The rehabilitator was to administer fluids (40 mL/kg SC q 12h; Plasma-lyte A), meloxicam (0.5 mg/kg PO q12h), enrofloxacin (15 mg/kg PO q24h), itraconazole (10 mg/kg PO q24h; Sporonox
; Janssen Pharmaceutica, Beerse, Belgium), and tube feeding (20 mL/kg PO q12h; Carnivore Care; Oxbow Animal Health, Murdock, NE, USA) until surgery.
Less than 10 years ago the makers of Sporonox
and Lamisil educated the population in the United States as to what onychomycosis is by spending millions of dollars monthly on professional and consumer advertising.
Based on the clinical presentation, treatment with trimethoprim-sulfamethoxazole (60 mg/kg PO q12h) and itraconazole (10 mg/kg PO q12h; Sporonox
, Ortho-McNeil-Janssen Pharmaceuticals Inc, Raritan, N J, USA) was initiated.
Antibiotic therapy was changed from enrofloxacin to trimethoprim-sulfamethoxazole (30 mg/kg PO q 12h) and 1% itraconazole (10 mg/kg PO q24h; Sporonox
; Ortho-McNeil, Raritan, N J, USA) was added to the treatment regimen.