Uronema Marinum

Discussion in 'Fish Disease Treatment and Diagnosis' started by Huskymaniac, May 6, 2019.

  1. Huskymaniac

    Huskymaniac Well-Known Member

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    We are going to continue ABX therapy for 2 months after the lesion goes away. Should be anywhere from 3 to 6 months.
     
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  2. rkpetersen

    rkpetersen walked the sand with the crustaceans R2R Supporter R2R Excellence Award Reef Squad Partner Member 2019 Controller Advisor

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    If it were myself, with the diagnosis now at least partially established, I'd be on two antibiotics.
    Chances of a medical cure without resorting to surgical excision should be better.
    It's true that the commonly added drugs have their own potential toxicities, but I'd still do it.
    As I described at the start of this thread, mycobacteria are nothing to underestimate.
    They grow slow but they don't stop unless you attack them mercilessly.
    I'd seriously consider stopping or at least reducing dosage of the Humira as well.
    Although no one wants a Crohn's disease relapse either.
     
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  3. Huskymaniac

    Huskymaniac Well-Known Member

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    Until cultures come back they didnt want to put me in a second abx. The plan was to add second one if it's still there in 4 weeks.
     
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  4. Purplelobst92

    Purplelobst92 Member

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    Jesus this thread has literally terrified me, I put my hands in tanks all the time when i have little cuts and scrapes.... and now I'm like freaking out i might get a bump and have one of these infections even though my hands are healed and have no wounds, do these infections just like pop up weeks after the wound heals or what? I literally had no idea this was so serious....
     
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  5. Huskymaniac

    Huskymaniac Well-Known Member

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    I think everyone should be using gloves when doing maintenance on their tank regardless of whether they have cuts or not. I mean an aquarium is a recirculating toilet of fish poop with bacteria, right? If I wore gloves I wouldn't be dealing with this now and if you wear gloves you will never have too. Pretty simple and sensible thing to do.
     
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  6. drstardust

    drstardust Well-Known Member R2R Supporter R2R Excellence Award

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    ^agreed
     
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  7. Huskymaniac

    Huskymaniac Well-Known Member

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    So I saw the infectious disease doctor and was switched from doxy to clarithromycin + ethambutol. He was a bit reluctant to make the switch since I was responding to the doxy. Anyways it is what it is. Treatment is going to be anywhere from 3 to 6 months. Here is an updated photo. Instead of a big huge nasty lump it's just a flat red patch now.

    15584613781982536507471396323585.jpg
     
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  8. Purplelobst92

    Purplelobst92 Member

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    I don't even want to think about how much this would cost without medical insurance ;Nailbiting
     
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  9. tdlawdo

    tdlawdo Well-Known Member R2R Supporter R2R Secret Santa Build Thread Contributor

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    Glad you finally saw ID. It was bothering me you hadnt!
     
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  10. tdlawdo

    tdlawdo Well-Known Member R2R Supporter R2R Secret Santa Build Thread Contributor

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    None of my patients have insurance and I can get the clarithromycin for pennies a pill and the ethambutol for not much more. Where there’s a need there is a way. Just need the doc to step up and ask the right question of the right people. I deliver their babies, amputate parts, minor surgeries orthopedics including MRI etc. and nothing ever over a couple hundred bucks the MRI being the most expensive thing in 20 years of doing this. But yes still good he has insurance.
     
  11. Huskymaniac

    Huskymaniac Well-Known Member

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    I am on HSA plan so everythi g goes towards deductible and the antibiotics are cheap. It's only like $22 for both of them for a 30 days supply. The doxycyline was under $2.
     
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