Monday, September 24, 2018

3300. Myanmar images - female construction workers doing road surfacing, T T Aung family, May Thazin

3299*****. The provocative cat got a swollen eyelid and bite wounds

This cat loves to provoke the other house cat. She gets scratched and bitten often. So the owner made her wear an E-collar to protect her face. But that day, she did not do so. The cat got bitten for two days. Big inflamed upper eyelid swelling on the left eye. Two nasty red oozing wounds near the left ear.

Saturday, September 22, 2018

3298. Tick fever IN DOGS and IMIDOX

Imidox® is an injectable solution that cures redwater (Babesiosis) and tick-borne gallsickness (Anaplasmosis) in cattle.  It can be used in cattle for the prevention of Asiatic redwater for up to 4 weeks and African redwater for up to 8 weeks.  Imidox® is also indicated for the treatment of equine and canine Babesiosis.


Imidocarb dipropionate 120 mg, excipients 1 mL


For the treatment and prevention (before the introduction of livestock to areas of risk) against piroplasmosis, anaplasmosis (both also known as "tick fever"), ehrlichiosis, hepatozoonosis and cytauxzoonosis.

Dosage and Administration
Piroplasmosis: cattle, sheep and goats: 1 ml/100 kg; horses: 2 mL/100 kg; dogs and cats: 0.25 mL/10 kg. Anaplasmosis and piroanaplasmosis: cattle, sheep and goats: 2.5 mL/100 kg; Ehrlichiosis: dogs: 0.5 mL/10 kg of b.w.; Cytauxzoonosis: cats: 0.2 mL/10 kg of b.w. Apply through intramuscular route in horses, and preferably subcutaneously in the dorsal area of cattle, sheep, goats, dogs and cats.



Contains per ml:
Imidocarb dipropionate 120 mg


Imidocarb dipropionate is highly active against infections caused by adult and immature stages of Babesia in cattle, sheep, horses and dogs, against Anaplasma infections in cattle and against Ehrlichia canis infections in dogs. The prolonged action of Imidocarb dipropionate exerts a prophylactic effect against Babesia infections for up to 6 weeks.


Imidocarb 120 Inj. is indicated for the treatment and prevention of Babesiosis in cattle, sheep, horses and dogs, for the treatment of Anaplasmosis in cattle and Ehrlichiosis in dogs.


Do not administer to extremely weak animals. Do not use in ewes in lactation if milk is intended for human consumption.


A painful, inflammatory reaction may be seen at the injection site, even during a few days. Increased salivation, nasal discharge and vomiting can be seen shortly after injection. Some dog and sheep breeds can show transient side effects.


Do not combine with choline-esterase-inhibiting drugs, pesticides or other chemicals.


For subcutaneous or intramuscular injection.
  • Cattle : 1 ml per 100 kg bodyweight. In treating mixed infections due to Anaplasma and Babesia, administer 2.5 ml per 100 kg bodyweight.
  • Sheep : 0.5 ml per 50 kg bodyweight.
  • Horses : 2 ml per 100 kg bodyweight (intramuscular injection is preferred). In most cases, a single dose will effect a complete cure, but the treatment of B. equi infections in horses may require 2 doses at an interval of 24 hours.
  • Dogs : 0.25 ml per 10 kg bodyweight. In treating mixed infections due to Ehrlichia and Babesia, administer 0.5 ml per 10 kg bodyweight, 2 doses at an interval of 14 days.
It is advised to screen the blood after one treatment for presence of the parasite. Repeat treatment if the test is positive.
  • Cattle : 2.5 ml per 100 kg bodyweight. A single dose will prevent Babesiosis for up to 4 weeks depending on the severity of the challenge and species involved.
  • Horses : 2 ml per 100 kg bodyweight (intramuscular injection is preferred).
  • Dogs : 0.5 ml per 10 kg bodyweight. A single dose will prevent Babesiosis for up to 4 weeks.
  • Sheep : 1 ml per 50 kg bodyweight.


Meat : 90 days
Milk : 7 days


Store in a dry, dark place between 8 °C and 25 °C.
Keep medicine away from children.


50 ml multidose vial, packed in individual box (105 vials per box).


1980 Sep 20;107(12):275-7.

A comparison of the efficacy of imidocarb dipropionate and tetracycline hydrochloride in the treatment of canine ehrlichiosis.


A comparison of the efficacy of imidocarb dipropionate solution and tetracycline hydrochloride in the treatment of naturally occurring ehrlichiosis of dogs presented at the University of Nairobi small animal clinic was carried out. Five to 7 mg per kg imidocarb dipropionate given intramuscularly twice at an interval of 14 days was as effective as 14 daily, oral doses of 66 mg per kg tetracycline hydrochloride in alleviating the clinical signs of disease. Imidocarb eliminated the infection in 81 per cent of the cases whereas tetracyclines cleared only 25 per cent as judged by cell culture isolation. Imidocarb had the further advantage of controlling concurrent babesiosis. The majority of dogs showed some transient side-effects after administration of imidocarb, while a small proportion of dogs dosed with tetracycline reacted adversely and dosage had to be reduced or stopped.



Imidocarb 12% injection

Solution for parenteral administration

  • Composition
  • Contains per ml:
  • Imidocarb dipropionate
    120 mg.
  • Excipients ad
    1 ml.


Imidocarb is a diamidine of the carbanalide series of antiprotozoal compounds.


Imochem-120 is indicated for treatment and prophylaxis of babesiosis in cattle, for treatment of babesiosis and anaplasmosis in sheep, for treatment of babesiosis in horses and dogs and for treatment of anaplasmosis in cattle.

Contra indications

Administration to animals exposed to cholinesterase-inhibiting drugs or pesticides.
Administration via the intravenous route.
Administration to ewes producing milk for human consumption.
Administration to animals with impaired renal and/or hepatic functions.

Side effects

Most common adverse effects include pain during injections and mild cholinergic signs (salivation, vomitting, nasal drip). Cholinergic side effects may be alleviated by treatment with atropine sulphate. Other effects may include panting, diarrhoea, injection site inflammation, lacrimation, sweating and restlessness.


For parenteral administration.
Calves and cattle:
Treatment of babesiosis : 1.0 ml per 100 kg body weight, subcutaneously.
Prevention of babesiosis : 2.5 ml per 100 kg body weight, subcutaneously, one month before
Treatment of anaplasmosis : 2.5 ml per 100 kg bodyweight, subcutaneously.
Elimination of the carrier state : 4.0 ml per 100 kg bodyweight, subcutaneously, administered twice with a 14-day interval.
Treatment of Babesia caballi : 2.0 ml per 100 kg body weight, once daily for 2 consecutive days, intramuscularly.
Treatment of Babesia equi : 3.5 ml per 100 kg body weight, administered 4 times with a 72-hour interval.
Sheep : 1.0 ml per 100 kg body weight, intramuscularly.
Dogs : 0.5 ml per 10 kg body weight, subcutaneously or intramuscularly. Repeat the dose in 2 weeks, for a total of 2 treatments.

Wednesday, September 19, 2018

3297. How to organise and save your images properly

3296. INTERN. The red-eared slider has a paralysed neck

For the past 6 months, the slider could not retract his head under his carapace as he had done for the past 5 years. This history indicated a traumatic injury to the neck. The owner said that the sibling frequently mounted him as they were housed together.

For the past 2 weeks, he had been gasping for breath. Open-mouth breathing and not eating. Prognosis is poor. Syringe feeding with Critical care and pellets 6X per day to prevent weight loss and malnutrition for many months may help him live.


Tuesday, September 18, 2018

3295. INTERN. Singapore bird stories from Toa Payoh Vets

Divine intervention?

1. Blue-fronted Amazon

2. Goffin's Parrot

Birds seen during exercise on or around auspicious dates

3. Brown pigeon seen during exercise - Aug 29, 2018  (Day after WMNN's birthday)

4. Orange breasted pigeons seen during exercise - Apr 2, 2018 (Easter Monday)

Apr 4, 2018  (Guan Yin's birthday)

5. Spotted dove - singing

6. Brown and yellow birds
brown and yellow birds


Example of a video made from a case study, done by an Intern from RI - The case of the fearless vet. Dr Thein Tun Aung at the Hyatt Hotel house call

STORY 1How to bring the blue-fronted Amazon home?

The parrot perched on the tree overnight.
The owner tried to extend the bamboo poles
but the bird was too far away from the corridor. What to do?

Attached more poles but it was a futile effort. The poles start to sag under the influence of gravity. The distance to the bird was too great. So, the whole day passed without any solution.

An example of bamboo poles distant from the tree

A car parking lot separates the two blocks. Trees are planted at the periphery of the car parking lots

Another housing estate with similar structure. The trees are planted between apartment blocks. A central green lawn, not a carparking lot, separates the blocks in this image. Clothes are hung on bamboo poles for drying.

Next morning, after bathing, prayed to the 3 Buddhas for help to get the parrot safely home. Looked out of window. Saw a black bee alighting near the parrot. Parrot flew off and landed on the ground. He dashed downstairs and got the bird safe and sound.

The black bee is large and looks like this image
A big black bee

"Was he crazy?" he asked us.
A divine help?

Once the bird escapes in a large city as Singapore, there is little chance of it returning home to the owner.

Actual bird involved. The blue-fronted Amazon

The owner told me that the bird is OK and sent me this video recently.  


Once the bird escapes in a large city as Singapore, there is little chance of it returning home to the owner.

Divine intervention in both cases may be possible for those with faith. For others, the 2 birds returning to the owner safely were a matter of good luck.   


Esplanade sign board

3294. INTERN. A dwarf hamster has a very smelly large ear tumour

Sep 18, 2018

One of the worst cases of hamster tumours. This hamster has a very smelly skin lump. The smell wafted from the hamster to my nose in the consultation room.  "Need to give antibiotics and clean up for 3 days before operation," I advised the owner. "Rushing in now will mean that the hamster is exposed to high risk of death from or after operation."  The owner agreed to wait for surgery after 3 days of antibiotics.


Smelly gangrenous half had broken away. (video). Surgery to remove the other part is done. The hamster recovers and is OK by Day 3