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Gordy, July 2008
Gordy is a
bay Thoroughbred gelding, born in 1979. In September 2008 he
developed what I thought was thrush in his LF frog. My vet and
farrier drew the same conclusion. We treated for thrush for about
six weeks with no success then I noticed a hole in the frog and a
"channel" from the point of the frog to the central sulcus culminating
at the buttress of the heel bulbs. The hole quickly became a very
painful "growth". The growth was approximately 1/2 inch round and
resembled proud flesh.
In early
November, Gordy went to Cleveland Equine Clinic where Dr. Ron Genovse
removed the growth and cauterized the area. The area was
covered with copper sulfate crystals, an iodine soaked gauze pad, cotton
padding, and pressure wrapped. This procedure was to be repeated
every day for two weeks, then if no change, every other day for two more
weeks, then he was to be re-checked. The growth and some
adjacent tissue was sent for biopsy, as we thought it could be cancer.
The histology report indicated a bacterial infection.
In 30 days,
there was a discharge of pus from the open wound and a thin layer of
"tissue/frog" over the wound. It was a putrid smell, and we were
back to changing the pressure wrap daily for two weeks. If no
improvement, he was to be re-checked.
In two
weeks, the growth was back...this time, it was approximately 1 1/2
inches long, following the shape of the frog, approximately 3/4 inch
wide, and when Dr. Genovese removed it, we found that it was about 1
inch deep. This was a much more invasive wound than before.
Again, the area was cauterized and the tissue sample sent for biopsy.
This time the biopsy came back with results "consistent with canker".
1/7/09
In this photo you can see that the wound extends upward into the area
between the heel bulbs
We changed
the protocol to treatment with crushed metranidazol tablets, gauze,
cotton and a pressure wrap. Daily changes for two weeks, then a
recheck by my local vet. After two weeks, the area was noticeably
different...healing nicely..., so I was advised to change the dressing
every three days for two weeks. After a subsequent re-check, we
are now changing the dressing once a week until the area is completely
healed. Gordy has been sound on the foot since the
middle of January. There is new frog growth and the foot looks
healthy again.
1/29/09
In this photo you can see that the size of the open wound has
diminished dramatically.
2/27/09
In this photo, you can see the new frog growth over the former open
wound, and this is the only area left to heal. The "channel" that
was originally eaten away from bacteria has already grown new frog.
This area is no longer tender to touch and Gordy is now walking soundly.
We will continue to perform weekly bandage changes until the area has
been completely covered with new frog growth.
I'm posting
this information as canker does not always take on the appearance of
cauliflower, as many photos will indicate. Canker is a bacterial
infection that can look just like the photos below. If your horse
has what appears to be thrush, and you can't eliminate it within a few
weeks with thrush buster or an equivalent product, please have your vet
look at it...it could be a bacterial infection similar to Gordy's.
If left untreated, or mistreated, the bacterial infection will
eventually eat away the foot to the point that the horse must be
euthanized.
Thank you to
Lucille Matte for putting me in touch with Keith Caughran, Keith
Caughran, Dr. Genovse, Amos Lee, Amanda Turner and Gordy (for putting up
with the treatment for five months).
Amos, my
farrier and Amanda, my vet have donated their time once every two weeks
for the last six weeks to follow up with Gordy's progress. |