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Post-Adulticide ComplicationsThe main post-adulticide complication is the development of severe pulmonary thromboembolism. Pulmonary thromboembolism results in the obstruction of blood flow through pulmonary arteries due to the existence of dead heartworms and lesions in the blood vessels and capillaries of the lungs. If heartworm adulticide treatment is successful, some amount of pulmonary thromboembolism will happen.When dead rats are numerous and arterial injury is acute, widespread obstruction of arteries can happen. Clinical signs commonly observed include fever, cough, hemoptysis (blood in the sputum) and potentially sudden death. It's very important to not allow exercise in any dog being treated for heartworms. Often dogs with acute infections will also require the administration of anti-inflammatory doses of corticosteroids.
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