Rabbit dental abscess again!

RE: Rabbit dental abscess again!

Helen Browning — Sun, 23 Apr 2017 08:28:10 GMT

Thanks all for your help. There is a possibility that finances have changed so when the wee one recovers from this surgery we may get to get some radiographs and go from there. I made the owner aware of the risks re depocillin (no pen strep in the practice) and of poor prognosis of tooth abscesses. Has anyone had one that they have successfully cured?? The ones I have had in the past have all done badly, this one has responded better than previous cases them and is the first time I have used depocillin to treat it as in the past it has always been septrin or baytril. Thanks again

RE: Rabbit dental abscess again!

Mark Rowland — Sat, 22 Apr 2017 22:52:49 GMT

However the basic rule of rabbit abscesses is that they will persist until you have debrided the nidus of infection that has instigated them

Thats usually a tooth root abscess

RE: Rabbit dental abscess again!

Mark Rowland — Sat, 22 Apr 2017 22:50:15 GMT

The data sheet for depocillin specifically says "Do not use in rabbits"

therefore you are leaving yourself open to litigation if things go wrong. Its not the same as no mention of rabbits where you can justify it.

I use pen/strep

its easier to inject too

Goodluck.

RE: Rabbit dental abscess again!

Marie Kubiak — Sat, 22 Apr 2017 20:43:59 GMT

[quote user="Rob Davis"]

[quote user="Marie Kubiak"]I use 42mg/kg q3d for depocillin[/quote]

Did you mean 42, and if so why so specific?!

[/quote]

I did - just because that was a published dose so seemed a good choice.

RE: Rabbit dental abscess again!

Rob Davis — Sat, 22 Apr 2017 16:04:31 GMT

[quote user="Marie Kubiak"]I use 42mg/kg q3d for depocillin[/quote]

Did you mean 42, and if so why so specific?!

RE: Rabbit dental abscess again!

Marie Kubiak — Sat, 22 Apr 2017 07:18:21 GMT

If the owner won't let you determine the extent of disease with radiographs then you aren't going to be able to manage it properly. These are like icebergs- the tip of the chronic infection breaks out of bone and there is a festering mess of infected bone and teeth underneath. Without identifying and completely debriding all infected tissue it ends up as palliative care but this is sometimes the most appropriate option for extensive or cost-prohibited cases. Long term analgesia and antibiotics slow regrowth but it is very likely to be slowly returning.

I use 42mg/kg q3d for depocillin but I do find penicillin resistance commonly where we have done C&S.

Marie