Veterinary questions? Ask a Vet for Answers ASAP
Hello Duncan, I'm Dr. Deb and will do my best to help you today.I'm sorry for this concern for Stanley; I can understand why you might be so worried about him. I do have a few additional questions to ask about him first if you don't mind.1. Can you take his temperature?2. What color are his gums?3. No vomiting or diarrhea, correct?4. How does the neck wound look today?
There may be a slight delay after I receive your answers since I have to type up a response to you. Thanks for your patience. Deb
First we have just made a video http://youtu.be/GBDZc9EVXT8
1. We can't take his temperature. The 2nd vet today took his temperature and said he was hot but he wasn't worried (especially given it was a hot day and he had been in the car)
2. His gums are dark pink/brown (see video)
3. no vomitting or diarrhea.
4. Both vet visits were today (i.e. first vet shaved area, cleaned it and diagnosed it as infected). That was about 1245 today and it is now 1855pm. We cant see area as he is so hairy and has anti-scratch collar on.
Duncan: Thanks so much for the video; this was very helpful in evaluating his increased respiratory rate (which is clearly elevated) and gums (which are normal).I understand about taking his temperature but it would be very helpful to know what it is now that he's home. So, if you could manage to take it at some point, normal is between 100 and 102.5 F. He certainly doesn't like his cone very much, though, does he??In a case like this, I have to suspect a drug reaction since I'm not a huge fan of coincidence. While most dogs tolerate cephalosporins very well, there are some who will experience side effects and idiosyncratic reactions.There are a number of possible adverse side effects which include increased respiratory rate as well as fevers. Excitability is usually seen but lethargy wouldn't surprise me if he's running a fever.If this were my case, I would not be continuing this drug. If 24-36 hours have passed and his symptoms have still not resolved, then testing (bloodwork and x-rays) would be my next step since this is much less likely to be a drug reaction.If this is a drug reaction, there are no specific antidotes which can be administered. We basically treat any significant symptoms which might occur. For him, I would give tincture of time a chance to resolve the problem.I do not believe him to be in pain at this point although certainly pain can cause an elevated respiratory rate and lethargy. But the source of that pain would be somewhat unclear to me at this time.I know you're worried about the neck infection but if this is what I think it is (moist dermatitis or a hot spot), then it can safely be treated topically for another day or so until it's clear what else might be going on.I'd clean the area with dilute, over the counter Betadine or Iodine (to the color of weak tea) twice a day.Then, I'd apply a topical over the counter antibiotic ointment or cream such as we would use on a wound for ourselves.I really like Vetericyn (LINK) for skin wounds of this sort but it may not be available to you at local shops.I hope this helps. Deb
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Best of luck with him. Regards, Deb