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Rabbit Medicine and Surgery Q&A 19 (view source)
Revision as of 19:19, 10 August 2011
, 19:19, 10 August 2011Created page with "{{Template:Manson Keeble Meredith}} centre|500px <br /> '''A colleague has been treating an eight-month-old rabbit with a respiratory tract in..."
{{Template:Manson Keeble Meredith}}
[[Image:Rabbit Medicine 19.jpg|centre|500px]]
<br />
'''A colleague has been treating an eight-month-old rabbit with a respiratory tract infection with a long-acting s/c injection of amoxycillin-clavulanate. Two days later the rabbit has developed acute diarrhoea and is presented in a collapsed state.'''
<br />
<FlashCard questions="3">
|q1=What is the most likely diagnosis?
|a1=
Antibiotic-associated diarrhoea and enterotoxaemia. <br><br>
In rabbits, antibiotics, especially ampicillin, amoxycillin and amoxycillin-clavulanate, can alter the intestinal flora, leading to bacterial overgrowth of pathogenic species such as Clostridia spp.
<br><br>
Amoxycillin-clavulanate is a high-risk antibiotic when given via any route and is contraindicated in rabbits.
|l1=
|q2=What is the prognosis?
|a2=
The prognosis in this case is extremely poor. Clostridia spp. multiply, resulting in enterotoxaemia, dehydration, electrolyte loss and acute death. Aggressive treatment is necessary if this rabbit is to survive.
|l2=
|q3=What are the treatment options?
|a3=
Treatment is often unsuccessful.
*Intravenous fluid therapy should be commenced with supportive care.
*The rabbit should be kept warm and the body temperature monitored.
*Cholestyramine is an ion exchange resin that absorbs enterotoxins and may be useful if given early on.
*Probiotics are of questionable use; however, they are unlikely to cause any harm and may be of some benefit.
*Metronidazole may be administered to act against anaerobic Clostridia spp.
*Analgesics may be indicated.
*If GI stasis has occurred, motility modifiers such as metoclopramide should be administered.
|l3=
</FlashCard>
{{#tag:imagemap|Image:Next Question.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Rabbit Medicine and Surgery Q&A 20|Rabbit Medicine and Surgery Q&A 20]]
desc none}}
[[Category:Rabbit Medicine and Surgery Q&A]]
[[Image:Rabbit Medicine 19.jpg|centre|500px]]
<br />
'''A colleague has been treating an eight-month-old rabbit with a respiratory tract infection with a long-acting s/c injection of amoxycillin-clavulanate. Two days later the rabbit has developed acute diarrhoea and is presented in a collapsed state.'''
<br />
<FlashCard questions="3">
|q1=What is the most likely diagnosis?
|a1=
Antibiotic-associated diarrhoea and enterotoxaemia. <br><br>
In rabbits, antibiotics, especially ampicillin, amoxycillin and amoxycillin-clavulanate, can alter the intestinal flora, leading to bacterial overgrowth of pathogenic species such as Clostridia spp.
<br><br>
Amoxycillin-clavulanate is a high-risk antibiotic when given via any route and is contraindicated in rabbits.
|l1=
|q2=What is the prognosis?
|a2=
The prognosis in this case is extremely poor. Clostridia spp. multiply, resulting in enterotoxaemia, dehydration, electrolyte loss and acute death. Aggressive treatment is necessary if this rabbit is to survive.
|l2=
|q3=What are the treatment options?
|a3=
Treatment is often unsuccessful.
*Intravenous fluid therapy should be commenced with supportive care.
*The rabbit should be kept warm and the body temperature monitored.
*Cholestyramine is an ion exchange resin that absorbs enterotoxins and may be useful if given early on.
*Probiotics are of questionable use; however, they are unlikely to cause any harm and may be of some benefit.
*Metronidazole may be administered to act against anaerobic Clostridia spp.
*Analgesics may be indicated.
*If GI stasis has occurred, motility modifiers such as metoclopramide should be administered.
|l3=
</FlashCard>
{{#tag:imagemap|Image:Next Question.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Rabbit Medicine and Surgery Q&A 20|Rabbit Medicine and Surgery Q&A 20]]
desc none}}
[[Category:Rabbit Medicine and Surgery Q&A]]