More bad news for Mack: Another check-up tonight (04/03)

[SarahP]

Fingers crossed. x

 

[marie_kubiak]

It may be worth discussing using F10 to flush the wound. It is a very effective antibacterial but without the irritant effects of hibiscrub. We use it for wound cleaning without any adverse effects and it kills pretty much all bugs

 

[Sooz]

Thanks everyone, I'm feeling much more positive now....last night I made a tit of myself (must be habit forming) and had a cry on my manageresses shoulder.

It may be worth discussing using F10 to flush the wound. It is a very effective antibacterial but without the irritant effects of hibiscrub. We use it for wound cleaning without any adverse effects and it kills pretty much all bugs

Thanks Marie, I have heard of F10 before but didn't realise it could be used to clean wounds, I will definately ask Rob about it when we go for our next check-up (I think I better not bother him anymore this week, he's probably sick of the sight of me, bless him. :lol.

 

[rodneyvet]

Can you post the whole sensitivity. This is one I would consider the use of Antibiotic impregnated methylmethacrylate beads as well as as much debridement as possible. Have you had radiographs, this will let you know about bony involvement and affect prognosis and aggression of debridement
Goodluck

 

[Sooz]

Can you post the whole sensitivity. This is one I would consider the use of Antibiotic impregnated methylmethacrylate beads as well as as much debridement as possible. Have you had radiographs, this will let you know about bony involvement and affect prognosis and aggression of debridement
Goodluck

I don't have a print out of the C&S here but I could get one if necessary....the AIPMMA beads had to be ruled out quite early on because firstly they wouldn't stay in the cavity without being sewn in and laterly the choice antibiotics have tested ineffective against the pseudomonas bacteria. One abcess was excised whole but the second had attached to the mandible at the deepest point (where the culture was taken) and had to be debrided, as did an area of infection about his lower incisoral cavity which contained necrotic bone.

We have not had x-rays taken but we do know the bone has been engaged by the infection.

Thanks for your input

 

[Jack's-Jane]

I use F10 for Sarah's nebulising aswell as for abscess flushes

I hope Mack responds well to his treatment Sooz

 

[rodneyvet]

If you could get one that would help. If the bone is affected you will need a long course of systemic treatment as well as topical. If what you say is correct and you are getting necrotic tissue out, I would consider the possiblity of a nidus of infection that would require debridement. these are very frustrating cases and I frequently end up being quite radical about debriding, closing the dead space and removing anything that looks in any way necrotic. Is ther communication with the oral cavity?
It may be that if they still have the culture, further sensitivities could be carried out. Also I wouldnt rule out the fact that in vitro sensitivity doesnt always apply in vivo so penicillin injections might not yet be ruled out
Hope this helps

 

[SOAD]

F10 is wicked, I use for my cockatiels and it's mega versatile

 

[SarahP]

I hadn't realised F10 could be used for these purposes. I'm using it for disinfecting these days.

 

[bunny mad lisa]

i used tiacil for an retrobular abcess with no bad rections and also used pevedine antis solution for 4 month for flushing and had no sorness or irratattion. My bunnies abscess was not able tobe cured but we managed it for 4 months with flushing.
I have recently tried Zithromax(azythromycin) for a bad headtilt case with remarkable results and have also heard that it works well for abscesses. If i'd know about it before i would have tried it. In the states i have heard a rabbit specialist say that it works as well as bicillin! theres not much info on it and i heard about it through a friend but it might be worth seeing it it would be an option.

 

[Sooz]

If you could get one that would help. If the bone is affected you will need a long course of systemic treatment as well as topical. If what you say is correct and you are getting necrotic tissue out, I would consider the possiblity of a nidus of infection that would require debridement. these are very frustrating cases and I frequently end up being quite radical about debriding, closing the dead space and removing anything that looks in any way necrotic. Is ther communication with the oral cavity?
It may be that if they still have the culture, further sensitivities could be carried out. Also I wouldnt rule out the fact that in vitro sensitivity doesnt always apply in vivo so penicillin injections might not yet be ruled out
Hope this helps

You're very right about it being extremely frustrating!

We decided against an x-ray, as whilst I have spent alot of money on his treatment thus far, I cannot sadly say money is no object and we have to consider this when looking at where it will be best spent.

We know two areas of bone have been engaged and we know roughly where but for the time being I will not be permitting any further surgery, so the x-rays would not be money best spent at the moment. If circumstances change then we will reasses this option. I do understand that from a vets point of view they are very helpful diagnostic tools to have.

As the wound is clearing it's becoming easier to see inside and it appears the dead tissue is peeling away from the surface of the cavity during flushes...infact the whole thing is starting too look much 'healthier' now.

None of the abcesses have opened up inside the mouth as yet, so thankfully that hasn't limited treatment options further. He is receiving a sub-cut injection of Oxytetracycline LA every 3 days at the moment.

 

[rodneyvet]

If tetracyclines have been indicated on the sensitivity, another little trick is to get some itrasite gel from your vet and also some ornicure sachets. Ornicure is doxycycline. I mix some with the intrasite gel and this makes a doxycycline paste to apply to the abscess. Intrasite encourages healing and granulation. I sometimes pack abscesses with this mixture and it works well. I have a whole array of treatments i use for specific abscesses and the doxycycline intrasite mixture is one i have had significant success with.
Goodluck

 

[Sooz]

If tetracyclines have been indicated on the sensitivity, another little trick is to get some itrasite gel from your vet and also some ornicure sachets. Ornicure is doxycycline. I mix some with the intrasite gel and this makes a doxycycline paste to apply to the abscess. Intrasite encourages healing and granulation. I sometimes pack abscesses with this mixture and it works well. I have a whole array of treatments i use for specific abscesses and the doxycycline intrasite mixture is one i have had significant success with.
Goodluck

Thank you so much, I will add this to the list of options to discuss with Rob next week.

 

[Sooz]

Mack has a check-up at 6pm tonight with Rob when I will be discussing some of the suggestions on this thread with him. Can we have some positive vibes that things are progressing well please... his weight seems to have dropped again so I'm hoping this is just a temporary blip.

Jill, I'll reply to your PM this evening when I have some news.

 

[Jack's-Jane]

Mack has a check-up at 6pm tonight with Rob when I will be discussing some of the suggestions on this thread with him. Can we have some positive vibes that things are progressing well please... his weight seems to have dropped again so I'm hoping this is just a temporary blip.

Jill, I'll reply to your PM this evening when I have some news.

Sending lots of luck for brave Mack

xx

 

[SarahP]

Best of luck. I'll be really interested to hear how you get on. x

 

[honeybunny]

Will keep everything crossed for this brave bunny..and his mum! xx

 

[mopsmum]

sending lots of vibes your way.hope you have good news xxx

 

[bunnymadhouse]

hope you have good news at the vets

Angie

 

[hurricanhoney]

Positive vibes for Mack.