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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Bird
Satisfied Customers: 29765
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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We have a Pekin duck with sticky eye or foamy eye that seems

Customer Question

We have a Pekin duck with sticky eye or foamy eye that seems resistant to most usual antibiotics. Very worried. Any new protocols?
JA: I'm sorry to hear that. Is there anything else the Veterinarian should be aware of about the bird?
Customer: 5 ears old, sleeps in our guest bath nightly. It's a virtual duck spa, out to a pond behind our house every morning, knocks on our back door every evening. Just started doxycycline regimen, with space, no change in previous tries.
Submitted: 4 months ago.
Category: Bird
Customer: replied 4 months ago.
Space above should read space. Mersa suspected after culture and sensitivity.
Customer: replied 4 months ago.
Not space, the second med was Zpac. Hate autocorrect
Expert:  Dr. Michael Salkin replied 4 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 4 months ago.

I'm sorry that your question wasn't answered in a timely manner. We don't have many avian vets on this site. Can you tell me which antibiotics have been administered previously other than the azithromycin? Has an antibiotic ointment such as over the counter Terramycin ophthalmic ointment (oxytetracycline/polymyxin-B) been administered to this duck's eye thrice daily for a minimum of 10 consecutive days? Doxycycline is a good choice as mycoplasmal infections need to be considered.

It's important to note that both viral and fungal infections aren't going to respond to antibiotics. In addition, if the conjunctivitis were associated with an infraorbital sinus infection, that infection would need to be successfully treated before the conjunctivitis could be eliminated. That might entail surgical lancing of the sinus. If you didn't see a good response to either doxycycline or Terramycin, a bacterial culture and sensitivity of a swab of this duck's conjunctiva would be indicated.

Customer: replied 4 months ago.
Azirhromycin 30 mg and 300mg doxycycline currently, third cycle of antibiotics. No inprovements after 10days of ophthalmic ointment. C and s performed. Mersa suspected. Eating well, normal activities, 5 ear old Pekin. Working with whispering pines vets in Magalia Calif.any others options? Thanks very much, Ken landis at***@******.***.
Expert:  Dr. Michael Salkin replied 4 months ago.

Thank you for the good update, Ken. You're in good hands. I can't add anything other than seeing what the C&S reveals. I would suspect that chloramphenicol will be a good choice. I used to concoct my own antibiotic combination of tetracycline + chloramphenicol for the godawful mixed infections I was faced with in birds smuggled over the Mexican border.

Customer: replied 4 months ago.
Thanks very much, actually think the eyes look better tonight. She seems more energetic than last few days. Appreciate your time very much. Ken landis.
Expert:  Dr. Michael Salkin replied 4 months ago.

You're quite welcome. That's good to hear. I never argue with success.

Customer: replied 4 months ago.
Just wondering about prognosis if current regimin is unsuccessful. You mentioned chloramphicol as a possible adjunct to this approach?
Expert:  Dr. Michael Salkin replied 4 months ago.

Yes, both oral and ophthalmic chloramphenicol are available. I believe that it's underutilized nowadays due to newer (and costlier) broad spectrum antibiotics coming online.