The Chronicle of the Horse
MagazineNewsHorse SportsHorse CareCOTH StoreVoicesThe Chronicle UntackedDirectoriesMarketplaceDates & Results
 
Results 1 to 15 of 15
  1. #1
    Join Date
    Oct. 25, 2005
    Posts
    1,735

    Default nasty sinus infection

    I have a mare with a nasty sinus infection I have been treating with SMZs for 3 weeks, she is some better but still has drainage, slightly discolored. How long should I keep this up? I have not had it cultured, should I, you think? Just the left side is draining. Thanks.



  2. #2
    Join Date
    Jan. 28, 2003
    Location
    Hollywood, but not the one where they have the Oscars!
    Posts
    7,111

    Default

    yes you should, i had one that was smz resistant..it took baytril to fix it. you also mught want to rule out a gutteral pouch infection, they can be fatal.
    "You can't really debate with someone who has a prescient invisible friend"
    carolprudm



  3. #3
    Join Date
    Oct. 13, 2002
    Location
    Idaho USA
    Posts
    1,880

    Default

    Ours had a cyst in a sinus that required flap surgery.



  4. #4
    Join Date
    Jan. 25, 2007
    Location
    Iowa
    Posts
    733

    Default

    I have a horse with a sinus infection that started in Oct 2008. We went thru SMZ's, Azithromycin, Baytril, Naxcel, Gentimicin (spelling), K-pen, 2 holes in his sinus to flush directly, surgery to knock 2 teeth out, and now, Griseofulvin, for a fungal infection. He was scoped and cultured many times. Our vet was on board from the very first day. If you have had your mare on SMZ;s for 3 weeks and it is not gone yet I would have her scoped and cultures taken. Our horse would improve on SMZ's but the infection would never quite go away. Sinus infections can also be caused by a cracked tooth so be sure to have her mouth inspected. However our horse had a cracked tooth but it didn't show on x-rays. They ended up taking two out but it was really a hit or miss event and they are still not quite certain it was the problem. The vets believe the fungal infecton was caused from extended antibiotic use trying to beat this thing. Good luck. I hope your mare is better soon.



  5. #5
    Join Date
    Sep. 25, 2003
    Location
    Seattle, WA
    Posts
    512

    Default

    I also had a horse with a chronic sinus infection that was the result of a tooth root penetrating into one of the sinuses. I would treat with SMZ, he'd clear up for a couple of weeks, and then it would be back. Culture results were mixed and inconclusive- all of them were composed of normal nasal flora. We could never isolate a single organism responsible for causing the infection.

    After the second occurance, I had him x-rayed and scoped, and we finally found the little pocket of infection in one of his sinuses. I would recommend this approach, particularly if the infection is only on one side. That's usually a sign that something other than a simple sinus infection is going on.

    Both of the vets I consulted recommended trying to avoid removing the tooth if I could avoid it. Because of the location, removal of the tooth would have been a fairly big deal involving surgery and some very major recovery time. Both vets also recommended lavaging the offending sinus first, which actually involved drilling a small hole into the sinus through his forehead, and flushing with anitbiotics. I felt more comfortable having this performed at a clinic where I could leave him for a week of follow-up treatment with IV antibiotics. Ultimately, this did clear the infection, and it wasn't nearly as gruesome as it sounds.

    We now watch him like a hawk, and at the first sign of recurrence, it will be back to the vet- and this time the offending tooth will be gone.



  6. #6
    Join Date
    Jan. 26, 2001
    Location
    NC
    Posts
    4,367

    Default

    There is also a condition called.. ethmoid hematoma, and that might be spelled right, that can be very serious.



  7. #7
    Join Date
    Feb. 1, 2008
    Location
    Nowhere, Maryland
    Posts
    3,115

    Default

    Definitely culture. My horse needed oxytet. After ~4 days, the drainage cleared up, but he continued to have mild bleeding after exercise for a couple of weeks--just until I said, next time it happens, I'm calling the vet and having a hole drilled, then it cleared up



  8. #8
    Join Date
    Jun. 28, 1999
    Location
    Minnesota
    Posts
    1,286

    Default

    Extra tooth for my horse's sinus problems. There are small bones that are between each of the teeth that block food stuff from entering the sinus. With the extra tooth in the back, there was no bone to block food from entering his sinuses.
    My horse dentist using only his hands counted and found the extra tooth and a radiograph with the vet confirmed it. Since it was way up high under the eye the only way to fix was to remove the tooth by pulling.
    I found a great vet by Janesville Wisconsin (Dr. Travis Henry) who performed this and the recovery period was very minimal (3 weeks) compared to surgically removing the tooth from the outside (which I had also experienced with a 4 month recovery time).
    Good luck - no more sinus problems since pulling the 2 teeth (both had to be pulled as they were both a part of the problem).
    Last edited by Pat Ness; Feb. 9, 2010 at 11:20 AM.



  9. #9
    Join Date
    Nov. 23, 2003
    Location
    Kershaw County, SC
    Posts
    434

    Default

    My first thought was guttural pouch, too.

    MTC - glad you got your guy cleared up, that reads like a Stephen King tale.
    HR/MPL Clique

    "I am villifying you - for God's sake, pay attention!" - Peter O'Toole as Henry II, The Lion in Winter



  10. #10
    Join Date
    Oct. 25, 2005
    Posts
    1,735

    Default YUK!

    Now I have to find someone that can do this, we are very rural as far as vet services go. The dentist will be here in 2 weeks so I will have him look first. And I will call my vet here and she what she suggests as far as a culture goes. I really thought the SMZs would fix her and it has helped, but not completely. I know for us humans, you have to be on the antibiotic longer with sinus infections than other infections so I was hoping maybe we just needed a little longer treatment.
    Thanks guys



  11. #11
    Join Date
    Jan. 28, 2003
    Location
    Hollywood, but not the one where they have the Oscars!
    Posts
    7,111

    Default

    can you ship to a clinic? 2 more weeks could prove deadly
    "You can't really debate with someone who has a prescient invisible friend"
    carolprudm



  12. #12
    Join Date
    Oct. 25, 2005
    Posts
    1,735

    Default Vet will be here in AM

    So we will go from there. Thanks guys.



  13. #13
    Join Date
    Nov. 23, 2003
    Location
    Kershaw County, SC
    Posts
    434

    Default

    Good call.
    HR/MPL Clique

    "I am villifying you - for God's sake, pay attention!" - Peter O'Toole as Henry II, The Lion in Winter



  14. #14
    Join Date
    Oct. 25, 2005
    Posts
    1,735

    Talking I HATE Mr. Murphy

    How come murphy's law ALWAYS rears its head but whatever law helps you win the lottery keeps hiding from me.
    Of course, her snotty nose is COMPLETELY gone this morning as the vet is on her way!!!! Oh well, we'll see what she has to say anyway. I hope the snotty nose is gone forever, but I'll just bet you it will be back tonight!!!



  15. #15
    Join Date
    Oct. 25, 2005
    Posts
    1,735

    Default well nothing

    No fever, no drainage......nothing. Nothing to culture. She left me a culturette and I will get a sample if she starts back with the wet nose but for now I am just going to continue the SMZs and see what else happens. The vet swabbed way up in there but the cotton tip was dry as a desert bone so she felt that was going to produce nothing valuable. She still has a small rattle in her breathing so the vet thinks we are not out of the woods yet. Her lungs are clear though so that is good.



Similar Threads

  1. How can this be happening again? Sinus Infection
    By spacytracy in forum Horse Care
    Replies: 12
    Last Post: Dec. 12, 2011, 05:52 PM
  2. Sinus infection woes.
    By DeucesWild11 in forum Off Topic
    Replies: 20
    Last Post: Feb. 6, 2011, 04:07 AM
  3. Sinus infection from tooth root infection?
    By SkyHorse39 in forum Horse Care
    Replies: 35
    Last Post: Oct. 5, 2010, 07:53 PM
  4. Recurring sinus drainage/infection--ideas?
    By Grasshopper in forum Horse Care
    Replies: 9
    Last Post: May. 16, 2010, 07:24 PM
  5. Sinus infection / sinusitis
    By Beam Me Up in forum Horse Care
    Replies: 6
    Last Post: Nov. 2, 2009, 06:04 PM

Posting Permissions

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