Need help for ill pygmy. Antibiotics don't help, swollen paw, now also swollen neck.

aeolis23

Member
The Problem –

I bought my chameleons on 27/09/2015 at a reptile fair in Belgium (first picture is taking on my way home). I saw the male’s paw was swollen but bought him anyway and went to the vet with him. I was concerned about it being gout or an infection.

Verdict from the vet:

* IN GENERAL my cham didn’t look very active, but I had to take him out of the viv when the lights were still off and he was still sleeping (vet appointment was very early in the morning). He also was only in my care for about 2 days, so wasn’t adjusted to the new environment yet.

* THE PAW: he took fluid from the thickened paw and didn't find any gout cristals, so the vet assumed it was not gout with about 80-90% certainty. He did find lots of bacteria in the fluid, so he's guessed a systemic infection that probably is also manifested on his intestines.

--->Treatment: 14 days of antibiotics (Enroshort), each day.

Note: Could also be fungus, but he didnt find any in the fluid. Unfortunately not all fungus are microscopically visible, so he could not exclude all fungus. There is a fungus discovered a few years ago that also manifests on the joints and he warned me that if he would have this fungus, it'll be only visible once he's almost dead and then it's too late...

* FAECES: He found massive amounts of parasites and worms. No coccidiosis.

---> Treatment: 4 days of flagyl, repeat after 14 days + 1 time panacure, repeat after 14, 21 and 28 days.

Current situation:

- No improvement of the paw.
- I quit the antibiotics treatment after about 11 days.
- I should give him flagyl and panacur again one of these days, but haven’t done it yet.
Even more…
- His neck is very swollen since the last few days.
- He just doesn’t look healthy at all…


I already contacted the vet again. He also told me to stop with the antibiotics and come back to make cultures from the fluid in the paw. I can only make it to the vet in 5 days (on friday) so all the help possible is welcome.

I wrote the date with the pictures when they were taken.

*************************************************

Chameleon Info:

• Your Chameleon –
o R. temporalis
o Male
o Adult (age unknown)
o Wild caught
o In my care for 2 weeks

• Handling –
o I had to handle him every day the last 2 weeks to give him antibiotics, but I quit treatment 2 days ago and i’m leaving him alone now.

• Feeding –
o Feeders: Mainly crickets, occasionally locust
o I throw in about 5 crickets per chameleon every 2 days
o My crickets get the cricketfood they got when I bought them and fruit/vegetables.

• Supplements –
o Repco Vita-Totaal
o Zoo Med’s ReptiVite TM without D3
o Exo Terra Calcium + D3
o Each time I put new crickets in the terrarium, I first put 2 volumes of Vita totaal + 1 volume of Ca without d3 + 1 volume of Ca with d3 in a pot, put the crickets in the pot and shake untill the crickets are completely white with powder.

• Watering –
o I spray manually each day untill the plants are soaked with water drops.
o I have seen him drinking once from the moss on the bottom (picture of that moment in the attachment 28-09-2015)

• Fecal Description –
o Recently no faeces found
o 2 weeks ago he was tested and the vet found tons of parasites and worms.
o He already had 4 days Flagyl treatment 2 weeks ago, and I had repeat one of these days.
o He already had 1 day Panacur 2 weeks ago and I had to repeat one of these days and again next week.

Cage Info:

• Cage Type –
o 80x40x60 cm horizontal terrarium
o glass terrarium with one door replaced by mesh to improve ventilation

• Lighting –
o Exo Terra Reptile UVB 100 25W. In use since 8/03/2015.
o Exo Terra Natural Light UVA 25W. In use since 20/06/2015.
o Lights are on from 8h30 – 21h30.

• Temperature –
o During the day between 18 – 25°C (64.4 – 77°F)
o During the night between 15 – 18°C (57.2
o I measure with a standard mercury termometer in the terrarium on the warmest spot of the room.

• Humidity –
o Between 70 – 90 %
o There is an Exo Terra manual meter in the lower corner of the viv.
o There never is a "extra" water in the drainage layer.

• Plants –
o Live plants, pottet freely in the bottom layer. There is a drainage layer of hydroballs seperated from the earth above by a root cloth.

• Placement –
o Located between the wall, only the back of the terrarum is covered.
o No movement on the right sides unless I put my head there to find them.
o Often movement on the left side.
o The viv in on eye height in the room.

• Location –
o Belgium

• Extra -
o There is one female with him in the viv. She was bought at the same time, same place, same seller. Their were introduced in the viv together. Not sure if the female is healthy either…
 

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More pictures
 

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And even more pictures
 

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The pus in infections in chameleons is usually like cottage cheese and cannot be penetrate by the antibiotics to kill the bacteria so it needs to be cleaned out. That's quite a massive swelling with the leg being involved too.

The throat swelling could be from the meds or it could become over-supplementation. It's recommended that you dust at most feedings with a phosphorous-free calcium powder and twice a month with a phosphorous-free calcium/D3 powder. It's also recommended that you dust twice a month with a vitamin powder that contains a beta carotene (prOformed) source of vitamin A. PrOformed sources of vitamin A cannot build up in the system and lead to overdoses like prEformed sources can and will leave it up to you to decide whether the chameleon needs prEformed or not.

I'm not a vet BTW but have kept, bred, hatched, raised chameleons and many other reptiles for over 25 years.

Hope your little chameleon will be okay.
 
Hey, thanks for the info.

I assume you are talking about the powdering of feeders for adult chameleons? How about the frequencies for a young and growing chameleon?

For my adults I guess i'm doing fine with the calcium without D3. So only the calcium with d3 and vitamins I need to do less frequent according to your dusting schedule.

I always dusted all my feeders with everything each time because it's impossible to handfeed these small pygmy chameleons. And I assume while running around free in a humid terrarium, the feeder get rid of most of the dust before they get eaten anyway...

I also looked at the ingrediënts of the powders:

* Zoo Med’s ReptiVite TM without D3
--> 2:1 calcium to phosphorus ratio
Note: They say it's 2:1 ratio and written on the box is dicalcium phosfate. But dicalcium phosphate is not Ca2PO4 but CaHPO4 (which has a 1:1 calcium to phosporus ratio). Hmmmmm..... : - / Is it possible that they themselves have no idea what they are selling?

* Exo Terra Calcium + D3
--> Without fosfor

* Repco Vita-Totaal
--> 2:1 calcium to phosphorus ratio
--> Vitamin A is included, but the box doesn't say anything about bèta carotene.
 
Today's update. I think he closed his eye a little bit because of the camera. Neck is still swollen
 

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I went to the pharmacy to weigh him. He's 3,122 grams.

Afterwards I put him on a plant to check how his appetite was.
Good thing: He has appetite
Bad thing: I did not expect to see this happen... :(

Let's hope he'll try again soon...

https://youtu.be/nWAslaAMzQY
 
Update: It's getting worse but still no help from this forum or any facebookgroup unfortunately. Please can someone take some time to read everything and give me some advice?

Since my last vet apointment (16/10/2015) his paw is getting more and more ugly. Today I think he bumped his paw against something, because the swelling opened. I only see swollen tissue, no pus. A part of the swollen tissue loosened, so now there is somewhat of a 'hole' in his paw.

I'm desinfecting every day with isobetadine.

No other symptoms that I can see...
 

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Last two pictures are of the open wound...
 

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Here you can see picture of his entire body to estimate his general health?

The orange/brownish drop in my finger is isobetadine
 

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Poor little guy. I can't help any, just to say that we probably only have a few members with experience with pygmies. That might be why you have only gotten a few responses.

It looks like you are doing everything you can and are good to try to keep the wound clean. I hope you are able to get this infection under control.
 
Hopefully you will hear from Dayna, the vet on here soon. She has or had pygmies also. I sent her the link for this thread.
 
Ouch, poor little guy. Great job doing so much for him!

The wrist is swollen to the point of stretching the skin, which is why you're seeing that new change. Like kinyonga said, pus is very thick so it may require surgically incising the joint to clean it out because antibiotics can't penetrate such thick pus enough to treat the bacteria causing it. An xray of the leg would be very useful, especially if your vet has dental xray capability because then you could see if there is osteomyelitis (infection in the bones), which requires antibiotics for a long period of time. It's difficult to dose antibiotics for a 3g animal! Since he's wild caught we have no idea what kind of bacteria he was exposed to or what is growing in there so a culture would help identify the bacterial species to know which antibiotic(s) would be most effective. Even though it's an expensive test that would be the best route, but only if the sample is from the inside of the joint. The seeping fluid coming out of it is not enough to get a full sample. These can be very challenging infections to get under control, sometimes taking months of treatment. Without a culture it's just an educated guess about what's growing in there so I would use a broader spectrum of antibiotic to at least cover anaerobes as enrofloxacin is very poor against anaerobes.

Supplementation: I only dusted with plain calcium (no D3) twice a week for my adult pygs and a multivitamin once a month. These are a montane species so they are sensitive to over supplementation, which can cause gular edema (swelling of the neck). With your current schedule I'd say it's too much vitamin A and D3, even for babies but yours is an adult. Other things that can cause that swelling are organ dysfunction, possible even parasites due to obstruction of normal fluid flow/drainage in the body (parasites are quite large compared to these tiny bodies), etc. I would do the second dose of dewormer as instructed.
 
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