Post by Nicole on Sept 8, 2006 16:40:03 GMT -5
Thanks for your kind words everyone. I was so relieved it wasn't cancer and now that relief is replaced by more worry.
The culture showed a light growth of Kliebesiella oxytoca....one of the worst bacteria you can have. And it is nosocomial...I know this from Brian's cases...meaning it is hospital acquired or surgically introduced. It is what causes old infirm people to die of pneumonia at nursing homes and people to get infections in their wounds during or post operatively. This bacteria is present in everyone in the gut. But out of the gut it is deadly. It is what causes bacteremia and septicemia. It isn't a regular bacteria. It comes from sterilization. It is bacteria that have mutated to be resistant to antimicrobial (I think that is the right word) solutions.
The vet spent an hour with me last night and I told him this. He did not know what the bacteria was. He said he would look it up. He was open minded that it could have been from the biopsy and he explained their intense sterilization procedures. He took another culture (for free) and blood for a WBC and is going to extend the antibiotics. Sunny's prebiopsy WBC was normal and there was no pus so how did this dog have an infection before the biopsy with these lab results.
So it may be that Sunny had no infection and they gave him one. Or he was bitten by a dog. There is one article abstract that says a dogs mouth can have this. But he wasn't bitten that I know of!!! and they did not find a puncture during the biopsy although I guess a slight one could have closed. But the mass thing is so deep. It isn't on the skin. Abscesses from this bacteria are usually in the brain or liver. In other words, it is not typically found in a regular abscess except in post surgical wound infections!!!
The vet called me today and told me to double the dose of antibiotics. He looked up the bacteria and sounded concerned and is going to speak with the microbiologist to find out if this is a hospital introduced infection. Man!!! His father is a vet who specializes in infectious diseases so hopefully he will give him a call!! The WBC is still normal. I have a return visit on Monday.
I like this vet a lot..he really cares and Sunny loves him but he didn't know what the bacteria was. Imagine if I didn't know!! What then. I also asked if they sent the fluid for analysis because if there is saliva in it then it is a salivary mucocele but he said that the fluid did not look like saliva so he did not. The biopsy says the tissue is inflammatory which is totally consistent with a salivary cyst.... and also an abscess. Who the heck knows what it is now!!
The mass is smaller and hopefully things will work out.
Anyway he promised to resolve this positively...so we will see. I told him Brian was a medical malpractice lawyer!!!! ;D ;D
So, I need more prayers please!!
The culture showed a light growth of Kliebesiella oxytoca....one of the worst bacteria you can have. And it is nosocomial...I know this from Brian's cases...meaning it is hospital acquired or surgically introduced. It is what causes old infirm people to die of pneumonia at nursing homes and people to get infections in their wounds during or post operatively. This bacteria is present in everyone in the gut. But out of the gut it is deadly. It is what causes bacteremia and septicemia. It isn't a regular bacteria. It comes from sterilization. It is bacteria that have mutated to be resistant to antimicrobial (I think that is the right word) solutions.
The vet spent an hour with me last night and I told him this. He did not know what the bacteria was. He said he would look it up. He was open minded that it could have been from the biopsy and he explained their intense sterilization procedures. He took another culture (for free) and blood for a WBC and is going to extend the antibiotics. Sunny's prebiopsy WBC was normal and there was no pus so how did this dog have an infection before the biopsy with these lab results.
So it may be that Sunny had no infection and they gave him one. Or he was bitten by a dog. There is one article abstract that says a dogs mouth can have this. But he wasn't bitten that I know of!!! and they did not find a puncture during the biopsy although I guess a slight one could have closed. But the mass thing is so deep. It isn't on the skin. Abscesses from this bacteria are usually in the brain or liver. In other words, it is not typically found in a regular abscess except in post surgical wound infections!!!
The vet called me today and told me to double the dose of antibiotics. He looked up the bacteria and sounded concerned and is going to speak with the microbiologist to find out if this is a hospital introduced infection. Man!!! His father is a vet who specializes in infectious diseases so hopefully he will give him a call!! The WBC is still normal. I have a return visit on Monday.
I like this vet a lot..he really cares and Sunny loves him but he didn't know what the bacteria was. Imagine if I didn't know!! What then. I also asked if they sent the fluid for analysis because if there is saliva in it then it is a salivary mucocele but he said that the fluid did not look like saliva so he did not. The biopsy says the tissue is inflammatory which is totally consistent with a salivary cyst.... and also an abscess. Who the heck knows what it is now!!
The mass is smaller and hopefully things will work out.
Anyway he promised to resolve this positively...so we will see. I told him Brian was a medical malpractice lawyer!!!! ;D ;D
So, I need more prayers please!!