At the same time, he developed haematuria and was treated with Septrin and NSAIDs. This cleared up, but the penile discharge didn't. His pellets varied from normal to soft and almost the consistency of tooothpaste, so he was wormed.
He was seen by Vedra at CCT, who felt he needed longer period of worming. She also felt he was anaemic, possibly due to worms or liver problems. He had no mites evident.
He was seen again at CCT when he had developed bloat This resolved with the usual conservative treatment (simeticone, analgesia and supplemental feeding).
His stools seem almost back to normal now, but vary from small normal, slimy, or very tiny.
His penis had still not improved, so a swab was taken whcih showed "profuse growth of aerococcus viridans and profuse growth of anaerobic organisms). Apparently aerococcus is only really known of in crustaceans! The vet started him on antibiotics(Baytril) for 3 weeks, but 5 days later he had bloat again. The Baytril was stopped and the bloat resolved with the previous treatment.
He is far from better, eating much less than usual and even refusing his favourite treats. Syringe feeeding, which has never before been a problem, is now, and it's a battle sometimes to feed him.
His weight in March was 1450g, it is now 1190g.
I need info on aerococcus and advice on what to do next. Could he have an underlying malignancy?
Can you help? I'm desperately sad for him, seeing him far from being well and old do anything to try and get him fixed.
Some people use benebac for small animals which you can buy here:
Others use Acidophilus powder which you can buy in capsules at the drugstore. Some sprinkle on the veggies and others mix with water.
I use this product, there are a lot of similar ones available in natural foods stores:
I give 1 cc of this liquid at least twice a day when any pig is on antibiotics.
Activated charcoal also helps pigs who tend to get gassy. This is homeopathic and safe to use for guinea pigs. It can be purchased at many drugstores (over here there is a popular brand called Charcocaps) and natural food stores.
Charcoal absorbs toxins and it helps with gas in the lower G.I. where it usually affects guinea pigs. Simethicone only helps gas in the upper G.I.
Charcoal shouldn't be given within 2 hours of other medications, otherwise it may absorb them. There is no accepted dosage. I give about 1/8 of a capsule sprinkled in water and syringe extra water after. My vet says this dosage is fine.
You didn't mention using Reglan (Metacloprimide) for the bloat. It helps quite a bit.
I did a little bit of reading and understand the "crab" bug is also found in pigs (of the pink oinky variety). I'm sure you will have done a google trawl already but I did find these which are probably of little use:
Give him and Maggie a kiss for me.
This is about humans but does mention trimethoprim sulfamethoxizole. How about treating with Bactrim? I wonder if there is something topical you could use?
"Aerococcus viridans, a very rare microorganism causing invasive infections, has been associated with bacteremia, septic arthritis, and especially IE. As expected, the strains isolated were susceptible to penicillins, trimethoprim/sulfamethoxazole, and glycopeptides.
"Medical therapy was sufficient to cure IE in two patients, while two others required surgical intervention."
Problems with killing it off:
"There is limited data in the literature on the antimicrobial susceptibility of A. viridans because this organism has 270been infrequently associated with human infections and is usually susceptible to penicillin. However, susceptibility patterns have been changing from general susceptibility to the most commonly used antibiotic to recognize resistance not only to penicillin but also to chloramphenicol and quinolones (5). Augustine et al. reported a case of endocarditis caused by multidrug-resistant A. viridans (penicillin, ampicillin, cefotaxime, gentamicin, and intermediate resistant to ciprofloxacin) (1). Its susceptibility to second generation cephalosporin remains uncertain."
More at the end of that article too.
This all makes me think he should be on an oral antibiotic too and trying Bactrim (trimethoprim sulfamethoxizole) would be wise.
I really hope you can figure out how to make your piggy feel better. Sounds like you have a good vet to work with.
Good luck and keep us updated!!!
BamBam and Dive, I'm certain the swab was a true one, in that I saw it taken. The vet extruded the penis fully (sorry to embarass you, Noddy) and took the swab. The discharge looks almost fungal in that it is very creamy and smells very offensive. I really don't think it's smegma. Some of the discharge was removed on the swab and the swab was put straight into the culture, so unless it was airborne, I don't know where the contamination could have occurred .
I've been to the vet again, mainly because of the weight loss and poor appetite. He spent a long time examing Noddy thoroughly and couldn't find anything really obvious, apart from the fact that his gut felt full, but not full of food. He wonders if Noddy is still getting over his recent bloat and for this reason, doesn't want to try any more antibiotics.
The vet said the only way to do a blood test would be to do a vena cava stab, and that could mean losing Noddy, because it's a dangerous procedure, and I don't want to put him through that. Not sure he'd withstand the anaesthetic, either. He gave him a Vit B injection, because that sometimes stimulates the apppetite in dogs and cats, so I guess it was worth a try.
I think the vet basically feels that Noddy is slowly declining, and that although he may pick up a bit, he'll not get back to where he was a couple of months ago.
So, it's a bit sad, if that is the case, but I shall continue syringe feeding him and spoiling him rotten, because he is such a special pig (just wish I knew how to post a photo of him) and Maggie Mae needs him to look after her.
Edit: my pigs have had valium during/after surgery so I'm sure it's safe. Just not sure on dosage
- You can quote me
Vitamin B12 can work very well as an appetite and energy stimulant. It has at our house anyway, in both cavies and husband. ;-)
I did wonder about the toenails. If you cut them too short, they can bleed for ages. I don't know whether it would be ethical, for the vet, because it would hurt Noddy, but that's obviously venous blood, so is that a good way of collecting it, or would there be insufficient? It wouldn't be for culture, only electrolytes, so any bacteria wouldn't be a major problem.
Talishan, it is vena cava. And I'm definitely not happy about having this done. There's no-one locally with much cavy experience, my vet practice is a general one, dealing mainly with dogs and cats. The vet with an interest in "exotics" has just left, and I'd rather have a sick pig than a dead pig!