Results 1 to 8 of 8

Thread: Starting to get nervous...updating to life threatening need for antibiotic dosage

  1. #1
    Join Date
    May 2024
    Location
    SC
    Posts
    4
    Thanked: 0

    Default Currently NLT but could change, 468g grey with cat bite wound on neck

    Hi! I have a male grey that is less than a year. He is 468g/16.4 oz. He seems better today than yesterday, when the bite occurred, but is acting a little sluggish this evening. I'm certain he is in pain, but I have noticed that there is now some swelling not present earlier. I have 250mg capsules of amoxicillin and 250mg cephalexin. If there is something better than ceph, to combine with amoxicillin, then tell me. I may have it!

    I run a cat rescue, so I'm well-versed on mixing my own antibiotics, but I'm new to treating rodents. He is 100% manageable and really just wants mama, so I can make him take what he needs.

    It apears to be one puncture or possible close punctures, with mainly superficial wounds around it. However, as a frequent flyer to the ER, I know cat bites can infect instantaneously, so I was hoping he got lucky!

    Also, I have Bacitracin for the exterior of the wound. I know cats cannot safely ingest some of the ingredients in standard triple antibiotic ointment, so I didn't want to risk the squirrel ingesting it. Also, he has a name and it is Mateo.

    -I just took pics but I'm on my Mac and they aren't in my cloud yet.

  2. #2
    Join Date
    May 2020
    Location
    Southwestern USA
    Posts
    1,507
    Thanked: 1205

    Default Re: Currently NLT but could change, 468g grey with cat bite wound on neck

    Quote Originally Posted by vxandraxv View Post
    Hi! I have a male grey that is less than a year. He is 468g/16.4 oz. He seems better today than yesterday, when the bite occurred, but is acting a little sluggish this evening. I'm certain he is in pain, but I have noticed that there is now some swelling not present earlier. I have 250mg capsules of amoxicillin and 250mg cephalexin. If there is something better than ceph, to combine with amoxicillin, then tell me. I may have it!

    I run a cat rescue, so I'm well-versed on mixing my own antibiotics, but I'm new to treating rodents. He is 100% manageable and really just wants mama, so I can make him take what he needs.

    It apears to be one puncture or possible close punctures, with mainly superficial wounds around it. However, as a frequent flyer to the ER, I know cat bites can infect instantaneously, so I was hoping he got lucky!

    Also, I have Bacitracin for the exterior of the wound. I know cats cannot safely ingest some of the ingredients in standard triple antibiotic ointment, so I didn't want to risk the squirrel ingesting it. Also, he has a name and it is Mateo.

    -I just took pics but I'm on my Mac and they aren't in my cloud yet.
    Hi vxandraxv and thank you for finding TSB! Sorry about Mateo! I am assuming that you witnessed or somehow know for certain that this little guy was bitten by a cat. Cat bites can be very damaging and frequently lead to an infection. Many Rehabbers will start a Cat bitten Squirrel on appropriate antibiotics immediately upon intake and I do the same and feel this is quite warranted! Cats have relatively long sharp teeth and these can penetrate deep within a bitten animal and even puncture through or into bone and even enter the brain or may enter into the chest or abdomen and injuring organs! These same teeth can damage nerves, blood bones, muscles, tendons and anything they get to! Often a cat bitten animal or human can get "seeded" with bacteria in the superficial skin or relatively deep within the body.

    One of the many bacteria found in a cat's mouth is called Pasteurella multocida. Most wound infections, if they are going to develop, are not usually evident in the first 24 hours and are much more likely to be evident in the first 48-72 hours but Pasteurella is an exception and signs of an infection (redness, swelling, purulent drainage, fever, decreased appetite and activity level among some) may be quite evident by 24 hours an often before that! Just to illustrate a point, IF an infected cat bite is cultured and the only bacterium that is causing an infection is found to be Pasteurella multocida, the Amoxicillin will usually be quite adequate. There is too much resistance to the first generation cephalosporins so I would NOT recommend the cephalexin or either alone or combined with the amoxicillin! Again, however, there are more risks than infection by Pasteurella including anaerobes from the cat's mouth. The ideal antibiotic for Cat bites is a combination medication called generically, Amoxicillin plus Clavulanate. A Human medicine brand name for this is Augmentin and an example of a Veterinary brand is Clavamox. I would suggest checking to see if you have any Amoxicillin plus Clavulanate available and check with friends and family. This is a very commonly prescribed medication and is often found available when we recommendations to our member to try to locate a particular antibiotic. If you have this (and it will only take a single tablet!) we can send a Private Message to you with the dosing. We will need the strength of the Amoxicillin plus Clavulanate. There will be two numbers, one will be the Amoxicillin component and the second will be the Clavulanate component. NOTE: you mentioned that you are familiar with combining medications but don't waste time looking for Clavulanate to combine with the amoxicillin and it is NOT available by itself!

    If you have Meloxicam or liquid Ibuprofen available or you can get the Ibuprofen over-the-counter (meloxicam is available only with a prescription), w can dose this as well to help with pain

    One last thing and that is regard to using any "goop" over a puncture wound and my humble advice would be to forgo use of any of these for a puncture wound as if there is any draining to occur, it would be best to not hinder that and the ointments and other "goops" will also seal of the puncture which will enhance the likelihood of an anaerobic bacterium being able to grow as they grow best away from oxygen!

    I am at work now so one of the Admins or others "checked-out" in the mixing and dosing instructions will assist you. Again, if you want to start the Amoxicillin now and then seek Amoxicillin plus clavulanate; this may be the best urgent strategy!

    I'll will get back with your thread when I am able!

    Regards,
    SamtheSquirrel

  3. Serious fuzzy thank you's to SamtheSquirrel2018 from:

    vxandraxv (05-20-2024)

  4. #3
    Join Date
    May 2024
    Location
    SC
    Posts
    4
    Thanked: 0

    Default Re: Currently NLT but could change, 468g grey with cat bite wound on neck

    Hi! Unfortunately, though, I normally have Augmentin on hand, seeing as I'm a frequent flyer at the ER for cat bites, I do not have any right now. I don't see any Clavamox anywhere, either. I can get some in the morning. Vets willing to treat wildlife are few and far between, but we do have one that is available Mon-Fri. I keep trying to upload pics on here, but it's not working for me!

    Yes, it is definitely a cat bite. My cats won't mess with him and even clean him like he is one of the random kittens, but there is a stray that was brought in to have her kittens and rehome her. Because she has been here, he has not been out at all. He's getting fat and it's only been a month. The babies are old enough to be away from mom so I can let him out in my room again. I finally did it and she was hiding in there and I didn't know until she grabbed him. Devastated and guilty are understatements. She full on grabbed his neck. He seemed to be feeling pretty well, and nibbling on some food earlier. He even cleaned himself. Now, he is starting to seem a little sluggish and I'm terrified of morning. His wound side ear temp (where the swelling is located) was a full degree higher than the other side earlier.

    I definitely want to start the Amoxicillin ASAP. I'm assuming I must always end up with Pasteurella, because my wounds don't make it 24 hours if they get infected. The temp difference on his isn't extreme, like mine usually are when I end up in the ER, so I'm assuming it's the other type of infection that he has, which sounds like it's a wound infection versus cat bite specific, if I understand correctly.

  5. #4
    Join Date
    May 2024
    Location
    SC
    Posts
    4
    Thanked: 0

    Default Re: Currently NLT but could change, 468g grey with cat bite wound on neck

    Quote Originally Posted by SamtheSquirrel2018 View Post
    Hi vxandraxv and thank you for finding TSB! Sorry about Mateo! I am assuming that you witnessed or somehow know for certain that this little guy was bitten by a cat. Cat bites can be very damaging and frequently lead to an infection. Many Rehabbers will start a Cat bitten Squirrel on appropriate antibiotics immediately upon intake and I do the same and feel this is quite warranted! Cats have relatively long sharp teeth and these can penetrate deep within a bitten animal and even puncture through or into bone and even enter the brain or may enter into the chest or abdomen and injuring organs! These same teeth can damage nerves, blood bones, muscles, tendons and anything they get to! Often a cat bitten animal or human can get "seeded" with bacteria in the superficial skin or relatively deep within the body.

    One of the many bacteria found in a cat's mouth is called Pasteurella multocida. Most wound infections, if they are going to develop, are not usually evident in the first 24 hours and are much more likely to be evident in the first 48-72 hours but Pasteurella is an exception and signs of an infection (redness, swelling, purulent drainage, fever, decreased appetite and activity level among some) may be quite evident by 24 hours an often before that! Just to illustrate a point, IF an infected cat bite is cultured and the only bacterium that is causing an infection is found to be Pasteurella multocida, the Amoxicillin will usually be quite adequate. There is too much resistance to the first generation cephalosporins so I would NOT recommend the cephalexin or either alone or combined with the amoxicillin! Again, however, there are more risks than infection by Pasteurella including anaerobes from the cat's mouth. The ideal antibiotic for Cat bites is a combination medication called generically, Amoxicillin plus Clavulanate. A Human medicine brand name for this is Augmentin and an example of a Veterinary brand is Clavamox. I would suggest checking to see if you have any Amoxicillin plus Clavulanate available and check with friends and family. This is a very commonly prescribed medication and is often found available when we recommendations to our member to try to locate a particular antibiotic. If you have this (and it will only take a single tablet!) we can send a Private Message to you with the dosing. We will need the strength of the Amoxicillin plus Clavulanate. There will be two numbers, one will be the Amoxicillin component and the second will be the Clavulanate component. NOTE: you mentioned that you are familiar with combining medications but don't waste time looking for Clavulanate to combine with the amoxicillin and it is NOT available by itself!

    If you have Meloxicam or liquid Ibuprofen available or you can get the Ibuprofen over-the-counter (meloxicam is available only with a prescription), w can dose this as well to help with pain

    One last thing and that is regard to using any "goop" over a puncture wound and my humble advice would be to forgo use of any of these for a puncture wound as if there is any draining to occur, it would be best to not hinder that and the ointments and other "goops" will also seal of the puncture which will enhance the likelihood of an anaerobic bacterium being able to grow as they grow best away from oxygen!

    I am at work now so one of the Admins or others "checked-out" in the mixing and dosing instructions will assist you. Again, if you want to start the Amoxicillin now and then seek Amoxicillin plus clavulanate; this may be the best urgent strategy!

    I'll will get back with your thread when I am able!

    Regards,
    SamtheSquirrel

    375 Mg Clavacillin?? They are in a tin wrapper, so I'm assuming tablets.

    I also have Clindamycin, Carprofen, Cefpodoxime, and Metronidazole.

  6. #5
    Join Date
    May 2024
    Location
    SC
    Posts
    4
    Thanked: 0

    Default Starting to get nervous...updating to life threatening need for antibiotic dosage

    See original post: https://thesquirrelboard.com/forums/...75#post1368975

    Also, I am new here, so I hope I am following protocol. I have 375mg Clavacillin that I can crush and make into a liquid. I just need dosing instructions ASAP.

    I'm struggling with learning this new platform, so, again, I apologize if I am not going about this properly!


    TLDR of post - 16.5oz/468g male grey with cat bite around neck. Verified cat bite is approximately 35+ hours old, swelling, and with some redness. Squirrel perked up today, but then seems more sluggish now.

    Sincerely,

    Charissa and Little Mateo

    Name:  IMG_0329.jpg
Views: 48
Size:  126.2 KB
    Name:  IMG_0334.jpg
Views: 48
Size:  156.0 KB
    Name:  IMG_0332.jpg
Views: 48
Size:  140.0 KBName:  IMG_0332.jpg
Views: 48
Size:  140.0 KB

  7. #6
    Join Date
    May 2020
    Location
    Southwestern USA
    Posts
    1,507
    Thanked: 1205

    Default Re: Starting to get nervous...updating to life threatening need for antibiotic dosage

    Quote Originally Posted by vxandraxv View Post
    See original post: https://thesquirrelboard.com/forums/...75#post1368975

    Also, I am new here, so I hope I am following protocol. I have 375mg Clavacillin that I can crush and make into a liquid. I just need dosing instructions ASAP.

    I'm struggling with learning this new platform, so, again, I apologize if I am not going about this properly!


    TLDR of post - 16.5oz/468g male grey with cat bite around neck. Verified cat bite is approximately 35+ hours old, swelling, and with some redness. Squirrel perked up today, but then seems more sluggish now.

    Sincerely,

    Charissa and Little Mateo
    Hello again C & LM! As I mentioned, I am at work and I cannot monitor TSB on any regular basis. It appears that you still need dosing instructions and thanks for posting the photos. Hopefully, one of the Admins can combine your two threads as continuity is easily lost when there are more than one thread for the same issue. That being said, I certainly agree with your current assessment and concerns!

    The Clavacillin is exactly what I recommended and hoped you could get! It is Amoxicillin plus Clavulanate and again, it is ideal for Cat bites. Please begin the treatment immediately. As soon as I complete this post, I will send a Private Message to you with detailed mixing and dosing instructions for Mateo based upon a weight of 486 Grams. We do NOT post dosing instructions on the Open Board for a number of good reasons! Also, please keep up with ensuring Mateo is warm, hydrated and receiving proper Squirrel nutrition! We can also help with this!

    It is essential that you use a detailed measured 1ml syringe. Ordinarily, there are larger horizontal markings indicating tenths of a milliliter such as .1, .2, etc and then between two of these larger markings are smaller horizontal markings that indicate even smaller amounts less than a full tenth of a milliliter.

    PM with dosing sent!

    Regards,
    SamtheSquirrel

  8. 2 TSBers pass along the fuzzy thanks to SamtheSquirrel2018:

    island rehabber (05-21-2024), TubeDriver (05-20-2024)

  9. #7
    Join Date
    May 2020
    Location
    Southwestern USA
    Posts
    1,507
    Thanked: 1205

    Default Re: Starting to get nervous...updating to life threatening need for antibiotic dosage

    Hi vxandraxv:
    If you "check-in" on TSB, would you please post an update about how things are going with little Mateo!
    Thanks,
    SamtheSquirrel

  10. #8
    Join Date
    Feb 2009
    Location
    Out On a Limb!
    Posts
    1,113
    Thanked: 174

    Default Re: Starting to get nervous...updating to life threatening need for antibiotic dosage

    PLEASE GIVE US AN UPDATE ??? Hope it turned out well ... a full recovery.


    Quote Originally Posted by SamtheSquirrel2018 View Post
    Hi vxandraxv:
    If you "check-in" on TSB, would you please post an update about how things are going with little Mateo!
    Thanks,
    SamtheSquirrel

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •