Case Report

Severe skin and muscle loss and the power of the Companion laser

 
     
 
 
 
 

 

Emma

Emma, severe vasculitis and skin loss
Emma is a 2 year old Pitbull. She and her littermate presented to our hospital on June 23rd, 1 day after having been for a long walk on a very hot day. Her littermate passed away.
 She was dehydrated, the skin was beginning to slough from her foot pads, and she was going into shock. It was also noticed that she was losing hair from her back. She had irregular heart beats, and was treated with fluid therapy, antibiotics, pain medications, and medications to control her arrhythmia.
Emma was suffering from vasculitis. This resulted in a loss of blood supply to the skin over her back
After Emma had made it through the critical stages, she was able to return home. She came back to the hospital for rechecks and bandage changes on her feet. (Her foot pads had sloughed off.) During this time the skin over back continued to die.  She had not been to the hospital for 4 days, and upon her return, we clipped and cleaned the back and found it as you see it in the pictures above.  Dead Tissue was removed and the areas were flushed and cleaned.
On July 7th, we place drains under the skin, hoping to provide drainage and preserve the skin above. It did not work. On July 11th we removed all of the dead skin and muscle tissue leaving us with the enormous exposed area you see above. After cleaning, we treated it with The Companion Laser. The laser helps to stimulate healing, reduce pain, and inflammation. We applied honey (yes regular non pasteurized honey!) special moistened bandage material, covered it with a diaper, put on a dog t-shirt and an Elizabethan collar.

Keep an eye on the area where the black arrow is pointing. These were two tiny islands of skin that survived.
We treated the wound twice weekly with bandage change, honey, and most importantly, the laser.
The rate of healing is remarkable. We did not perform additional surgeries or skin grafts. Most wounds of this magnitude would take more than 3 months to heal, not 6 weeks as it did in Emma's case. In addition, most areas of a severe burn do not regrow hair(third degree burns usually end up as a hairless scar). Emma is getting much of her hair back in patches.

8/9/2011
The hospital last saw Emma on August 9th, she is moving out of the area. The owner sent us this picture. Emma did so well for a few reasons:
* She was a fantastic patient, ready to lick your face at any moment
* A dedicated owner.
* Wound and Nursing care by our BBVH team (Danae and Jessica were outstanding)
* Companion Laser to accelerate healing