The two-year-old dog became lethargic, thin and listless, deteriorating to the point that it was admitted to a pet hospital for a week for a blood transfusion.
“I was really worried about him,” Ms Powell, an enrolled nurse, said.
Testing confirmed Leo had ehrlichiosis, a disease transmitted through bites from brown dog ticks carrying the Ehrlichia canis bacteria.
But what worried the specialists is that Leo lives in the urban Top End, which some experts fear is becoming a new stronghold for a disease spreading like wildfire.
The first Australian case was detected in the Kimberley region of Western Australia in May last year.
By June, cases were rapidly emerging in Katherine in the Northern Territory and the surrounding remote communities.
The Northern Territory government has recorded 370 confirmed cases — 110 in the Darwin and Arnhem Land region, 149 in the Katherine region, 36 in Tennant Creek and in Alice Springs and surrounds, 75.
Experts say countless more have been left undetected in remote communities with little intervention.
“When we finally got to bring him home, [the vets] said he needs to stay inside, he’s at risk of spontaneous bleeding and he might not make it,” Ms Powell said.
“It was very full-on, very emotional.
“There were tears basically every night.”
Until the first cases were discovered just last year, stringent biosecurity controls had kept ehrlichiosis out of Australia.
Experts are still baffled by how the disease got in but, according to Professor Peter Irwin from the School of Veterinary Medicine at Murdoch University, the disease is now considered “endemic” across the NT.
“Ehrlichiosis is one of the most serious diseases of dogs in my opinion,” he said.
“It makes them very ill, and many dogs can die.
“Once it establishes into a tick population, it’s very difficult to eradicate.”
Common symptoms include lethargy, fever and cloudy eyes, which can be cleared up with antibiotics but, if left untreated, the disease can lead to blindness, uncontrollable bleeding and death.
“The problem with this disease is that dogs travel and spread infected ticks,” Professor Irwin said.
“Dogs that have moved from an endemic area of the community into the city will possibly bring ticks with them, and the ticks can then drop off.
“There have now been dogs with the disease identified in most other capitals, most as a result of travel from the north.”
Doctor Stephen Cutter, the head veterinarian at Darwin’s Ark Animal Hospital, is no stranger to the crippling disease.
He said up to 40 per cent of the dogs are infected in the remote communities of the Top End he visits on rotation.
But in August of last year, he saw his first case in a pet that had not left urban Darwin.
Arielle Giles, a vet at the Darwin Veterinary Hospital, confirmed the disease’s spread to Darwin, saying she had seen six cases in the past three months.
“It’s a devastatingly bad disease and it’s really difficult to treat,” Dr Cutter said.
“It’s basically everywhere and it’s now a matter of living with it.”
Both Professor Irwin and Dr Cutter said keeping ticks at bay is the best way to prevent ehrlichiosis.
“Because the infection is transmitted so quickly from the tick bites, the most important way of protecting your dog is to use a product, such as a collar that kills ticks before they bite,” Professor Irwin said.
It has now been five months since Leo was struck down by the tiny parasite and, while he is still getting regular check-ups and his future is looking brighter, vets can’t give the all-clear.
“Ehrlichiosis is really nasty in that it can stay hidden in the bone marrow for a long period of time,” Dr Cutter said.
Earlier this year, the NT government brought on a new coordinator to transition the NT’s response to the disease from a biosecurity threat to managing the outbreak.
“This disease is a nationally notifiable disease, which means that suspected cases of E.canis need to be reported, and free testing can be carried out on blood samples from suspected dogs,” said the chief vet at the Department of Industry, Tourism and Trade, Dr Sue Fitzpatrick.
Dad was left unrecognizable after losing his lips and four limbs to flesh-eating bacteria – This is what he looks like today
The life story of Alex Lewis is like no other. This man refused to give up on his life no matter what it took, and today, he’s thriving with the help of his loving wife Lucy Townsend, and their son.
Alex and Lucy always knew they were meant for each other. When they married and welcomed their son Sam into their life, they felt like the happiest couple on Earth. But then in 2013, around the time Sam turned two, this family’s life took a different turn.
Both Alex and Sam caught the flu, or at least they believed so. However, as the boy got better in a short period of time, Alex wasn’t feeling fine even days after he experienced the flu-like symptoms.
“Because we owned and lived in a pub and came into contact with lots of different people, I assumed it was a seasonal cold and thought it started off as man flu,” Alex told Metro.
Instead of improving, his condition worsened and he became feverish and noticed blood in his urine.
As he could feel something was very wrong, he went to the hospital where doctors told him he contracted a streptococcal infection (type A). Unfortunately, at that point, the infection penetrated deep into the tissue and the organs and caused sepsis. Alex had contracted shock syndrome, septicemia, and necrotizing fascitis – and his body was attacking itself from the inside out.
“I called an ambulance, and within eight minutes, they were there. At the hospital, we went straight into resuscitation, and I was told to say goodbye. His kidneys were shutting down, and they were going to put him on life support,” his wife Lucy told The Guardian.
Doctors’ prognoses were dull. They told the family there was just a three percent chance that Alex would survive as his face and body turned black.
“They were going to turn my life support off, but they wanted to give me one more night to see if I improved, and they wanted to give my family a chance to say goodbye,” Alex told Metro.
“I cannot imagine what Lucy and my mum were going through.
“Having spoken to them since it happened, I think they were more in shock as they couldn’t believe something so incredibly invasive was happening so quickly,” he added.
“I don’t remember being in excruciating pain at this point, but my family remembers seeing me in absolute agony.”
It was determined that a flesh-eating bacteria was poisoning his body so doctors had to amputate his left arm up to the elbow. Sadly, as months passed by, Alex lost all of his limbs, and doctors were also forced to cut parts of his face in order to save his life.
“I can remember seeing my legs in hospital and how they were getting blacker and blacker,” Alex told The Guardian. “The blackness was creeping up towards my waist. I don’t remember seeing my left arm in that condition, but I can remember my legs vividly.”
As Alex lost his lips, plastic surgeon Alexandra Crick took skin from his shoulder in an attempt to fix his mouth.
“It would take me about an hour to eat a sandwich at night, and that was with the help of the nurse,” he told the Daily Mail.
“The last available skin for surgery was on my shoulder,” he explained. “So they replaced the temporary flap with that. All my other skin had to be used for grafts or was scarred.”
“Having my bottom and top lip done at the same time like this was a world first. It’s one piece of skin, and it was like if you imagine placing a bag in your mouth and then sewing around the edges. After the original operation, I had to have them every three or four months.”
Looking at his father, and how different he was, Sam was afraid to approach closer to him, but Lucy found a way to explain to him why his dad looked like that, which wasn’t easy as Sam was just two years old at the time.
After spending months at the hospital Alex could finally go home. The good thing was that doctors managed to save the elbow of his right arm which allowed him to have a prosthetic and be able to use his arm. Eventually, he could speak again as his lip surgery was a huge success.
“That one elbow is his whole independence,” Lucy said.
“I had to relearn everything,” Alex added. “From learning to eat, drink, put my clothes on, to learn to use a prosthesis, and to self propel a manual wheelchair.”
Today, Alex is involved in a number of tech projects which help ease the lives of disabled people. Among the rest, he has tested solar-powered, battery-assisted four-wheeled handles which have been designed by masters students at Southampton University.
Despite his condition, he’s living a quality life and is doing a lot of things, such as kayaking and climbing. In 2019, he climbed one of Africa’s tallest mountains using a specially adapted buggy.
“Since becoming an amputee, I’ve been fortunate enough to try out a number of training methods to keep my fitness up, working with physios and visiting the Help for Heroes training facilities,” he shared with Sports Management.
“I’ve had first-rate guidance, but nothing has been as effective as EMS training, especially in such a short space of time.
“It’s amazing how the machine helps me to engage muscles I haven’t felt since I lost my arms and legs,” he added.
“I feel stronger in training, daily life tasks are easier, and I’ve gained greater confidence that I can take on these challenges.”
His Wild Wheelchairs Project, besides helping improve the lives of disabled people, raises money to finance the construction and operation of a wheelchair manufacturing facility in Ethiopia.
Alex is also a motivational speaker who is happy with his life.
“I’ve lived more of a life in the past four years than I did in the previous 33, and it’s made me realize how much I love Lucy and Sam,” he told Metro.
“There was so much I regretted not doing when I had arms and legs, but I am not letting that happen again. I would not change anything, not in a heartbeat.”
Sam also learned to love his dad for who he is and is proud of him.
We truly admire this brave man’s resilience. His story is proof that no matter the curveballs life throws at us, we should always do our best to end up winners.
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