Ruptured Abscess, Whippet, "Drum"

Author(s): Dr. Sadie Halliwell DVM and Nicola Martyniak RVN, Ribble Vets, Penwortham, United Kingdom.

Signalment: Canine, 9 years, M/N, Whippet, “Drum”.

History:  The patient initially presented with slight swelling on the face and was treated with steroids for a suspected allergic reaction. Three days later, the patient re-presented with a ruptured abscess on the ventral aspect of the jaw.

Diagnostics and Exam Findings:  Oral examination was unremarkable, and radiographs showed no evidence of a foreign body. Cytology confirmed a focal, chronic-active, ulcerative and pyogranulomatous dermatitis/cellulitis with granulation tissue formation. A culture/sensitivity was submitted and showed sensitivity to all antibiotics other than ampicillin.

Laser Treatment:  The “deep wound” preset protocol was utilized, delivering ~ 10J/cm² in an off-contact manner to the site with the large non-contact treatment head during bandage changes.

Frequency of Treatment:  Every two days initially, with decreasing frequency of treatment sessions as improvement was noted for a total of eight treatments over a three-week period.

Other Treatments:  Standard of care included Cutimed Sorbact Antimicrobial Wound Dressing and stitch on dressings. Also, pharmaceutical support was provided via Paracetamol (acetaminophen), Onsior (robenacoxib), and Synulox (amoxicillin + clavulanic acid).

Comments:  A reduction in exudate and formation of a healthy granulation bed was noted within the first two treatments. Within two weeks, the size of the wound had reduced by 66% and resolution was attained within three weeks from presentation.

Supporting Documentation:  

Presentation (initial treatment)

Treatment 4 (one week after presentation)

Treatment 5

Treatment 7 (two weeks after presentation)

Treatment 8

Resolution (three weeks from presentation)