Groin wound granulated for months--won't heal after various treatments...Suggestions?

loves2read

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our 17 yr old neutered male has had a wound on inside rear right leg for months. It is about 1" X 1/2" in the fold between leg and groin. I have no idea where it came from. When I first discovered it before Xmas, the vet said it had healed/scabbed and gave no treatment or RX...but it wasn't healed...it stayed what I considered " raw" but the vet calls granulated tissue...this is like "proud flesh" that people can get which prevents a wound from healing to normal skin or scar.. Initial antibiotic didn't work...cultured it and came back staph-resistant.
Vet RX subcu antibiotic that damaged his kidneys...found that out at different vet in FL where our vacation home is...required ER care w/24 HR fluids IV and wound was secondary.

After health stabilized from CKD, we tried laser therapy, topical antibiotic, and debreiding the area w/provident iodine, and also using SSD ointment from middle of June to end of August Second culture then showed no more staph-resistant bacteria but one that Doxycycline could treat. He also had Pillow foot at that time which responds to Doxy. After about a month the pillow foot is gone but the wound is still granulated and about the same size.

He seems to be doing ok re the CKD...he is not getting subcu fluids...is on wet diet w/RX food and low phosphorus food, hard boiled egg whites, clam juice, and xtra water...and he drinks a couple of times a day...not losing weight...so CKD seems under control...

But I really want this wound to heal...it is in fold of his right rear leg and hidden unless he really opens it up to clean...
he is not good candidate to surgically excise the area and stitch it up because of the general anesthetic and also it still has active bacteria apparently...

Any suggestions? Anyone whose cat has had a granulated wound that refused to heal?
Our FL who discovered the kidney problem and who seems more clued up than the first one doesn't want to try any steroid meds bcuz of kidney problem.
 

mservant

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I'm sorry you haven't had a reply to your question sooner. It can be quiet here over the weekend sometimes.

The first thing that comes to mind for me is if your cat is able to access this wound as licking it?   I have a friend whose cat had a persistent wound on the inside back leg and it was very difficult to heal because of his licking the area (they did manage to get it healed eventually I am pleased to say).   Without the ongoing presence of the bacteria perhaps this is a contributing factor?

Very much hope you find a solution.   
 

mrsgreenjeens

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Did the Vet SA their is still bacterial found in that sight?  If so, is there some sort of topical ointment that could be applied?  I guess the issue here is as MServant stated, in that he can lick it off, so it needs to be kidney friendly  because that area would be fairly impossible to bandage or cover, and not sure you want to stress him with a cone of shame
.  I know one thing people sometimes use with a hard to heal wound is Colloidal Silver, so you might give it a try just to see, if you've given up on everything else.

Sounds as if you've really got the kidney issues under control  Congrats on that.  I recently lost my kidney cat after 3 years of it.  (3rd one
)  Love the fact that you're using hard boiled egg whites.  I used to mix in raw egg whites into my girls canned food since she liked hers nice and soupy.  Added GOOD protein and helped diffuse some of the phosphorus in her food.  I just couldn't get her to eat them cooked, even scrambled in a little unsalted butter, silly girl.

When you start having questions about CKD, here is my "go to":  http://www.felinecrf.org/index.htm  I usually referred to that website before Vet visits, etc.  so I was well prepared with all my questions about treatments, etc.  They aren't interactive, but do have plenty of info.
 
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