K9 MRSA INFECTION

Pearla is a two year old American Bulldog who is very athletic and friendly. She has a variety of food allergies that is monitored by her parents. We suspect she has airborne allergies but testing has never been done to conclude this. This blog was created to establish events in chronological order while she fights this horrible staph infection (MRSA). A brief history of her other allergy related problems are also listed here.

Wednesday

FOOD ALLERGIES



This testing was done by ACTT Testing & Treatment by Bio-Medical Services on 08/18/2008. Pearla is allergic to;

BARLEY
CHICKEN
CORN
LAMB
PORK
WHEAT
BERRY MIX
DUCK
RABBIT
SALMON

Pearla is only fed "Grain Free" dog food as well. It is very hard to find good dog foods without any of the ingredients listed above in them.

-We are currently feeding her Dick Van Patten Sweet Potato & Venison along with steak which is dehydrated in a table top machine and sliced into thin strips. She also gets 1tbsp of Flax seed oil with her dry dog food to help her coat.











We use canned food as well to make it more enjoyable to eat

Sunday

PREVIOUS HISTORY


Pearla typically runs into problems when the Spring and Summer roll around. She usually breaks out in hives on her back, belly and private areas. This usually only happens when we go hiking in the woods or when she halls ass in the tall farm grass!

On April 20, 2009 she developed a small hive on the back of her neck. The hives never seem to bother her at all, but this particular one must have itched real bad. She reached up behind her head with her back leg and gave it a couple good whacks. (It must have felt real good) It bled, but we just cleaned it up with some tissue paper and water and went about our normal day. Pearla repeated the same process multiple times and we ended up with an infection on her neck.

The picture below is what it looked like before I took her to the VET. It is recommended to cut the hair around the hive so moisture does not linger if it starts to look bad. I did just that but the doctors decided to shave a larger area for ultimate exposure to the air.



After visiting the VET we came home and this is what it looked like.



The VET prescribed 960mg of Ditrim and a week later it looked like this:



A nice layer of virgin skin after the scab had fallen off. We were also given a medicated shampoo that we use from time to time called Benzoyl Plus.

The entire process from the very first sign of infection to the end of the healing period was about 4 weeks. Her hair took about 3 months after that to completely grow back.

Saturday

THE MRSA INFECTION



During the month of July 2009 Pearla had another round of hives show up. It was the usual so we were prepared like always. The hives are the size of a kernel of corn and are filled with clear liquid. We usually give her a couple Benadryl through out the days and within 3 to 4 days they are gone. There was one hive on her ankle that was the last to go away. Keep in mind that Pearla doesn't seem to be affected by the hives and she never really licks or scratches at them.

The hive on her ankle never quite healed because of all the hiking and playing she does with her friends. Like I mentioned above, she is very active. This hive turned into an infection because it was never given the proper amount of time to heal (which is the humans fault).

Weeks went by with no sign of her ankle getting better so we decided to go see the VET. Our first visit was on 8/14/2009 and was prescribed Temaril P tablets for inflammation and Baytril 68mg for the infection. After about a week the infection looked as if it was going away. The puss/blood was going away and it seemed like we were on the right track.

After we finished the Baytril a week later it looked as if the infection was coming back. It slowly creeped back up on us and before we knew it, it was a full blown infection again like what we had in the beginning.

Another VET visit on 9/22/2009 with the same prescription, 68mg of Baytril for for 2 weeks instead of 1 week. The infection did the same thing... it went away, but came right back weeks later.

Now with no success, we decided to take her back to the VETs to find out what the hell was going on. By this time, it was winter and all her hives were non existent but the ankle was still infected and for some reason did not look as bad. We continued to go hiking and spend lots of time out doors. On 1/4/2010 the VET recommended we do a culture and sensitivity test.

The tests came back with her diagnosis of Methicillin-resistant Staphylococcus aureus (MRSA). At the time I didn't really know what it was but knew it wasn't good. Apparently the bacteria can cause infection when they enter the body through a cut or sore. The infection can be minor and local, for example a pimple or a hive and this is just what happened to Pearla.

We then found out that there are only a handful of medications to take for something like this. Baytril was definitely not one of them. The VET prescribed three (3) 150mg CLINDAMYCIN 2 times a day for a total of 900mg/day. (This was recommended after a sensitivity panel was done)EDIT: This was changed to 525mg a day ONE time a day. I guess it's better to hit the infection all at once with 525 than 900 spread out throughout the day.

I purchased this medicine at Wal-Mart of all places for $52.62 while back at my VET they wanted to charge $350!!! For full disclosure though, my VET told me to buy it at Wal-Mart because it would be less expensive.

Pearla has started taking this medicine on 1/9/2010 and will be on it for 3 weeks. After the 3 weeks a follow up visit with the VET will happen.

If you would like a lot more information about the MRSA infection please visit www.pets-mrsa.com (The Bella Moss Foundation).





(Please keep in mind that MRSA was only found to be isolated on her ankle)
Pictures of her ankle with MRSA were taken on 1/16/2010



What you can not see is multiple areas (tiny holes) where the puss and blood will come out of. Pearla has 3 or 4 of them on the infected area.





Out of no where, she developed a "hot spot" on her belly... I'm a little suspicious of this medicine (CLINDAMYCIN) and have a feeling it caused it. From what I understand reactions like this do not happen, but she never gets hot spots like this, especially during the winter. The hot spot first appeared on 1/16/2010.

Pictures were taken on 1/19/2010.







Pictures taken on 01/23/10 (The hotspot has scabbed over and part of it has fallen off)





A new hot spot appeared behind her left leg above the carpal pad
Pictures taken on 01/25/10





Pictures taken of her ankle with MRSA and belly.
Pictures taken on 01/28/2010



It appears the MRSA infection is getting better... (fingers crossed)





Pictures taken on 02/04/2010











Here is a picture of the inside toe. She usually gets some redness in there and actually a hotspot showed up. I didn't document this at all during the blog but she's had it along with the other hot spots the entire time. This one doesn't appear to be betting better as fast as the other ones.

Wednesday

First Visit to a Board Certified Dermatologist Veterinarian



(01/28/2010)

Today we visited a dermatologist and got a lot of good information about her condition. At the moment though we need to fight the MRSA infection and stay on the Clindamycin. The dosage was changed to only 525mg a day ONE TIME a day instead of 900mg. There was no allergy testing done today because that involves anesthesia. If we do decide to go ahead with the procedure it is estimated to be about $1800USD!!

The blood work and procedures done today was about $850 and consisted of;

Comprehensive Physical Exam $145
Ear Cleaning $42
Registration Fee $9
CBC & Chemistry Profile $125
Biohazard Disposal Fee $7
Thyroid Panel #4 (free T4, T4) $150
Dermatophyte Test Medium $45
Skin Scraping $38
Cytology-Ear $28
Cytology-Integument (skin) $28
Clindamycin (300mg,150mg,75mg) $27, $16.50, $20

Below is ear cleaning and bathe stuff for Pearla


DSS Ear Cleaning Sol. (200ml) $21.50
Anim Pharm Chlorhex 4% 16oz $22.75
ResiCort 16oz $41
Conofite/Dexamethasone (200ml) $66.50

The reason why I was given all this stuff was because keeping a dogs ears clean that has skin issues such as Pearla is very very important. There was some ear issues showing that the Vet pointed out to me and that it was a good idea to start this now. Who really knows though; I'm always a little skeptical.

So $850 bucks later I know my dog has good "Chemistry" and "Hematology" levels and a bunch of cleaning solution. I will be writing all the prices on each bottle so it reminds me how much I spent on this stuff. Oh what people do for their dogs...

I've also scheduled an appointment with a "Holistic" Veterinarian which focuses on Chinese medicines. I'm hoping to gain a lot of valuable information to boost Pearla's immune system to fight off these allergy attacks and make her healthier.