes. Laboratory tests indicated macrocytic hypochromic anemia, leukocytosis, lymphocytosis, granulocytosis, thrombocytopenia, and infections with Ehrlichia sp. and Demodex sp. The dog was diagnosed with ehrlichiosis and demodicosis and treated with doxycycline, ivermectin, diphenhydramine, vitamin B complex, and sulfur soap baths. After 14 days, there was a reduction in itching and improvement in hematological parameters and Demodex sp. infection. By day 28, the dog showed further improvement with new hair growth and a better body condition score. The dog was also recommended a nutrient-rich diet and supplements to aid recovery.