Category Archives: Medical

CLOSTRIDIAL MYOSITIS: NEVER GIVE A BANAMINE SHOT INTO THE MUSCLE


Monday, August 12th, 2013 | Filed under Medical




Many of us have seen this photo around FaceBook…

I’d like to expand on it a bit so we understand what the photo means.

Horse suffering from Clostridial Myositis:  gas gangrene.

Horse suffering from Clostridial Myositis: gas gangrene.

Basically, if you take the risk of giving a shot of Banamine into the muscle, you have the probability of infecting your horse with Clostridial Myositis – gas gangrene – which is most often fatal, FAST.

MALCOLM’S STORY

I found the original article about Malcolm and his battle with Clostridial Myositis (and the update) originally posted here.

Click image to go to the original story

Click image to go to the original story

Click image to see original story.

Click image to see original story.

Screen Shot 2013-08-12 at 8.13.47 PM Screen Shot 2013-08-12 at 8.13.57 PM Screen Shot 2013-08-12 at 8.14.08 PM

Click image to go to original story

Click image to go to original story

Screen Shot 2013-08-12 at 8.14.26 PM

 

ANOTHER ARTICLE …

And then I saw another horrible photo and another article… Here is the link to the original story.

Screen Shot 2013-08-12 at 8.36.11 PM

Screen Shot 2013-08-12 at 8.36.28 PM

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HYPERBARIC CHAMBER

I did see that one treatment is a Hyperbaric Chamber.  I’m not sure why this wasn’t mentioned in the above articles… but I added a snippet here.  Good to know.

Click to go to website

Click to go to website

Clostridial Myositis and Myonecrosis (Gas Embolism)

      Clostridial myositis and myonecrosis is an acute, rapidly progressive infection of the soft tissues commonly known as “gas gangrene.”  The infection is caused by one of several bacteria in the group known as “clostridium.”  While over 150 species of clostridium have been identified, only a few commonly cause gas gangrene.  The infection typically spreads from a discrete focus of clostridium within the body.  The original source can actually be within the body, as clostridium normally live in the gastrointestinal tract.  Alternatively, the infection can originate outside the body, such as when infection results from contamination of wounds during trauma (e.g. motor vehicle accidents).

      Gas gangrene infection is severe and can advance quickly.  Besides replicating and migrating, the organisms which cause gas gangrene produce poisons known as exotoxins.  Exotoxins are capable of liquefying adjacent tissue and inhibiting local defense mechanisms which might normally contain a less virulent infection.  As such, the advancing infection of gas gangrene may simply destroy healthy tissue in its path and spread over the course of hours.

      Clostridium bacteria are “anaerobic,” meaning that they prefer low oxygen concentrations to grow.  If clostridium are exposed to high amounts of oxygen, their replication, migration, and exotoxin production can be inhibited.  This is the rationale for the use of hyperbaric oxygen in the treatment of gas gangrene.  Repeated treatment in the hyperbaric chamber has the potential to slow the progress of the infection while the two primary therapies, antibiotics and surgical resection of infected tissue, control it.

      The advantages of hyperbaric oxygen treatment in gas gangrene are two-fold.  First, it may be life-saving because exotoxin production is rapidly halted and less heroic surgery may be needed in gravely ill patients.  Second, it may be limb and tissue-saving, possibly preventing limb amputation that might otherwise be necessary.

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Update on Mama Tess.






Well, it has been a rough coupla days…

The first day looked promising and then, well…

…there hasn’t been any miracle cure as I had dreamed.  In fact, she might be a bit worse.

When I arrived at the hospital, she was being trimmed without medication!!

When I arrived at the hospital, she was being trimmed without medication!!

HERE IS WHAT IS UP

Tess arrived at the hospital.  Upon further examination, it was concluded that she had necrotic tissue on both (yikes) of her front soles.  Her backs have bruising.  The bruising could be from them being too long because we couldn’t trim her – or from abscesses starting (praying that this isn’t it).

Dr.E glued on shoes to raise her soles off the ground.  He added hospital plates so he could treat/harden her soles and keep the area clean.

To my amazement, Tess was able to stand and have all of her feet done without pain medication or blocking.  Wow!  I felt encouraged.  I even shed a few tears as I saw her there.

I was totally relieved to see her back hooves trimmed.

Patient and DR.

DR, patient and master farrier.

THE NEXT DAY

The next day, however, she showed signs of pain.  We aren’t sure if it is because they removed her hoof cinches in order to apply the shoes… or if it is something else.

Here is my email exchange with Dr. E.

FROM DR E. (10:40am Sunday)

Dear Dawn,
Our girl looks better this morning. Her digital pulses (is a subjective reference for inflammation within the hoof) are decreased when compared to yesterday. She is moving a little better. Her soles are still draining from the abscesses and the edema of the visible tissues underneath her sole is slowly decreasing. These are all small changes but at least they are not drawbacks. She liked the extra support provided to the rest of the foot. Is she still weight shifting and lifting her limbs? Yes, no doubt. She has a lot going on and a long road ahead.
 
I THANK YOU for sending me the information and for staying active and engaged. All options and suggestions will be considered and executed if appropriate. Things to keep in mind are that because of the condition of her soles, abscesses, etc. it is not possible to use some types of therapeutic methods such as wooden shoes, casts, epona shoes, etc. I need access to the bottom of the foot once or twice a day to check progress, change topical medications, clean foot, treat abscess/drainage… That is one of the reasons she has a reverse shoe with a treatment/hospital plate. I can access the toe area and the entire sole this way. Once I receive the straps (Hoofcinch), depending on how she is doing, I may nail on a reverse shoe, so that I can have access to the hoof wall as well and be able to place the straps. If the reverese shoes are not working by then, they’ll come off then or sooner. We’ll see when we get there. One day at a time. :) One more comment I’ll make is that even though the rotation may not be severe….for some… the condition of the foot is one of the biggest challenges/limitations. Such condition is not visible on x-rays, yet extremely important. “Dont treat the x-rays…treat the patient!” :)
 
Keep the info coming…keep the prayers coming…keep the love for Tess coming…we need it all!!!
 
Sincerely,

Eduardo De La Cruz, DVM
Loomis Basin Equine Medical Center
2973 Penryn Rd.
Penryn CA 95663
(916) 652-7645

Her amazing and awesome fan!

Her own personal and amazing and awesome mister fan!

FROM ME (SUNDAY AM):

Thank you for the report.
I will come visit her later this afternoon.
She was horribly droopy when I first arrived yesterday but after she had the fan and mister, she brightened considerably.
Langdon was very considerate.
(I have less time to visit her next week so I am doing what I can now.)

–Yes, I know it is bad – worse than the X-rays… and thank you for giving me the formulas to why some things work and some things won’t.
Equations and formulas help me pull the big picture together.

Please don’t give up hope.  This mare has great strength and resiliency, and so do I.
I owe her the best since I listened to my vets instead of my gut for the last month.  I feel responsible for not having asserted myself and just driven her to Loomis/Davis/Alamo Pintado when I thought I should… I know shuda/coulda/woulda doesn’t work here, but it weighs heavy on my heart.

I have a fleet of angels and the support of thousands of strangers – I know this cannot cure her, but if I call in all my favors from my army – she at least has a chance.
Tess will tell us if she’s had enough… I will be strong for her if the time comes.

Carry on, my friend.  And, thank you.

MT is listening to the food cart going by... She looks so regal with her fan blowing on her like that!

MT is listening to the food cart going by… She looks so regal with her fan blowing on her like that!

FROM DR. E (2:13 PM SUNDAY):

Thanks! I don’t give up easy, so no worries. We will continue with progressive treatments and ideas. She’s a great gal! Big hug!

Eduardo De La Cruz, DVM

I brought a book and sat with her today.  She was happy to have the company.

I brought a book and sat with her today. She was happy to have the company.

 

FROM DR. E (7:15 PM SUNDAY)

I just looked at Tess. She seemed a bit more uncomfortable than this morning. I gave her pain meds and added butorphanol, an opioid that helps with pain too. Lets see what tomorrow brings.

Eduardo De La Cruz, DVM

A quick drink...

A quick drink…

VISITING HOURS

I visited with her all three days.  HOT.  Wow, it is way more inferno-like in the valley…. Tess was wilting.  So I asked if I could bring down a box fan and mister for her.  They said SURE!

So, I did.

But, when Dr. Fielding saw what we were doing, he ran to his office and rolled down a super-duper fan and mister combination number that he had from the Grand Opening party.

Wow!

MT has the most AWESOME fan/mister set-up.  It blows strong but not wet, if you know what I mean… you can stand in front of it and feel the cool, but you don’t get soaked.

Very nice.

She loves it!

I’m hoping the rental company forgets that it is there – for a while!…

If you need to purchase a heavy duty fan/mister combo, check out this brand.  It is awesome - it doesn't soak you at all!

If you need to purchase a heavy duty fan/mister combo, check out this brand. It is awesome – it doesn’t soak you at all!

If I spent too much time reading, she'd come right over and bump me with her nose... she wanted me to rub her face as she ate nearby.

If I spent too much time reading, she’d come right over and bump me with her nose… she wanted me to rub her face as she ate nearby.

NEXT STEPS

Tess is very sick and they are not sure what is causing the founder cascade.  This is bad.  They have her on every kind of medication that could help with pain, inflammation, Metabolic syndrome, they are soaking her hay and monitoring her every move… her feet are packed and every effort is being made to harden her soles and combat infection.

If she is still sore tomorrow, they will probably pull her shoes and figure some other way to elevate her sole and also have access to clean and apply hardening solutions.

My girl is in trouble.  I’m not going to lie to you – this is not good.

As the farrier who trimmed her said, “Why didn’t you bring her down here a month ago?!”

Yes… I ask myself that over and over and over again.

My response…

Because no one said I should…-?  Is that an answer?

Sigh.  Huge, heavy sigh.

But, we are doing everything possible and available.  If she can hang in there, so can we.

She laid down after eating.  I kissed her forehead and told her the tech would be around to give her pain meds - and that he would reevaluate everything in the morning...

She laid down after eating. I kissed her forehead and told her the tech would be around to give her pain meds – and that he would reevaluate everything in the morning…  It was difficult to leave her.  She hasn’t been off the farm in 6 years.

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Betsy Rose, our July Bucket Fund Mare!  Click here to read her story and/or donate!

Betsy Rose, our July Bucket Fund Mare! Click here to read her story and/or donate!

Use this portal to shop with Riding Warehouse and help the Bucket Fund!

Use this portal to shop with Riding Warehouse and help the Bucket Fund!

 




HORSE AND MAN is a blog in growth... if you like this, please pass it around!