Strangles?? - Page 2

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    04-20-2010, 09:26 AM
Wanted to update on the mare. Her abcesses drained, closed up and seemed to go away. Then swelled up to about half a golf ball size, drained only a small amount, then closed again.
It has been completely closed up now for about a week. To be honest with you I can't tell if the lymph nodes or normal sized now or not. I have never had any reason to shave a horse's throught all the way down and study it, so have nothing to compare to. The lymph node that had been swollen is only very very slightly larger than the other. There is also a tiny lump about 2 inchs below the right lymph node that looks like a small marble under her skin and it pretty soft.
If nothing else happens I'd like to have a nasophyrangeal (sp?) swap done of her in the next couple weeks to see where we stand.
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    04-20-2010, 09:33 AM
Also wanted to ad that she had gained 75-100 pounds since she has been here and she actually looking like a normal horse. And is full of herself!
    04-20-2010, 09:52 AM
Sorry to keep reposting, I just wanted to add some pictures. I guess the marble sized lump isn't 2 inches, its closer up under the lymph node. The white spot is where it had drained.
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    04-20-2010, 10:31 AM
Yes, it's time for a vet exam and some diagnostic testing. It may be strangles, but it may also be something else such as a foreign body that is under the skin and causing a localized infection.

You should be flushing the area daily when it is open both to clean it and to help keep it open until there is no more drainage. And remember that if it is Strangles this horse will be contageous for at least 3 weeks after all symptoms stop and may very well be a silent carrier so it would be good to have her guttural pouches checked.
    04-20-2010, 07:13 PM
Thank you Ryle. She has not had any diagnostics done, I talked to my vet about it, he did not want to do any and said it was probably strangles due to her history of having it in February.
I had been putting hot compresses on the area 2x a day and washing it well, and the vet also told me to put Icthamol on it. It was only open enough for me to flush it out one morning only. The second time it swelled up, I had the vet out and had wanted him to lance it for me and drain it. He told me just the leave it and that it would drain on its own. To be honest, I just think he doesn't want to deal with it. He also wanted to give her a course of penicillin, but I did not after reading how penicillin can prolong strangles if they already have absesses developed and could cause ******* strangles. Am I wrong?
I wanted to call a different vet out weeks ago, but my fiance wanted me to just wait it out. I think its PAST time I call and find someone that will actually do something for me, our usual vet is obvously not interested in helping me out on this. I don't want this poor mare in quarantine the rest of the summer if possible!
Any other advice is appreciated. I will keep updated on things when I get someone else out here to look at her.
    04-20-2010, 09:29 PM
I would call a different vet out because it sounds like your vet just doesn't want to deal with it. Strangles should not drag on in a single horse for 2 months.

Putting her on penicillin can slow the maturation of abcesses so isn't recommended once the abcesses have started forming but not ruptured. But it doesn't cause ******* strangles to give penicillin and might be a good idea in a horse that has had a long-running infection. By this point her immune system has got to be pretty strained. I wouldn't just start her on it though. Get another vet that just does horses if possible...and get some diagnostics run so that you KNOW what you are dealing with.

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