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Skin illness???
Sent to Pet Experts July 20 08:10 PM

My 10 year old golden retriever recently incurred a bite wound on her cheek. Soon thereafter she became ill and was put on antiobiotics and recovered quickly (given the small size of the bite wound, my vet did not think that her illness was related to the bite wound--he did a blood test in an attempt to see what might be accounting for the illness and he didn't find anything). A few months later the wound reopened and around the same time, she licked a hot spot on her side. However, this hot spot had a draining track (which my vet said was unusual). These two wounds did not respond to antiobiotics. During this time, she became quite ill again--refusing to eat, running a fever, and generally apathetic. My doctor gave her a steroid shot and she improved. (and her wounds began to heal as well). She was better for approximately 10 days and then became ill again (refusing to eat, fever, apathy). She was given another shot of steroid and oral steroids. She is currently taking the course of oral steroids which are to be given to her every other day. I have recently noticed that on the days that she does not take the steroid, she refuses to eat, acts apathetic, etc. However, she is better on days that she does take the steroid. It was suggested that perhaps she has an internal staph infection that has not responded to antibiotics--I asked my vet about this and he thought it was highly unlikely given the 2nd antibiotic she was on. Her wounds have largely healed--however, she is still ill if not on steroids and my vet does not know what may be wrong with her--any ideas?

 

Optional Information:
Age: 10; Female; Breed: Golden retriever/chow chow mix

Already Tried:
2 types of antibiotics and steroids

Customer (name blocked for privacy)
Answer
July 21 11:21 AM (15 hours and 10 minutes and 53 seconds later)
         
REPLIEDCheck Mark
I have spent some time thinking about this and do believe it could be an infection that is antibiotic resistant.
At this point with your vet not having answers my suggestion would be to see a veterinary dermatologist to work with someone who is expert in this area.
http://www.acvd.org/site/view/55607_FindADermatologistAlphabetical.pml
Another possibility would be a vet who specializes in small animal internal medicine as they too see the tricky cases
http://www.acvim.org/Specialist/Search.aspx
It may be there is something more going on perhaps with adrenal gland or thyroid due to the steroid use that is causing what you are seeing.
Hope this helps you!


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July 21 12:33 PM (1 hour and 12 minutes and 11 seconds later)
         
Reply to Nancy Holmes's Post: I am having her taken in for a full blood work-up--would this show any problems with the adrenal gland or thyroid? I'm a bit confused by the last statement saying that perhaps there is more going on with the adrenal gland or thyroid which is causing what I'm seeing--could you please clarify as I'm trying to treat the dog without seeing a specialist?
Thank you!!!
Answer
July 21 12:39 PM (6 minutes and 34 seconds later)
         
ACCEPTEDCheck Mark
Steroids can trigger the thyroid or the adrenal glands into improper function if they were on the edge of showing disease. The influx of steroids can put the natural steroid production out of balance. That might be why you are seeing her feel unwell when the steroids are skipped.
Standard bloodwork does not usually check thyroid or adrenal gland function but ask your vet about that being included in the panel run.
You may have started with a skin infection, had it go systemic, or the dog could have transferred the infection from one site to another via the licking, and now be dealing not only with an infection but an imbalance as the result of steroid use too.
here is some info on adrenal gland issues
http://marvistavet.com/html/cushing_s_disease.html
and here on thyroid issues
http://marvistavet.net/html/body_hypothyroidism.html


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