Chronic foot infection- trying to avoid second surgery

muscovylove

Chirping
12 Years
Mar 17, 2013
25
4
77
Portland, OR
Hi all-
My 2 year old Easter Egger came to me last year (owner didn't like her egg color) with a mild foot infection. I treated it, or so I thought, and then about 6 months ago it blew up. There was/is no obvious plug or site of injury. I attempted to treat it for a month with epsom salt baths, some tetracycline, but I couldn't get it under control. By the time we went to the vet it was in the bone. It was a VERY expensive surgery with x-rays, but I went ahead and did it because I thought it was over.
I did the follow up care, kept it wrapped, gave her the antibiotics and it looked healed. 2 months later and her infection is showing up again, a different part of the foot.
The vet told me that she would likely need surgery again, and that she would quite possibly need to have it again in the future.
I told her that I just can't afford it, so she was kind enough to give me 30 days of amoxicillin 100mg, 1.5 tablets every 12 hours. She also gave me 30 days of meloxicam, but I'm very wary of that due to risk of harm to the liver.
Currently we are on day 12 of antibiotics, and one of her lumps opened up and liquid pus came out.
Here is where I'm in need of help, advice, support.
What I've learned is that foot infections are slow to treat and treatment can take months. Apparently it is a good thing that there is now an opening for pus to drain- and the antibiotics should keep a worsening infection at bay.
What I'm doing in addition to keeping her on amoxicillin is epsom salt bath 1tbsp to 1 cup water daily for 30 minutes.
Squeezing as best I can the pus, and then using a long nosed syringe to flush opening with a 1:9 ratio of betadine to water.
After that I'm spraying a Silver Manuka spray on the open wound, and at night covering with gauze and vet wrap. In the morning I wash the area with a diluted Tea Tree soap and redress.
She is eating fine, can put weight on her foot, can walk on it but it's obviously bothering her. Still laying eggs which I'm tossing.
I'm giving her high protein foods, flax seed, supplements with Vitamin A and E. She is with a smaller flock of older birds, she doesn't like to be alone at all. I'm keeping her inside at night after her bath and wrap.
What else can I do? There is no accessible plug to remove, the pus that is draining is very liquid. The swelling is not getting worse over all, and if the infection goes haywire I definitely have no choice but to take her back to the vet.
The vet will not entertain an amputation due to quality of life issues, but I can't imagine putting her down- I'm too invested at this point and she honestly is a great chicken. Very sweet, very docile.
Does anyone have a similar experience? I understand that I need to commit to treating her every day for a while, but I also want to be realistic. I don't think her quality of life is poor by any stretch and I don't want to see her suffer. At this point I don't believe she is.
Attaching most recent photo of her foot.
IMG_9994.jpg
IMG_9995.jpg
 
Sorry to hear about this hen’s issues. I know how frustrating bumble foot can be to treat. It can take quite a while, you are correct. Months sometimes to draw the infection out. A lot of times even antibiotics are tough to get to work on bumblefoot for some reason.

By chance can you get some clearer pictures of her foot? The bottom of it and the drainage site, also, if possible.

Have you tried using Prid to draw the infection out? A lot of us have had good luck with that. Is the swollen area soft or hard? Chicken pus is usually solid and cheese-like in texture. When you said liquid pus is draining out I’m wondering if it is tissue fluid mixed in with pus?
 
Sorry to hear about this hen’s issues. I know how frustrating bumble foot can be to treat. It can take quite a while, you are correct. Months sometimes to draw the infection out. A lot of times even antibiotics are tough to get to work on bumblefoot for some reason.

By chance can you get some clearer pictures of her foot? The bottom of it and the drainage site, also, if possible.

Have you tried using Prid to draw the infection out? A lot of us have had good luck with that. Is the swollen area soft or hard? Chicken pus is usually solid and cheese-like in texture. When you said liquid pus is draining out I’m wondering if it is tissue fluid mixed in with pus?
Thank you for replying so quickly! I will get clearer photos tonight after I give her her foot bath. The pus smelled horrid and was definitely liquid, that was the case before her surgery as well, but it was a lot more and there were signs of some of the tissue becoming necrotic which is definitely not happening here. When her foot first swelled up again it seemed more of an issue of Mycoplasma synoviae and I found a couple images on Google of hens with MS and it looked exactly like that, one of the images is from this site actually. I gave her a round of Tylosin and her foot swelling went away almost completely- and then a few months later it got huge again and the Tylosin had no effect- and from there things got horrible. So I don't know- is it possible there is joint fluid along with the pus?
I have heard of PRID! I will order some.
 
Thank you for replying so quickly! I will get clearer photos tonight after I give her her foot bath. The pus smelled horrid and was definitely liquid, that was the case before her surgery as well, but it was a lot more and there were signs of some of the tissue becoming necrotic which is definitely not happening here. When her foot first swelled up again it seemed more of an issue of Mycoplasma synoviae and I found a couple images on Google of hens with MS and it looked exactly like that, one of the images is from this site actually. I gave her a round of Tylosin and her foot swelling went away almost completely- and then a few months later it got huge again and the Tylosin had no effect- and from there things got horrible. So I don't know- is it possible there is joint fluid along with the pus?
I have heard of PRID! I will order some.
Oh wow! She’s had quite the journey with this infection. I did not realize it was more of an issue with MS. Let me tag some others who may have some treatment advice. @coach723 @Wyorp Rock

I am wondering if you are dealing less with an infection caused by an open wound then, such as we’d expect to see with bumblefoot. That could help explain the more liquid type pus - my guess is it could be fluid that accumulates from the MS infection. Not 100% sure, but I think MS causes edema at the joints. My understanding is that MS is only treatable with antibiotics, otherwise you’re looking at supportive care. Did your vet do testing by chance?

Do still treat any open sores and get some more photos for us.

Edit to add, also, is there swelling in any other areas? Any other signs that could point to MS?
 
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