Wednesday, August 18, 2010

Unresponsive wound

Ajitesh Kumar Hi,

A 13 yr old intact male boxer had wound on the neck.it did not heal with regular dressing and antibiotic therapy i.e ceftriaxone @20mg/kg bd for 10 day actually no improvement. then another wound appeared over the shoulder. how to proceed?

09 January at 19:48 · · · Flag
    • Saurabh Saxena for chronic wound ,use oxoferin drops (2 drops ) topically and regular dressing without using anythg else.for another wound check for drainage tract(fistula) b/w two wounds and clean using same procedure as aove.
      10 January at 07:14 · · Report
    • Swarupmay Majumdar this is a case of recuurent abcess, continue ur antibiotics for many more days. dress twice a day. allow drainage. use something that will not allow the pet to self mutilate itself. use amoxyclav tid for 7 days with probiotics. you will get better result.
      10 January at 07:20 · · Report
    • DrKumar Ravi hi i think you should debried the wound n then go for the normal dressing n you should try oint placentrex for dressing. n change antibiotic to augmentin 375 mg bid with some enzymatic preparation like chymoral forte twice a day. best of you . lage raho
      10 January at 07:26 · · Report
    • Gautam Unny stop all medications,clean the wound with saline and hydrogen peroxide for a few days, after a gap of 5 days take a culture and then debride the wound and start medications. cultures are very important aspects of todays treatment esp with drug resistant bacteria on the prowl.
      10 January at 08:26 · · Report
    • Ajitesh Kumar can it be mast cell tumor?
      10 January at 10:15 · · Report
    • Swarupmay Majumdar do a biopsy, rule it out. but why not do something obviously needed immediately?
      10 January at 10:18 · · Report
    • Swarupmay Majumdar
      Some informations on MCT:
      1avg age for mastcells: 8-9yrs
      2 mast cell tumors are found in or under the skin on the trunk of the body itself, and the vast majority of the remainder are found on the extremities, especially the hind limbs. They are less commonly found on the head and neck, and less commonly still arise from tissues other than the skin. If they are very swollen or ulcerated, there may be pain, but most MCTs are unlikely to be painful
      3."Dariers sign"-swelling, redness, itchiness, hives (wheal formation).
      4 Responses to chemotherapy are minimal in cases of MCT. surgical excision must
      5.regrow:Dogs who have had mast cell tumors are more likely to develop more mast cell tumors. 50% of surgically removed mast cell tumors will re-grow in the same area.
      6.Mast cell tumors in cats frequently are benign in nature
      10 January at 10:30 · · Report
    • Swarupmay Majumdar http://www.facebook.com/group.php?gid=205150136887&ref=mf#/photo.php?pid=1068744&o=all&op=1&view=all&subj=205150136887&aid=-1&id=1195365086&fbid=1353844764917

      some more discussion out side the tread on the topic
      10 January at 10:43 · · Report
    • Ajitesh Kumar i think before going for surgical excision and chemotherapy i will try cleaning the wound with NS and hydrogen peroxide and then AST. . THANKS DR UNNY.
      10 January at 11:17 · · Report
    • Ajitesh Kumar CAN IT BE MCT DR MAJUMDAR?
      10 January at 11:17 · · Report
    • Swarupmay Majumdar do the fine needle aspiration and see it. if u feel its a MCT confirm and get it graded by pathological lab
      10 January at 12:05 · · Report
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