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ANOTHER CASE OF SWOLLEN THROAT
It
is very important that old dogs get their dental work done and all
rotten smelly loose teeth extracted. In this dog, in March 2014, I was
consulted about a big lump on the dorsal part of the tail end. "It is a
sebaceious gland tumour," I said. Surgery removed the tumour and no more
visit from the dog.
Today, the old dog came in
gasping for breath and crying. Panting a lot. "The dog cannot stand for
the past 2 days. Not eating. He has a large swelling under the chin,
also diarrhoea," the mum said. The daughter was working and so she
brought the dog down.
A soft firm swelling across the
neck below the chin. Around 3 inches x 4 inches x 3 inches. I got an
X-ray done as I suspected an abscess. Lanced and reddish-brown pus
flowed out. Around 100 ml collected.
No
anaesthesia is given as the dog's tongue turned deep purple when
restrained for examination. The dog had great difficulty breathing.
Rotten teeth spread bacteria into the heart valves.
BLOOD TEST ON ADMISSION ON AUG 19, 2016
Glucose 2.6 (3.9 - 6.0). Dog was not able to stand up.
Liver enzymes ALT/SGPT 117 (less than 59)
AST/SGOT 133 ( less than 81)
Urea 15.3 (4.2-6.3) but creatinine is within normal range. Kidneys are normal in this case.
Total white cell count 39.8 (6-17)
Neutrophils 90% (60-70%), Absolute 35.8 (3-11.5%)
Lymphocytes 10% Absolute 3.98
Monocytes, eosinophils and basophils are zero.
Platelets 431 (200-500)
CONCLUSION
What
the owner wants is a dog alive. Therefore, the diagnosis must be correct
and X-rays are needed to provide the evidence of neck
abscess. Aspiration of the neck swelling confirms pus. Incision of 2 cm
drains out most pus. The next day, syringing the abscess and removal of
the gelatinous pus which is formed due to the medication of baytril and a
low dose of dexamethasone.
As you can see the
video, the dog is much comfortable on Day 2 after treatment and no
longer pants in great pain. The outcome is good and the dog will go
home on Day 3, after another IV drip today.Teeth
scaling and check up every year for a senior dog would have had
prevented such a condition of neck abscess and great pain in the neck.
Owners need to spare some time to bring dogs older than 5 years old for
yearly dental check up and vaccination. However, a majority do not do
it.
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