Rabbit snuffles

RE: Rabbit snuffles

Marie Kubiak — Sat, 06 Aug 2016 14:05:06 GMT

[quote user="Evelyn Barbour-Hill"]

[quote user="Marie Kubiak"] I would love a 1.9mm flexible scope but can't justify the cost.[/quote]

Aaah...........

[/quote]

I need a tiny violin to play!

RE: Rabbit snuffles

Evelyn Barbour-Hill — Fri, 05 Aug 2016 15:52:03 GMT

[quote user="Marie Kubiak"] I would love a 1.9mm flexible scope but can't justify the cost.[/quote]

Aaah...........

RE: Rabbit snuffles

Marie Kubiak — Fri, 05 Aug 2016 13:13:57 GMT

[quote user="Evelyn Barbour-Hill"]

Not sure if this should be a tangent, but.......... do you favour the usual rigid endoscope for rabbits, or a flexible one, and if so what size.. 3.5mm?

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2.7mm rigid is the one I tend to use and it works fine in all but the tiniest when I would steal the orthopods smallest arthroscope (1.9mm I believe). I would love a 1.9mm flexible scope but can't justify the cost.

Marie

RE: Rabbit snuffles

Evelyn Barbour-Hill — Fri, 05 Aug 2016 13:06:08 GMT

[quote user="Marie Kubiak"]Also consider rhinoscopy to take biopsy samples for better culture specimens and to rule out FB.[/quote]

Not sure if this should be a tangent, but.......... do you favour the usual rigid endoscope for rabbits, or a flexible one, and if so what size.. 3.5mm?

RE: Rabbit snuffles

alison silvester — Fri, 05 Aug 2016 12:58:26 GMT

Thank you Marie, he has no clinical signs to suggest E.cuniculi involvement so really no indication at the moment to treat for that. On xray the incisors look normal at the moment and sinuses clear. We only took a lateral skull xray but if he does come in for sedation and swab we maybe repeat the xrays.

Thanks again,

Alison

RE: Rabbit snuffles

Marie Kubiak — Mon, 01 Aug 2016 16:11:22 GMT

Fluoroquinolone and penicillin resistance seems increasingly widespread in rabbit bacterial cultures in my experience-probably due to the widespread use as a first line. While this is still a little off true chronic disease you have a small chance remaining to resolve it- leave it uncontrolled for too long and osteomelitis, turbinate destruction and sequestration of pus in sinuses prevents resolution and leads to chronic relapsing disease state.

Take deep nasal cultures (often needs GA or deep sedation in young rabbits), find out what you are dealing with and what your antibiotic sensitivities are. Obviously needs to be off antibiotics for a few days prior to sampling.

Also consider rhinoscopy to take biopsy samples for better culture specimens and to rule out FB.

I agree, don't do anything with incisors surgically until you have this under better control.

Don't be tempted to throw fenbendazole at it unless there is any evidence of EC presence (linear cataracts, seropositivity) as a 28d course will cause some degree of immunosuppression and any shorter is of no treatment value.

Were bullae and sinuses clear on rads? Any apical changes associated with incisor changes.

Marie

RE: Rabbit snuffles

Anthony Dennison — Mon, 01 Aug 2016 15:41:17 GMT

I think sometime E.cuniculi can complicate these sorts of cases too, may be worth a course of panacur.

RE: Rabbit snuffles

Neil Wheadon — Mon, 01 Aug 2016 14:53:15 GMT

It's probably because we've all been in your position, nothing seems to work especially if 'Baytril Deficiency' has been disproved. I've locummed in several places that deal with a lot of young chronic bunnies like this and have yet to find a treatment that works all the time, because if there was one we'd all be doing it.

Hoping that someone posts something because I to would be interested

Neil

RE: Rabbit snuffles

Kate Richardson — Mon, 01 Aug 2016 09:59:37 GMT

Marie Kubiak @Gillian Mostyn

RE: Rabbit snuffles

alison silvester — Mon, 01 Aug 2016 09:22:21 GMT

Anybody? I really don't know if I should be continuing baytril for weeks/changing antibiotic/accepting it is chronically infected?