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Taken from newsletters of Fall 2000

Jasmine: A story of determination & courage

Jasmine's life has been very eventful to date. At times it has felt like a roller coaster ride
with many highs and lows. We hope the difficult times are behind us now.

Jasmin 1When I first saw Jasmine she was 8 eeks old and like any normal, healthy baby bunny. Something in me was telling me to bring her home. I didn't know why at the time, but I now believe it was so she would get the care she needed. Shortly after we got her, she had a runny nose and began sneezing. She was diagnosed with a minor case of Pasteurella and given oral Baytril. In November of 1999 things took a turn for the worse. I noticed Jasmine's eye was red and runny. Alarmed, I immediately took her to our vet. They applied a staining solution to see what was causing the irritation and discovered the cornea was scratched. The vet led me to believe it was not serious.
I was sent home with BNP ointment to be applied directly to the eye and oral Baytril to prevent infection. The eye soon cleared and I was relieved. Unfortunately the sense of relief was short-lived and quickly replaced with fear. Jasmine's eye had begun to bulge. Terror could not describe what I was feeling at that point. We rushed back to the vet.

Apparently an abscess was behind her eye and I was told to return to the applications of BNP and Baytril. I had never encountered a problem this serious with one of my rabbits before and although I had reservations, we continued with this course of treatment. By early January I became increasingly aware that this was not helping and I wanted to try other medications. I felt desperate and no one was listening to my concerns, therefore I
decided to change vets.

Jasmine's new treatment was to be given another eye ointment, Fucithalmic and oral Tribrissen. They helped. The abscess started to drain through the corner of her eye. However it was not to last and soon the eye bulged again. More meds were introduced (Chloremphenicol drops and oral Zeniquin), then more drainage, back to bulging, hence the roller coaster effect. Remarkably Jasmine, only 9 months old, remained a happy
and lively bunny. I however, was feeling helpless and preparing for the worst.

By doing research on the Internet I found that abscesses in rabbits are very hard to eliminate. They are thick and do not drain like a liquid would and often return. Traditional antibiotic treatments do not have high long-term success rates. There was a new treatment that showed some promise and that vets in the U.S seem to be having success with. It involves surgery to remove the abscess and then implanting Antibiotic Impregnated Polymethal Methacrylate Beads into the abscess cavity. These beads release medication slowly and directly into the tissue surrounding the abscess. I supplied
this information to my vet and although it was new to them they were willing to learn more. Unfortunately this treatment could not be implemented quickly enough to be used in our next battle.

By March 2000 the abscess began to apply pressure on Jasmine's optic nerve. After consulting with an eye specialist the decision was made to remove the eye. I was very scared and unsure. How could she live a normal life with only one eye? Would she remain happy and playful? She has shown through this ordeal that she was brave and resilient and since she was less than a year old I decided that we would go ahead with the surgery.

Jasmine 2Jasmine recovered quickly and we hoped this would be the end of our troubles. Soon we realized all her problems were not over and 4 weeks after removing her eye the abscess returned. We did a culture and sensitivity test at this time to determine exactly what type of bacteria was causing the abscess and which antibiotic would be most effective to fight it. The C&S should have been done much sooner, but due to confusion with switching vets we thought we already knew which bacteria was involved. A C&S test is very important to ensure you are using the right antibiotic. My vet was still gathering more information on the AIPMMA beads. Finding the materials was proving difficult.

American suppliers would only supply them in bulk at a very high cost. Since the beads
were not ready and the abscess had returned we tried another option. The abscess was
removed again and the area was packed with dextrose soaked gauze. Using dextrose on
wounds is not new but using it to treat abscesses in rabbits is. The high concentration
of sugar makes it difficult, if not impossible, for the bacteria to grow. The packing needs to be changed daily, which is not a pleasant procedure for the caregiver or rabbit. At first I didn’t think I could do it, but Jasmine needed my help so I managed. This treatment was the most successful option we had tried so far and gave us a 6-week reprieve but the abscess returned in June of 2000.

Next we chose to give her Chloremphenicol Palm. The culture had shown the bacteria (only one of which was Pasteurella) was sensitive to it and then we waited for the beads. Bone cement, a necessary ingredient was not available so hoof cement was used as a substitute. Making the beads can be tricky; some of the components are difficult to work with. By August 2000 the beads (made with the antibiotic Gentamicin) were finally ready. Thus making Jasmine the first rabbit in London, Ontario to have the beads implanted.

After finally receiving the antibiotic beads surgery we thought our problems were over.
But on September 29th I was devastated when I noticed discharge from the previous
abscess site. We went to the vet's and the confirmed what I already knew - that the
abscess had returned again.

At this time, I took my vet a protocol on bicillin treatment. Bicillin treatment involves
injecting penicillin G benzathine/penicillin G procaine on a long term basis. I'd been in contact with a few US rabbit owners that had success in treating their rabbits' abscesses using this. (For more information on bicillin read Abscesses: Injectible Penicillin Offers New Hope). However, myvets were reluctant to use it at that time since they had never heard of it before and wanted more time to research.

They suggested we try to pack the cavity with calcium hydroxide. This is similar to the
dextrose packing we had tried earlier except that it is changed every week instead of every day. One of the risks involved in using the calcium hydroxide is possible tissue damage, but they assured me it would be diluted enough that the risk would be very low.

Jasmine 3I thought it over during the weekend, andI felt there was no time to wait to pursue other options, so we went ahead with the procedure on October 2nd. When the vets removed the packing seven days later, there were still signs of the abscess so they repacked it for another week. On October 17th they removed the packing and there was no sign of the abscess. I was very doubtful that this would be a long-term solution since nothing else ever had but, to my amazement, Jasmine is still abscess free 10 months later. She is now a little over 2 years old and she is a healthy and happy bunny. For the first time in her life she doesn't have to take medication or have numerous vet appointments each month.

Abscesses can be very hard to treat in rabbits. Every situation is different and what may work for one may not work for another. If your rabbit has an abscess, research the
different options and discuss them with your vet.

Kim Mason

Jasmine Update: Abscess recovery
Update taken from newsletter of Summer 2001

Jasmine 4In our newsletter from autumn 2000 you read about Jasmine and her chronic recurring abscess. Since that time more has happened and we would like to update you on her story.

After finally receiving the antibiotic beads surgery last August we thought our problems were over. But on September 29th I was devastated when I noticed discharge from the previous abscess site. We went to the vet's and they confirmed what I already knew - that the abscess had returned again.

At that time, I took my vet a protocol on bicillin treatment. Bicillin treatment involves
injecting penicillin G benzathine/penicillin G procaine on a long term basis. I'd been
in contact with a few US rabbit owners that had success in treating their rabbits' abscesses using this.
(For more information on bicillin read: Abscesses: Injectible Penicillin Offers New Hope, contact OREO or visit the following websites:
http://www-unix.oit.umass.edu/~jwmoore/bicillin/bicillin.htm

http://www-unix.oit.umass.edu/~jwmoore/bicillin/cs/).

However, my vets were reluctant to use it at that time since they had never heard of it before and wanted more time to research.

They suggested we try to pack the cavity with calcium hydroxide. This is similar to the
dextrose packing we had tried earlier except that it is changed every week instead of every day. One of the risks involved in using the calcium hydroxide is possible tissue damage, but they assured me it would be diluted enough that the risk would be very low. I thought it over during the weekend, and I felt there was no time to wait to pursue
other options, so we went ahead with the procedure on October 2nd. When the vets
removed the packing seven days later, there were still signs of the abscess so they
repacked it for another week. On October 17th they removed the packing and there
was no sign of the abscess. I was very doubtful that this would to be a long-term
solution since nothing else ever had but, to my amazement, Jasmine is still abscess free
10 months later. She is now a little over 2 years old and she is a healthy and happy
bunny. For the first time in her life she doesn't have to take medication or have
numerous vet appointments each month.

Abscesses can be very hard to treat in rabbits. Every situation is different and what
may work for one may not work for another. If your rabbit has an abscess, research the
different options and discuss them with your vet.

Kim Mason

 

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