Managing Cervical Lymphadenitis (lumps)

Avogadro

Post   » Sun Jan 21, 2007 12:28 pm


Hello, I have one short-haired, male guinea pig, that is approximately 8 mos old. Around Thanksgiving, I found two lumps directly under his neck, (one was quite large). So, I took him to the vet and he was put on SMZ/TMP liquid antibiotic (not sure of its technical name). This didn't work, so the vet tried draining them with a followup of more SMZ-TMP in the middle of December. The lumps almost went completely away, but then suddenly remerged last week, rather quickly(He's been on the antibiotic the whole time). I called the vet to see if there was any other kind of antibiotic we could try because I'm having some real reservations about surgery to remove the lymphatic tissue. Mainly financially, but it also seems that it would be a lot for the little guy to go through (although he is in perfect health otherwise). The vet said that if I did surgery it may just come back again. It seems like surgery is just another treatment rather than a cure. She said that the only other choice is euthanasia. As of now, I've been continuing the antibiotic and plain yogurt (at separate times), disinfecting his cage daily (which I've been doing from the start), and supplementing vitamins and a salt wheel. If anyone has any advice about medical rather than surgical treatments or past experience with successful (or unsuccessful) surgeries it would be greatly appreciated. He's a really nice little pig, so I really want to save him if I can.

Thanks!

HollyT
Get on your bike.

Post   » Sun Jan 21, 2007 12:40 pm


Here is some info on CL.

http://www.guinealynx.info/forums/viewtopic.php?t=7584

How was your pig diagnosed? I do believe surgical removal has been successful for some pigs and there are other ab's besides bactrim to try. I absolutely would not euthanize at this point.

Vitamin drops and a salt lick are not good for your pig. Make sure your pig is getting a cup of dark leafy green vegetables per day, free fed grass hay, and a qualtiy timothy pellet. It would not hurt to supplement with vitamin C only at this time. 25-50mgs per day.

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Mum
I GAVE, dammit!

Post   » Sun Jan 21, 2007 12:48 pm


Baytril is more commonly used for CL, and sometimes chloremphenicol is effective.

Did your vet do a culture and sensitivity? This is crucial.

I'm surprised your vet didn't recommend trying another antibiotic.

As Holly says, CL is very treatable. Surgery is sometimes required, but it really doesn't sound as if your vet is particularly cavy-savvy if he/she is recommending euthenasia.

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Barbara Osborn
Supporter from '05 - '12

Post   » Sun Jan 21, 2007 12:57 pm


CL went through about 4 of my pigs over two years ago. All were treated with either Bactrim or Baytril. All are very alive and well today.

Most were treated with Bactrim and came through just fine. Queenie had two lumps (barbells) and needed Baytril (the stronger of the two ABs).

It takes a while but keep up with the ABs and all will be fine.

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Lynx
RESIST

Post   » Sun Jan 21, 2007 12:58 pm


Isn't this a case where cleaning out the infection and daily flushing is an option too? Along with the antibiotics?

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Zoe

Post   » Sun Jan 21, 2007 9:22 pm


I had 2 piggies with this. One was younger. The vet surgically removed them. I kept her in quarantine for a couple of months while she recovered. Because of the neck surgery, she didn't want to eat, so I did a lot of syringe feeding. She did great though and lived a long life after that.

The other piggy was 6 years old at the time and we decide she was too old for surgery. I quarantined her and she was on Baytril forever. The lumps finally did go away. That little piggy lived for a couple more years. I thought I was going to lose her at her advanced age but surprise!

I do remember that it was considered contagious. I would be concerned about just draining them.

Good luck.

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Lynx
RESIST

Post   » Sun Jan 21, 2007 9:28 pm


Good point. Find out what bacteria it is.

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Mum
I GAVE, dammit!

Post   » Sun Jan 21, 2007 9:29 pm


Isn't CL a certain type of strep?

I assumed that the culture and sensitivity had already been done - otherwise how could there have been a diagnosis of CL?

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Lynx
RESIST

Post   » Sun Jan 21, 2007 9:33 pm


From some site on cervical lymphadenitis: "Refers to inflammation of the lymph glands in the neck. Often occurs secondary to a viral or bacterial (Streptococcus) infection. "

Likely strep but not always.

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PiggieMamma
I GAVE, dammit!

Post   » Sun Jan 21, 2007 9:46 pm


From what I'd read, CL is more likely to be caused by Group C Strep, my guinea pig, Muffin's culture came back positive for Group A Strep (the strain that causes throat infections in humans).

wilbur1

Post   » Mon Jan 22, 2007 2:18 am


My little pig who was 653 grams had surgery last Saturday to remove his lumps (CL). He has come thru with flying colors (so far anyway - knocking on wood). He also had two lumps - one larger than the other - the larger one popped just as they were starting the surgery. The Vet who did the surgery didn't suggest flushing but because of multiple comments from this forum I did it anyway. He started eating and drinking the same night of his surgery - and hasn't stopped since. He is a growing little pig. He now weighs 697 grams. He goes back for his follow up visit on Tuesday. The site of his incision looks GREAT!! I flushed for 5 days and now there is a little scab. He was also on Baytril for a week before surgery and has been on it since surgery - only has one more day left - as it's almost gone.

A few days after surgery I was concerned about the small amount of the poops he did and the little urine. But he isn't having any problems now. He is a pooping and a peeing machine - and I wouldn't have it any other way.

I was terrified about surgery when the Vet said that was the best way to go, and almost backed out of it. But I am so glad I didn't. Money was an issue with me, too. I had to work some extra hours last week and will again this week to cover the cost of surgery. But it was money well spent.

I'll try to get some pictures posted tomorrow of my Wilbur (after his surgery and now). He is thriving so much.

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Barbara Osborn
Supporter from '05 - '12

Post   » Mon Jan 22, 2007 7:51 am


Good news indeed. I love happy endings.

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Lynx
RESIST

Post   » Mon Jan 22, 2007 9:57 am


Yes! Me too.

So happy to hear things worked out well for your guinea pig, wilbur1!

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PiggieMamma
I GAVE, dammit!

Post   » Mon Jan 22, 2007 12:17 pm


I'm so relieved to hear that Wilbur's doing well!

gpag07

Post   » Mon Jan 22, 2007 10:47 pm


I took my two month old guinea pig in today for lumps on her neck and she was diagnosed with CL. They put her under anesthesia and the lumps were lanced, drained, and flushed. The culture confirmed the diagnosis and I am still waiting on blood test results. I just feel so bad for her as I have to syringe her things so often (Bactrim, Critical Care, yogurt, and Meloxicam). She is quite unhappy about all the syringing. I cleaned the wound a little but since she just had the surgery I was careful. Where the big abcess was has a small sore but the smaller one has a bigger wound and it's a little swollen. She seems to be doing well other than that, but I'm a little worried that she's not drinking any water. Would it be too much to syringe her water? She just had the surgery about 6 hours ago and she's stayed in the pigloo whenever I haven't had to give her something so I'm sure she's traumatized but I'm concerned. Also, is the vitamin C in the critical care enough?

I took her to a teaching veterinary hospital at my school and the resident vet was a specialist and was incredible, it was great.

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Lynx
RESIST

Post   » Mon Jan 22, 2007 11:45 pm


Skip the yogurt. See www.guinealynx.info/probiotics.html

You might want to read www.guinealynx.info/surgery.html Sometimes it takes a bit to come around after the anesthesia. If she is alert enough to swallow, you can certainly give her some water by syringe.

Good luck with her recovery. Sounds like you are taking good care of her.

gpag07

Post   » Tue Jan 23, 2007 10:56 am


Thanks, Lynx. I had read about the yogurt and that was something else I was going to ask about. Now I think she's had some water, but there haven't been any poops since yesterday evening. She definitely has a lot of energy though, she was not happy about the Critical Care and antibiotic syringing.

Talishan
You can quote me

Post   » Tue Jan 23, 2007 2:19 pm


You can also try offering her unflavored Pedialyte through a syringe and see if she will take it willingly. Many pigs like the taste and will take it quite willingly even though they won't drink their water.

If she does like it, you can then put it in her water bottle, or give her a mixture of water and Pedialyte in her bottle. We've done that to 'jump-start' a few of ours' drinking.

Avogadro, how is your pig doing?

Avogadro

Post   » Wed Jan 24, 2007 3:51 pm


Thanks for all of the replies.
Avogadro is doing pretty well. The growth of the lumps has seemed to slow down. He's acting like normal otherwise. I'm getting a second opinion tomorrow. I'll let you all know how it turns out!

Thanks again!

Avogadro

Post   » Sat Jan 27, 2007 5:18 pm


Well, I tried to get to the vet, but ended up getting stuck in a snow storm, so I had to reschedule for next week. Expect an update then!

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