Post by Nicole on Sept 14, 2006 17:36:33 GMT -5
The last I posted, the biopsy culture grew a very nasty hospital borne bacterial infection and Sunny was put on high dose antibiotics. The mass is now gone except for the capsule.
Since then because he shook his head hard while wearing the neck wrap he developed a burst blood vessel in his ear which totally burst last night filling his ear with debris and blood. I flushed it, cleaned it and went back to the vet today. His ears are completely clear. I don’t really understand that but the vet looked with the otoscope down into the curve and there is nothing. Sunny continues to amaze me since he sat there and let the vet do this, no moving, no muzzle.
The good news is that the kliebesiella bacteria is gone.
Too good to be true.
Now in its place is another hospital borne bacteria that is worse than the kliebesiella and is resistant to every antibiotic except two. It is resistant to the one he is taking so for the past 7 days while we are waiting for the culture this other bacteria, endbactero something (I couldn't take a copy of the report because I cannot look it up or I will explode.) Now where did he get this. The first culture was taken during the biopsy. The second culture was after the drain was removed. So from the biopsy to drain removal he gets this other ridiculous bacteria. It shows light growth so who the heck knows. He could have laid on something I guess. It is also an intestinal borne bacteria like the kliebesiella that you would find at the vet in dogs that take antibiotics. That is how it comes out and gets resistant to the antibiotics. The vet did not deny that this could be true. I asked if this could go from the intestine to the neck and the answer is no.
I am told his immunity is great, lab values are great, he has nothing systemic going on. They are all (four vets) perplexed and have been pow-wowing about it and speaking with infectious disease experts and they find this case to be a very, very interesting case. Great.
So, now, in addition to the high dose of Baytril I have to take him to the vet every day for an IM injection of the antibiotic that this bacteria is sensitive to. I have to do this for five days. He also has five days of Baytril left. Plus they gave me probiotic paste to give by mouth.
I won’t even tell you what all of this has cost so far. And it may come back if it is a ruptured salivary gland. I can’t prove without great effort and expense that this came from the vet. Fortunately it doesn’t look like anything is festering in the wound The wound looks great. But to be on the safe side we are doing the IM antibiotic with a minimal dose.
Well, it will all be over in five days. Hopefully. All the vets are involved in his care because of course it is so interesting (Brian's profession I am sure has nothing to do with it )..and the staff just adores him and that makes me feel better.
I am posting this as a caution that this is what can happen with a simple excisional biopsy surgery and that it is a risk that should be considered and discussed with the vet.
This vets office is high tech, very clean to the eye and beautiful. So that obviously doesn't make much of a difference to bacteria.
It is also a busy practice so there is lots of opportunity for these resistant strains to grow.
Unbelievable!!
Since then because he shook his head hard while wearing the neck wrap he developed a burst blood vessel in his ear which totally burst last night filling his ear with debris and blood. I flushed it, cleaned it and went back to the vet today. His ears are completely clear. I don’t really understand that but the vet looked with the otoscope down into the curve and there is nothing. Sunny continues to amaze me since he sat there and let the vet do this, no moving, no muzzle.
The good news is that the kliebesiella bacteria is gone.
Too good to be true.
Now in its place is another hospital borne bacteria that is worse than the kliebesiella and is resistant to every antibiotic except two. It is resistant to the one he is taking so for the past 7 days while we are waiting for the culture this other bacteria, endbactero something (I couldn't take a copy of the report because I cannot look it up or I will explode.) Now where did he get this. The first culture was taken during the biopsy. The second culture was after the drain was removed. So from the biopsy to drain removal he gets this other ridiculous bacteria. It shows light growth so who the heck knows. He could have laid on something I guess. It is also an intestinal borne bacteria like the kliebesiella that you would find at the vet in dogs that take antibiotics. That is how it comes out and gets resistant to the antibiotics. The vet did not deny that this could be true. I asked if this could go from the intestine to the neck and the answer is no.
I am told his immunity is great, lab values are great, he has nothing systemic going on. They are all (four vets) perplexed and have been pow-wowing about it and speaking with infectious disease experts and they find this case to be a very, very interesting case. Great.
So, now, in addition to the high dose of Baytril I have to take him to the vet every day for an IM injection of the antibiotic that this bacteria is sensitive to. I have to do this for five days. He also has five days of Baytril left. Plus they gave me probiotic paste to give by mouth.
I won’t even tell you what all of this has cost so far. And it may come back if it is a ruptured salivary gland. I can’t prove without great effort and expense that this came from the vet. Fortunately it doesn’t look like anything is festering in the wound The wound looks great. But to be on the safe side we are doing the IM antibiotic with a minimal dose.
Well, it will all be over in five days. Hopefully. All the vets are involved in his care because of course it is so interesting (Brian's profession I am sure has nothing to do with it )..and the staff just adores him and that makes me feel better.
I am posting this as a caution that this is what can happen with a simple excisional biopsy surgery and that it is a risk that should be considered and discussed with the vet.
This vets office is high tech, very clean to the eye and beautiful. So that obviously doesn't make much of a difference to bacteria.
It is also a busy practice so there is lots of opportunity for these resistant strains to grow.
Unbelievable!!