Big&nasty infection after castration

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B+R

Post   » Sun Feb 12, 2017 7:39 am


Hello everyone,

I was wondering if anyone had ever had a guinea pig with nasty infection after castration.

My little fella was castrated over a year ago there and quickly after the surgery developed an infection in that area. The nurse we saw for the check-ups after the surgery completely ignored the problem and said that it will heal over time. But it got to the point where he developed a huge, nasty, smelly infection that eventually burst, leaving huge bleeding wound. We rushed to the same vet (I wish we went somewhere else back then) and the vet there said that it's a serious infection that obviously was nurse’s fault since. She didn’t reacted when she saw developed infection (We did everything as they've instructed after the first surgery). The vet hasn't cleaned his wound and only prescribed him metacam (0.13ml) & (0.4ml) baytril oral for the treatment of bacterial infections of the respiratory and alimentary tracts for a few days.
(Please never go to Vets4Pets with your wee one)

Also we've been handsomely charged for their second treatment (!) but never mind because it seemed to have healed and he was (seemingly) fine for a year. Last week though we've noticed that he wasn't feeling well so I checked the place where the infection was a year ago and, much to our shock, there was big open wound again. This time we went to a proper vet surgery and today he had a very complicated surgery which originally was only going to involve flushing his wound and taking antibiotics but after the vet there cut him open she realized that there is a massive infection all over his groin and penis area which required a very risky surgery and removing a lot of tissue, to the point where they couldn't remove any more due to the risk of damaging his organs. Now he's back home.

For the first few days he was on (0.13ml) Metacam & (0.4ml) baytril once a day but after second check-up the wound still wasn’t looking good… The vet said that probably te baytril it’s not working properly and we still have two options to help him. They decided to increase baytril to (0.4ml) twice a day + now I have to flush his wound by lodine (0.2ml with 10ml water) + purt manuka honey into his wound twice a day. The next appointment is on Tuesday. He said that If there will be no improvement last chance is to give him penicillin by injection (but it’s really risky)…Hopefully manuka honey will help..
Has anyone had similar problem? Please help.. I don’t want to lost him.
He’s only 1.5 years old

P.S I will try take some pictures of his wound later.

GrannyJu1
Armcavy

Post   » Sun Feb 12, 2017 7:46 am


Do NOT let vet give him penicillin! See the guidelines for dangerous medications. I think penicillin is #1.

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Catie Cavy
Supporter 2011-2017

Post   » Sun Feb 12, 2017 9:06 am


Are there other safe guinea pig antibiotics the vet can try instead? If not, let me throw this out there, but let others comment on the wisdom of it before proceeding. If the vet is going the dangerous antibiotic injection route, how an injection of cephalosporin (Fortaz) instead? Perhaps it would be less risky than penicillin. It was used on a stubborn abscess on one of my guinea pigs that was about the same age as yours. She did end up with mushy poops for the rest of her life. I did not give her probiotics at the time which might have helped.

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Lynx
RESIST

Post   » Sun Feb 12, 2017 12:01 pm


It sounds like the vet is aware of how risky penicillin is. Cephalosporin is also risky. Giving dangerous meds by injection can sometimes avoid fatal reactions but it is still risky. gl/dangerous_medications.html

Do read over gl/postop.html since it sounds like this is very serious and you also need to address recovery.

B+R

Post   » Sun Feb 12, 2017 4:17 pm


Lynx I am sure he's aware how risky is penicillin because he told me about it. He said that giving penicillin by injection can be less risky but anyway there is really big chance of death - it definitely will be last hope if other antibiotics fail.

I heard a lot of positive opinions about Zithromax. I will talk with my vet about it. Now I just finished cleaning his wound (he was screaming so bad..) it was 4th time and I still can't see any improvements. Anyway I know that it can take time..hopefully he will get better antibiotics and everything will be fine.

Any experience with manuka honey?

bpatters
And got the T-shirt

Post   » Sun Feb 12, 2017 4:20 pm


I've heard good things about manuka honey, just not on guinea pigs. Not that I've heard anything bad about it with pigs, just that all I've heard has been on other animals.

The main thing I'd worry about with the honey is an overdose of sugar if the pig licks the area, and he will. But if you pay close attention to his poops, and supplement him with poops from a healthy guinea pig, it might work.

B+R

Post   » Sun Feb 12, 2017 4:34 pm


I actually bought Pro-C probiotic but he doesn't like taste of water with it that's why I have to sprinkle it on food. I would rather avoid using syringe with 'poo soup' because he is stressed enough.

Photo of his wound: https://drive.google.com/file/d/0Byg0eWcZcY7dRmlYTUlxWV9DelE/view

afdani1984

Post   » Sun Feb 12, 2017 4:54 pm


I know Los Angeles Guinea Pig Rescue has had a lot of success treating bumblefoot with a combination of antibiotics, epsom salt soaks and manuka honey wraps. There's actually a medical grade version you can purchase.

JX4

Post   » Mon Feb 13, 2017 5:49 pm


I'm so sorry you had this happen to your pig. When we had our male neutered, we made sure to go to a cavy savvy vet, and still he had a minor complication. However, it was caught almost immediately and the vet ended up going back in (for free!) and cleaning out the area within a week -- and he healed fine. Ours is now just over 2 years old and the surgery was back when he was under 6 mos. old.

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JaneDoe

Post   » Tue Feb 14, 2017 4:40 am


Only one of my boys abcessed and it was bad. Hot packs didn't work, vet operated. Did a beautiful job. Sorry you're going through this.

B+R

Post   » Tue Feb 21, 2017 6:35 am


Unfortunately after one week on barytil, liodine & manuka honey there was no improvement and we noticed another abcess so vet decided to give him barytil and septrin together and continue flushing his wound with liodine and manuka honey.

After 2 weeks there is sighlty improvement that's why we are going to start with other antibiotic ZITHOMAX but our vet said that this kind of antibiotic is really powerful with a lot of sides effect so our little fella my die after it. Is it true?... I am so worried.

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Catie Cavy
Supporter 2011-2017

Post   » Tue Feb 21, 2017 7:05 am


I know others here have tried Zithromax with success. See this link:

http://www.guinealynx.info/forums/viewtopic.php?t=71425&highlight=zithromax

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Lynx
RESIST

Post   » Tue Feb 21, 2017 9:20 am


Do read over gl/antibiotic_advice.html too. Most importantly, you want to make sure he is eating.

I hope you can kick this infection!

bpatters
And got the T-shirt

Post   » Tue Feb 21, 2017 9:57 am


Pigs can tolerate Zithromax, but you'll have to be careful.

Weigh him daily, and watch carefully to make sure he's still eating. At the first sign of loss of appetite, start hand-feeding him.

Always give an antibiotic with food, and a probiotic (such as Bene-Bac) an hour or so later. Keep food moving through them at all times, which means frequent small feedings -- 6-8 throughout the day AND night. Syringe plenty of fluids.

B+R

Post   » Tue Feb 21, 2017 12:18 pm


She ordered Zithromax for tomorrow and also she will call the Royal school of veterinary to check dosage for him. We had option to choose kind of penicillin by injection or zithromax (she mentioned million of times that both antibiotics are very dangerous and we can lost him). Anyway I truly believe we chose the right think. We'll see how it goes...

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Lynx
RESIST

Post   » Tue Feb 21, 2017 11:18 pm


The 4th edition of Carpenter's Exotic Animal Formulary lists two dose rates for "most species" using azithromycin (Zithromax):

15-30 mg/kg PO q24hr
35 mg/kg PO q24h

This is serious enough, it sounds like the higher dose rate (in the 30 to 35 mg/kg area) might be better. You would still need to watch closely for adverse reaction. gl/antibiotic_advice.html

B+R

Post   » Fri Feb 24, 2017 3:43 pm


I just collected Zithomax. She said I should give him 1.3ml every 24hours (His weight is 1050g). Is it correct dosage ? What do you think?

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Lynx
RESIST

Post   » Fri Feb 24, 2017 4:41 pm


The product is Zithromax, I believe, not Zithomax.

www.guinealynx.info/calculate_dose.html

You need the concentration in mg/ml.

Kernal Popcorn

Post   » Sun Oct 01, 2017 8:00 am


Hi B+R, how is your little boy? I am reading over the comments and really hope he pulled through ok. My little boy had a castration two weeks ado and last week went back in for more surgery through abdomen as his bowels herniated into his scrotal area. :( I am now worried about infection. I googled and this came up. I really hope your boy is ok and I hope mine will be too x

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