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Rabbit with abscess

22 9:53:28

Question
Hello, I have a young netherland dwarf that had issues with an infection behind her eye causing her to have the eye removed. she's also had issues with overgrowing teeth which i believe is related. She had her eye removed a couple weeks ago now, but the wound is still filling up with the puss every couple days when she gets it squeezed out at the vet. I have a feeling what's being done is NOT going to fix the problem.

Right now, she is on injectable, i believe, batril? But the syringes are already filled for me and they dont say what they are, with the various things she has been on I might have that mixed up.

She is eating fine and drinking well, being just as happy as usual so I'm not too worried at this point, as the vets think she will be fine... but the infection just isn't going away. I heard that wet packing might be an option?

What I'm asking is...

1. what medication do you think should be looked into if baytril isn't the best option?
2. Should I suggest to the vet we try the wet packing option and could you eplain this to be more fully, is it really a good option?
3. is "squeezing" out the puss even effective? I read that infected tissue would need to be removed to keep the infection at bay.. is this true?
4. Could you let me know any other things that I might try, anything else I should know about how to go about fixing this? etc

I'm sorry this is a lot to ask you to answer... but thanks SO much, I'm really so lost right now and just feel stuck. thanks!

Answer
Dear Laura,

In the days before injectable bicillin, my vet did use a dextrose wet packing in a situation like this.  It was horrific.  The eye socket had to be debrided and re-packed twice a day, requiring anesthesia each time.  And poor little Maggie *screamed under anesthesia*, so you know it was not a pleasant thing.  She survived the ordeal with complete remission of the abscess, which had fingered into her sinuses.  It was nothing short of a miracle and a testament to her heroic (if nasty) nature.

But these days, we treat almost all head abscesses with injectable dual-acting, long-acting Penicillin-G Procaine (brand names various).  Unless the abscess is caused by a bacterium not sensitive to penicillin (e.g., Pseudomonas), it usually really works well.  Along with flushing and debridement of the affected area, your girl could have a complete resolution of this problem.  

So the answers are yes and yes:  There are other antibiotic options that might work better than Baytril and yes, de-bulking and debridement of the abscess do help, if only to reduce the amount of pus the body has to clear.  It's nasty, but a vital part of the curative process.  Dilute povidone iodine is an excellent flush to use to clean out the abscesses with a curve-tipped syringe.

Hope she is well soon!

Dana