PLEASE HELP!!! Does this sound familiar? Vet's don't know what is wrong.
 
 

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PLEASE HELP!!! Does this sound familiar? Vet's don't know what is wrong.

This is a discussion on PLEASE HELP!!! Does this sound familiar? Vet's don't know what is wrong. within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Horse has lump in scrotum gelding
  • Horse lame after having pigeon fever how to treat nateaul

 
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    09-22-2010, 03:46 AM
  #1
Foal
Exclamation PLEASE HELP!!! Does this sound familiar? Vet's don't know what is wrong.

**WARNING** Kinda long and I do get a little graphic in describing his injury. Skip to bottom for summary.

Rebel my 13 year old QH was gelded back in 2008. Ever since then I've been having this problem with him. A few months after his gelding he went lame in his right hind leg. We called the vet out and she found this abcess thing high up on his inner right flank. She cut it open and this white stuff came out (I wasn't there due to unfortuneate circumstances, but my dad was). My vet freaked and thought it could be pigeon fever. So she had us quarentine him from our other animals and gave us stuff to disinfect out boots, hands, ect... after dealing with him. The test came back negative for pigeon fever and it just wound up being a bad abcess. We gave him bute and some anti-biotics and it went away for awhile. Then a few months later (fall '09) a small hole appeared in about the same area and started leaking greenish/yellow puss. I worked on keeping in clean and using stuff trying to heal it back up wondering if he'd just got some dirt or something up there when it was healing for the first time. Well, it just got worse so we called the vet again and they decided to preform another surgery on him thinking something may have gone wrong with the gelding (a tube that wasn't completely cut out) which I guess can be common. I can't remember the technical terms sorry. So then, in January we took him to a local stable so that he could have surgery in a clean enviornment and recover in a stall. During the surgery, there were two vets working on him and they found some kind of hard tissue in there. The male vet wanted to take it out because he didn't know what it was and it didn't look like it belonged there. The female vet freaked out and chewed him out saying he couldn't take it out if he didn't know what it was. After that she took charge. So basically they cut him open, (a hole the size of your average hot dog bun) and didn't really do anything except poke around and speculate for two and a half hours. Luckily they didn't charge us for anything even the meds because the money we had put out on it before. After that we kept him in a stall with straw and I gave him all his meds perfectly and he was healing up nicely. Then some stuff came up and we moved him to a closer stable. I had problems with them and not cleaning his stall every day or if they did it wasn't very nice. So my dad built a stall at our house and we brought him home. He was pretty much already healed up. Then, after like another two weeks, he was healed it was closed and we were good. NOW, it is back. It's been back for about 2 months and I've been working on it dilegently with no luck. I feel awefull, I don't know if it somehow got dirty or whats going on. Now the same little hole is back and there is a smaller one forming on his other leg in about the same exact spot. I'm worried that they are going to want to preform surgery on him and I'm even more worried that they might try to charge us this time. My dad's wondering if he'd even be able to afford a surgery on him if they try to charge us.
++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++ +++++
Please, has anyone ever heard of this? The hole is a bit odd. It's like a little role of skin goes over it. The skin is tight like usual, then the skin folds into up-side down "u" shape over it. I really don't know what to do, we've been fighting this for almost 2 years now on and off and I feel so bad for him. I would feel even worse if it's been me messing up somewhere in the healing process. I just want to fix it though!!!! PLEASE has anyone every heard of ANYTHING like this. For more details please just ask, I'm really tired and have to go to bed so I typed this quickly. Please excuse any spelling errors.

Quick Summary of what's happened.
-2008 rebel was gelded
-2009 hole appeared, made him lame. We were able to get rid of it for a few months then it was back.
-Jan. 2010: Did surgery on him at clean local stables.
-Took him to a closer stables (however they weren't as clean we realized too late) for convience because a family emergency came up.
- Dad built stall, we brought him home and in a few weeks he was comepletely healed by feburary.

Now it's back and getting worse plus theres another one starting on the other leg that's identical. Please, please, please help!!!! If you need any more information or even pictures please ask!!! (I wouldn't be able to get pics up till tomorrow or thursday but I'll get 'em up if need be!!!)
     
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    09-22-2010, 06:39 AM
  #2
Trained
Hmm. Well, the only thing that comes to my mind is some sort of resisitant bacteria. I have seen this sort of thing happen in humans with MRSA. Not sure if this is an issue in horses ot not, but it sure sounds familiar. Here is an example-hubby got bit by Brown Recluse spider. Within a week, it abscessed. To ER, on antibiotics, that abscess heals. He then starts getting cyst type things other places on his body. Had to go on big time longer term antibiotics. I know your guy keeps getting this in the same place, or at least that is what it sounds like to me, but it sounds similar.
Have they done a culture? If not, I would say they need to to treat with the right antibiotics. Get it gone. And if it comes back, reculture to make sure you are dealing with the same bug. I am also wondering if perhaps the wound needs to be kept open and allowed to heal from the inside out, so that you are not encouraging another abscess.
Another idea is a second opinion. I have no idea what the availability of vets is in your area, but if there is another, I would try it.
Good luck!
     
    09-22-2010, 11:07 PM
  #3
Yearling
Disclaimer: I am only going off of what you have told us here. I wasn't present/haven't examined the horse so it may be that your vets acted exactly as they should have and were completely in the right.

First, where are you located? Do you have a teaching hospital near you? My first thought was a sequestrum but then when you said it is happening on the other leg I thought probably not. (there have been a ton of threads on here about sequestrum, so do a search and you'll learn what I mean if you don't already know).

Anyway I think that it is kind of odd that the vets 1. Didn't know what the tissue was 2. Didn't take it out on the grounds that they didn't know. I can name every muscle nerve artery vein lymphnode bone whathave you in a horse. So can all vets. We all have to learn anatomy as students so to me, if they found something they can't identify it sounds like a foreign body which ALWAYS has to come out, or an abnormal growth which also has to come out.

Even more suspect is that they didn't take a biopsy of this mysterious tissue. This would have given them a very clear answer as to what possible things it could be. So given that there were some pretty big basic holes in the original treatment, personally I would seek out a more experienced vet and a teaching hospital would be my first choice. Just MHO.
     
    09-22-2010, 11:57 PM
  #4
Trained
I agree with tealamutt...
     
    09-23-2010, 12:06 AM
  #5
Weanling
I would also look at getting another opinion on this. Get a few different vets out to take tests.

It could also be (like someone else already said) that it needs to stay open and flushed daily so that it can heal from the inside out (check with your vet tho). When my horse needed to get sergury for an infection in the scrotum (after a gelding) we had to reach inside and pull out any granulated tissue that was forming to allow the opening to heal from the top to bottom. We also had to flush it with a bedadine solution 2x daily until it healed completely. You may have to do something similar to make sure that the infection isn't getting stuck inside underneath the healed outter skin.

Good luck and I hope you find the answer
     
    09-23-2010, 12:29 AM
  #6
Banned
Hmmm....could the original vet have left something from the gelding in him? I have only been around for one gelding and I wasn't indepth enough to know if they did any more than just cut and stitch. Could they have left an instrument or possibly a bandage that is causing a chronic problem?
     
    09-23-2010, 12:40 AM
  #7
Showing
I am with Tealamutt and Cori. It sounds a little odd to me the way the vets handled that unknown mass of tissue. I would certainly bet getting a second or third opinion. My guess is that he has some foreign body up in him somewhere that is constantly under attack from his immune system, causing both the holes and the running pus from the holes. His body is trying to fester out whatever foreign body is inside him. I believe that you won't have any success getting him healthy until you get a vet that can find and extract the irritant, then you are likely looking at a very long course of antibiotics to clear up all that infection that is running through his body.

But, of course, I am not a vet nor am I studying to be one. Your best bet would likely be to do like Tealamutt said and find a teaching hospital or veterinary university near you that would be willing to look at him.
     
    09-23-2010, 07:57 AM
  #8
Banned
I agree with tealamutt and company.
     
    09-23-2010, 08:20 PM
  #9
Foal
Get a second, third, or even forth opinion if you must. Time is of the essence. The mysterious tissue needs to be biopsied and Rebel needs a complete blood work done, stat. Please don't accept your vet's "I don't know" for an answer. Find a vet who does. I would suggest taking him to a reputable equine hospital right away before it gets any worse.
     
    09-23-2010, 10:47 PM
  #10
Showing
Where are you located? May be someone on this forum can recommend a good vet or clinic!
     

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