We’ve seen dogs in all sorts of desperate situations, but nothing quite like this pup named Belle who was found wandering the streets of Johannesburg, South Africa.

In September, rescuers from Community Led Animal Welfare, otherwise known as CLAW, found a lab and hound mix covered in so many blood-sucking ticks, she was practically unrecognizable. They named her Belle and immediately set out to save her life. The ticks had drained so much of Belle’s blood that she was weak and hardly able to stand. In addition, she’d developed anemia and biliary fever, the latter of which is similar to malaria in humans.

A word of warning, the images below are graphic and may be difficult for some viewers.

When rescuers found Belle, they thought she had a strange rash. Shockingly, hundreds of blood-sucking ticks had latched onto her sensitive ears and eyes.

Read More: This Dog Was Living Under A Shopping Cart, But She Wasn’t Exactly Alone