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Infection in foot

Percy123

New Kit
Hey everyone,

I was hoping for some advice regarding my 9 year old bunny, Percy. He lives indoors with myself and my partner but has free access to the garden when we're home and the weather is okay.

Anyway, last year around March, he started limping on his right hock. We took him to the vet and found what seemed to be a cut of some sort on the foot which had then swollen and created a cyst. After a small operation, the vet removed the cyst the best she could and once he recovered he was hopping around fine for about 2-3 weeks until he became lame again.

A trip back to the vets and another op to remove the cyst that had come back. The vet was reluctant to X ray but accompanied the op with metacam and an opioid, plus I believe baytril. We were also told we'd need to flush the wound ourselves twice a day.

Percys mobility still didn't improve much after that, so the vet ran some tests and found that the infection was a psuedonoma and prescribed different antibiotic that the bacteria was sensitive to (I forget which) that had to be administered once every 3 days by the vet by injection.

After about 2 weeks there was little improvement, so he was put on another course of different antibiotics plus another small operation, this time also on the left hock as it seemed to have spread. That operation seemed to be more successful as it cleared up his left foot but he was still struggling with his right. The vet then sent away more tests which came back that the infection was now sensitive to baytril so put him on a 2 week course. Within a few days of being on it he improved massively and he was almost back to his old self with very little mobility issues and no swelling. Unfortunately though, within a week of coming off it, he was struggling again. So the vet put him on a 2 month course of it- he improved majorly once again.

He's been off the baytril for 11 days now and unfortunately he's fallen back into discomfort and struggling with his right hock again.

He's booked in to see the vet on Tuesday, but she has said she won't prescribe anymore baytril incase he becomes resistant, and also lectured us on how baytril is banned in poultry in certain countries because it can make humans resistant. I understand her concerns and reservations but he's our bun and it's an isolated case. We believe her next suggestion is amputation but we want that as the absolute last resort. I understand bunnies can recover and also adapt very well with 3 legs, but if we can avoid that stress then we will. I also have him booked in to see different vet tomorrow for another opinion.

I guess my question is - does anyone have any similar experiences as us? And has anyone given their rabbits antibiotics long term? We appreciate that he's in his senior years, so for us it makes sense to give him a medicine that's clearly effective in one way or another, despite the risks. He still has so much life in him, he's very active, follows us everywhere (mostly to the treat cupboard) he loves his cuddles and he binkys and zoomies endlessly. Apart from this infection, the vet says he's a healthy and happy bunny.

Sorry for the long post, thanks for any advice
 
Hey everyone,

I was hoping for some advice regarding my 9 year old bunny, Percy. He lives indoors with myself and my partner but has free access to the garden when we're home and the weather is okay.

Anyway, last year around March, he started limping on his right hock. We took him to the vet and found what seemed to be a cut of some sort on the foot which had then swollen and created a cyst. After a small operation, the vet removed the cyst the best she could and once he recovered he was hopping around fine for about 2-3 weeks until he became lame again.

A trip back to the vets and another op to remove the cyst that had come back. The vet was reluctant to X ray but accompanied the op with metacam and an opioid, plus I believe baytril. We were also told we'd need to flush the wound ourselves twice a day.

Percys mobility still didn't improve much after that, so the vet ran some tests and found that the infection was a psuedonoma and prescribed different antibiotic that the bacteria was sensitive to (I forget which) that had to be administered once every 3 days by the vet by injection.

After about 2 weeks there was little improvement, so he was put on another course of different antibiotics plus another small operation, this time also on the left hock as it seemed to have spread. That operation seemed to be more successful as it cleared up his left foot but he was still struggling with his right. The vet then sent away more tests which came back that the infection was now sensitive to baytril so put him on a 2 week course. Within a few days of being on it he improved massively and he was almost back to his old self with very little mobility issues and no swelling. Unfortunately though, within a week of coming off it, he was struggling again. So the vet put him on a 2 month course of it- he improved majorly once again.

He's been off the baytril for 11 days now and unfortunately he's fallen back into discomfort and struggling with his right hock again.

He's booked in to see the vet on Tuesday, but she has said she won't prescribe anymore baytril incase he becomes resistant, and also lectured us on how baytril is banned in poultry in certain countries because it can make humans resistant. I understand her concerns and reservations but he's our bun and it's an isolated case. We believe her next suggestion is amputation but we want that as the absolute last resort. I understand bunnies can recover and also adapt very well with 3 legs, but if we can avoid that stress then we will. I also have him booked in to see different vet tomorrow for another opinion.

I guess my question is - does anyone have any similar experiences as us? And has anyone given their rabbits antibiotics long term? We appreciate that he's in his senior years, so for us it makes sense to give him a medicine that's clearly effective in one way or another, despite the risks. He still has so much life in him, he's very active, follows us everywhere (mostly to the treat cupboard) he loves his cuddles and he binkys and zoomies endlessly. Apart from this infection, the vet says he's a healthy and happy bunny.

Sorry for the long post, thanks for any advice
Hello, the long post was helpful. I'm sorry that you've been having such a lot of problems with, what sounds like, a stubborn infection from an abscess. I completely agree with your view that, while Percy is a bunny who is very much full of life, giving him the best opportunity to continue, in the best way possible, is in his best interests. As you have said, bunnies can adapt to life on three legs, but it's not in my view the best option until it's confirmed that nothing else is an option.

Abscesses in rabbits are well known for sometimes causing longterm issues, which are difficult to completely resolve. I have no personal experience of giving longterm abx for this type of issue, but I know from hearing about other cases on here, that providing longterm abx can be a necessary method of treatment. This very often will not completely eradicate the infection, but it will keep it at bay, so that the rabbit can live as normal and as comfortable a life as possible. Sometimes it's felt that the best option is actually to prescribe a couple of different abx to be taken together longterm.

In my view it's important to use diagnostics as a basis for a decision on treatment and then decide on the most appropriate type of abx. Whilst not ideal, I would have no major concerns about using longterm abx, if it was considered they would help Percy. Longterm Depocillin (injectable Penicillin), which is what Percy probably had originally is very often the most effective abx. You could be shown how to give these injections at home. I've done it and it is a bit unnerving, but you get very used to it. But acting on the results of the tests is key in any case of this type.

I was going to suggest that you got a second opinion from a different vet, or possibly get referred to a specialist. I see you have an appointment to see a different vet tomorrow for another opinion. Is this the same practice or somewhere different? Do you know the second vet to be rabbit savvy or indeed is Percy's current vet experienced with this type of issue ? It would be helpful, I think for any other vet to have access to his history with this infection, including the results from the tests on the pus, in order to provide a worthwhile opinion .

Good luck and let us know how you get on.

So, in summary, I wouldn't give up at this stage. Is he back on pain relief ? Personally I wouldn't rush into any decision, when I wasn't entirely happy that it was the only option.
 
Totally agree with Omi. Pain relief and a second opinion are a good idea.

I've had rabbits on long term antibiotics for abscesses (ie for life). It's fairly common for abscesses. I used injectable penicillin for 2 rabbits for over a year.

Amputation doesn't really affect rabbits too much, but I'm not sure I would want to put a 9yo rabbit through it if there are other treatment options that will maintain a good quality of life.

Have you had any advice on bandaging / not bandaging the affected hock? Or the surfaces he runs on? Carpets can be rough on susceptible hocks, so covering the floor with eg a fleece blanket or old duvet may help.
 
Packing an open wound with surgical grade manuka honey (after flushing it out) can help with healing. Tubes are about £5-6 online.

Have any X-rays been taken? Infections in hocks can invade and start to erode the bone, so that may need checking.
 
Thank you so much for your replies. It's nice to hear that other people feel the same as us when it comes to rational thinking with the next step. I can't knock the vet we have been seeing, she has been amazing and refused to give up on him (and also only charging us for medication instead of consultations or their time). But I think it is a good idea to get another opinion from another vet. These vets aren't rabbit specialists, but they have particular interests in rabbits. Unfortunately the closest specialist to us is over 2 hours away and Percy doesn't travel well - he suffered with GI stasis a few years ago which was likely brought on by stress from travelling.

The vet tomorrow is at a different surgery but will have access to all of Percy's medical notes. We're due to see our original vet on Tuesday, too.

Unfortunately Percy hasn't had any x rays in regards to this abscess/infection (not cyst as I incorrectly stated). The vet advised against it because he would have to go under anaesthetic and she didn't want to do it so soon after the operations he had. So we don't know if it has spread or caused further issues. What hope we do have though, is that when he's been on the baytril, it's as though there's nothing wrong with him.

We're going to ask for other available tests to see if there are any other antibiotics available for us to use.

He did have sore hocks leading up to this (in my ignorance I didn't know that was a thing) but since this all started, my girlfriend has been sewing him little boots to wear to help his feet heal- it's also encouraged the fur to grow back around his feet, too. She's also donated some to local shelters for bunnies who suffer with sore hocks and the feedback has been positive for them, too! We have also put various rugs, vet beds and and soft blankets down in the front room where he spends most of his time.

Thank you for your replies. I shall keep you updated
 
It sounds like your vet has been quite thorough. Many would not do the C&S repeatedly to identify the bacteria and appropriate antibiotics, for instance. Having multiple GAs or sedation too close together isn't tolerated well by rabbits, so you had good advice there as well. Unless it's a real emergency, I would prefer to leave at least a couple of weeks between - and that's assuming that the recovery is uneventful (so no gut stasis, for instance).

I hope you find a way forwards that works for you and maintains his quality of life.
 
I agree with Shimmer's view regarding your current vet. Also adding my hopes that you manage to establish a positive way forward for Percy.
 
Can't add anything to the great advice already given, but just wanted to wish you and Percy good luck with the next vet appointment. It's good to hear that he is still happy in himself, sending him lots of healing vibes.
 
Hey everyone,

Just got back from the vets and thought I'd give you an update.

She agreed with us that the best course of action for Percy is to keep him on baytril for life. She said she wouldn't remove a leg of a rabbit of 9 years old.

She reassured us that in her experience she's never had an animal become resistant to antibiotics, and it made sense for him to continue on the medication that has been working for him up until this point.

It's the decision we were hoping for and we're now looking forward to him and his quality of life improving once again as soon as the meds kick in.

Thank you so much again for your replies, advice and experiences. I'm going to go and give him the biggest cuddle of his life now
 
Hey everyone,

Just got back from the vets and thought I'd give you an update.

She agreed with us that the best course of action for Percy is to keep him on baytril for life. She said she wouldn't remove a leg of a rabbit of 9 years old.

She reassured us that in her experience she's never had an animal become resistant to antibiotics, and it made sense for him to continue on the medication that has been working for him up until this point.

It's the decision we were hoping for and we're now looking forward to him and his quality of life improving once again as soon as the meds kick in.

Thank you so much again for your replies, advice and experiences. I'm going to go and give him the biggest cuddle of his life now
This is an excellent result. I'm so pleased for you both and for Percy.
 
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