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Dog puncture wound tx

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  • Dog puncture wound tx

    So I leave the "boys" home today, DH and pup, Dexter. Come home to guilty looking DH, "Dexter got hurt..."

    Apparently they were out in the barn doing something and Dexter climbed/fell over some old lumber that happened to have some nails still affixed, resulting in 3 puncture wounds on his rump/haunches. DH hosed the dog off right after the injury and then put him in his crate to relax and stay out of the way.

    So I get home, after hours of course, examine dog. Find 3 wounds, 2 are pretty small and clotted up, one is bigger and by just touching it get it flowing again. I clean the "big one" with hydrogen peroxide and keep pressure until it stopped bleeding.

    Dexter is already on antibiotics for a skin funk he came with, so I think I'm covered there. UTD on shots. Dog seems a little sore on the one leg and keeps licking the bigger wound incessantly. I don't want to put any neosporin on it since he'll end up ingesting it anyways and it's in a weird spot that I can't wrap/keep covered easily.

    What else can I do at this point?

  • #2
    Open them up and irrigate them with saline/betadine solution (small syringe without needle) and let them drain to heal from inside. You want to flush out any bacteria that may be caught under the skin and cause an infection.
    ... _. ._ .._. .._


    • #3
      I would make sure to clean the other two and get him an e-collar so he can't lick them.
      I love cats, I love every single cat....
      So anyway I am a cat lover
      And I love to run.


      • #4
        Tetanus is a possiblity

        I had a rare case of tetanus with my lab pup, approx. 4 1/2 mos. He got nailed by an asshole dog at the barn - skin puncture right on the forehead, and I felt lucky it wasn't worse. Irrigated it and it looked ok. A day or so later he was lethargic and I recall racing him to the emergency vet with him curled up on the passenger seat of my Miata, poor cute lil thing

        I cant recall exactly what the e vet did to treat, but next day, he was still not good. My vet was off Sat., so we went to another local vet who thought he had a viral infection. Thank goodness first thing Mon. AM I got a call from my own vet who a fax from e vet describing my visit. She asked how he was doing and I said not great, and she said bring him down asap-she thought he may have tetanus. He went on an appropriate A/B and got well soon after, and healed without a scar.

        LOVE MY VET

        What antibiotic is Dexter on? According to http://marvistavet.com/html/tetanus_in_pets.html , penicillin, metronidazole, tetracycline, ampicillin are all effective A/Bs for tetanus.

        just err on the safe side and get him on one of those - 2 vets missed this though they were told it happened at a horse farm. Better safe than sorry, right? I hope Dexter heals without any fuss!


        • Original Poster

          He's on Keflex(cephalexin), which some digging did say it can be used to treat tetanus. I am VERY aware of the risk of tetanus, had a pretty bad scare with my horse stepping on a nail a few years ago (no tetanus and fine afterwards).

          I was able to clip the areas around the wounds and irrigate with a saline solution. The wounds look very clean, no ragged edges, no inflammation, no pus. Dexter was a very good patient! Makes my cats look like the spawn of satan every time I try to give them a simple pill...


          • #6
            Cephalexin is a great knockout punch for skin infections for sure. Its my go-to for current delicate-flower Lab's skin infections. My Crash's wound after irrigation never looked funky, but his symptoms were worrying. Crashpup's symptoms before and after the 2 initial vet appts were your basic lethargy, fever and anorexia, with a rather innocent-looking wound, so keep a close eye.


            • #7
              Clostridium Tetani is a anaerobic bacteria, so if you keep the wound oxygenated there is a better chance that it won't be able to grow. I say better chance because I am sure there will be some little nook or cranny thats not getting oxygen and it could still possible grow. Is the dog current on his tetanus vaccine?

              If he starts to act lethargic or NQR then I would take him in to be safe. Tetanus is not something to play around with.
              I love cats, I love every single cat....
              So anyway I am a cat lover
              And I love to run.


              • #8
                I'm not a veterinarian. But...if the punctures aren't pointing towards the ground, there's a higher risk (in my experience) of the wound closing up and then abscessing.

                Along with what you're already doing, I'd monitor his temp at least twice a day just in case he does develop some other systemic infection and put a call in to your vet to see if they have any other recommendations.
                A good horseman doesn't have to tell anyone...the horse already knows.

                Might be a reason, never an excuse...