EMERGENCY! Puncture wound in abdomen, tetanus and peritonitis?

Ariel301

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I found one of my doelings sitting down next to the water bucket in the pen this morning. I thought she was waiting for a fresh drink, so I filled the bucket up with clean water, and she wouldn't stand up. She could not use her legs. As of 1 am last night, she was eating hay and acting fine.

I brought her up to the house and found a puncture wound on her abdomen between the rear legs. It looks to be a few days old, it is scabbed over. I can't tell how deep it is. There is a large swelling around it that seems painful when I touch it. She is pretty stiff, she can't easily open her mouth and her legs don't work right. She feels cold also. I had a neighbor who is a vet tech come over, no vet in town will treat goats. She is worried that the puncture went deep enough to enter the abdominal cavity and cause peritonitis. She gave the goat a tetanus shot and an epi shot. No feed store in town has tetanus anti-toxin and I can't get a vet to sell me any, they won't give out a medication without an examination, and they just don't do goats, plus it would cost me a couple hundred dollars for them to do an exam and say they didn't know anything. Already been there done that. Basically their advice was that it would be cheaper to shoot this one in the head and buy a new one. They're not used to dealing with purebred valuable animals, the average cost of a scrub goat here is $20. There are only two purebred breeders here...me, and my neighbor.

The goat had a slow heart beat (sped up after the epi to normal), pale gums and seems severely dehydrated. I've got her on IV fluids right now, I had the stuff on hand for that. She also got a shot of oxytetracycline. She's laying in a warm basket covered with blankets because her temperature is low, she seems comfortable most of the time, but every now and then she will cry and paddle her legs. Can I give her anything for pain? I tried to drench her with fluids and some vitamin B and electrolytes. I can force her jaws open gently, and she can swallow but it is difficult and she cries afterwards like it is painful, so I gave up on that and went to injecting instead. She's very thirsty, I tried giving her a warm bottle of milk and she wanted it, but she couldn't seem to suck it down. (She's weaned, but I find this is a great trick for getting fluids into a sick goat that was a bottle baby. They never seem to lose a love for that bottle, even my 10 year old doe loves a bottle.)

Does anyone have any advice on anything else I can do? She's an 8 month old LaMancha. She's fighting hard, but she is definitely very, very sick.
 

helmstead

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Unfortunately this sounds terminal without vet intervention...so sorry! This late in the game (suspecting peritonitis) it would take Rx strength antibiotics, surgical flushing...that is only if vital structures weren't damaged by the original injury.

I would try to get my hands on some Banamine for the pain she's got to be in...
 

Ariel301

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I've got Banamine, I'll give her that. I just wasn't sure if it was safe or not. I don't know about peritonitis, the wound doesn't look that deep to me...plus she's got a low temperature, wouldn't she have a fever with that kind of infection?

I'm going to call vets again and beg for some antitoxin. She can't seem to control her eyes, they seem paralyzed. Is that typical with tetanus?
 

cmjust0

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Was she current on C/D-T? If so, she may be stiff from being cold and dehydrated, but I'd still try really, really hard to track down some tetanus antitoxin. Wouldn't hurt to give it, if at all possible.

For now, though, rip that scab off...scrub that wound...drain what you can out of it...flush it with iodine....since she's down, I'd consider packing it to keep it clean. She's gonna probably yell and scream as you do all this, but that's why "sympathetic" and "compassionate" are two entirely different words.

It sucks, I know. :/

Keep her on antibiotics. Keep her warm. Keep her on fluids until her upper eyelids don't stay tented when you pinch them. I'd avoid giving much for pain until she's hydrated, as pain meds tend to be hard on innards.....can't halp if their blood's running a little thick to begin with.

The idea that the wound went all the way through is possible, of course, but I've gutted enough deer to know that even the thin muscle wall around the belly is still pretty tough.. Plus, if it's really *between* her rear legs, it would have to have gone through several inches of muscle and made its way past the pelvic bone before it reached the gut.

If so, nothing you can really do except systemic antibiotics, which you're already doing. If not, super -- still do the systemic antibiotics. Sooo...assume it didn't if only because assuming otherwise is fruitless.

Good luck.. FWIW, I've had to pry baby goats' mouths open when they chill really bad.

:fl
 

helmstead

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Yes, their eyes will tremor or become fixed, they will react oddly to being tapped on the chin...and loose the ability to chew/swallow...

I guess she wasn't current on her booster? Well, even if she was, it's not 100%

Yep, antitoxin would be a good idea. You'll need more Epi, too, in case she reacts to it. Usually they react to the 2nd+ injection of it...you should always have Epi on hand when using antitoxins.
 

jodief100

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Get some antitoxin on order ASAP! I can't think of anything else. Just keep it clean, keep nutrients in her and *hope*.

Wish I could do more.

Where are you at? Maybe someone close by has some antitoxin......
 

greenfamilyfarms

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TSC carries the Antitoxin. Give them a call. If they don't have it, try posting an urgent ad on Craigslist to see if anybody has any they can spare.
 

helmstead

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What TICKS me off is the antitoxin IS NOT a controlled substance!! I can't for my life figure out why they wouldn't sell it OTC...

Vets sometimes...ARGH.

Sorry!

I hope you're able to find some antitoxin...get several vials of it.
 

rebelINny

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I sure hope you can save her! Here's hoping she pulls through! :hugs :fl
 
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