I posted this a few weeks ago and now I'm reposting with pix - I'm still struggling with a sinus infection in my mare Gracie. The vet has been out 3 times now and we are not sure what is causing it. She has a history of sinus infections - when she was younger she had sinus reconstructive surgery and has had reoccurring sinus infections ever since. Each time, however, she has responded well to SMZ tabs. In addition to the sinus infection, she has a large hard swelling under her eye down to her jawbone (same side as the sinus infection).
She is on SMZ tabs and metrondazole and is not responding. The xrays do not show anything unusual - she does have some bone deterioration, but that could be left over from her surgery when she was younger. Teeth look fine in the xrays. They did cultures on her nasal discarge and also drew serum from the swelling on her face - the cultures showed nothing unusual.
She acts normal - eating and drinking just fine. No fever, no heat in the swelling. She still has nasal discharge with a foul odor - she's been on the meds now for 3 weeks. I just sent the xrays and pix to my former vet (before I moved) to see what she sees. If she sees nothing unusual from the xrays, then we're going to take her to the hospital where they have a great surgeon who specializes in sinus issues.
Ideas anyone?
She is on SMZ tabs and metrondazole and is not responding. The xrays do not show anything unusual - she does have some bone deterioration, but that could be left over from her surgery when she was younger. Teeth look fine in the xrays. They did cultures on her nasal discarge and also drew serum from the swelling on her face - the cultures showed nothing unusual.
She acts normal - eating and drinking just fine. No fever, no heat in the swelling. She still has nasal discharge with a foul odor - she's been on the meds now for 3 weeks. I just sent the xrays and pix to my former vet (before I moved) to see what she sees. If she sees nothing unusual from the xrays, then we're going to take her to the hospital where they have a great surgeon who specializes in sinus issues.
Ideas anyone?