Well, we're back from the vet. Here's what we found out:
What is it? The vet says it may be "a stomatitis". She didn't use the word "ulcerative" - and, in fact, I thought she was saying "astomatitis". Shrug.
What caused it? Even though it happened while he was a free-roamer, the vet thinks he probably either rubbed it raw, allowing the infection to start, or he bobbed against something that broke the skin (again, thus allowing the infection to set in).
How do we treat it? Antibiotic injection for Bailey, antibiotic (the pills are downstairs - but either the pills or the injection is Baytril) pills for both iggies - one pill a day for seven days. The vet also said to continue applying the antibiotic cream we have left over from Bailey's tail amputation.
How do we prevent it from happening again? Since the cause is uncertain, that's difficult to answer.
Both iggies will remain in their new enclosure, where there isn't anything they can bob against. Of course, they can still rub against the mesh, which is how their chins got raw... but short of putting them in full-body casts, I'm not sure what we can do to prevent them from rubbing against things. When they are let out to roam, they will be closely supervised.
Thank you again to everyone for your concern and your suggestions!
Stomatitus is simply defined as "inflammation or lesions of the mouth". In this case it is ulcerative ...meaning it is eroding the flesh.
I found this: "Mouth rot is the common name for stomatitis. It is a bacterial infection which settles into the gum tissue, palate or tongue. If left untreated, it can invade the jaw bone; advanced cases may require resectioning of the bone or tissue. One important fact often overlooked by pet owners is that mouthrot is not a disease itself - it is a secondary infection triggered by a systemic infection." (Source: www.icomm.ca/dragon/mouthrot.htm#mouthrot)
I don't understand why there weren't symptoms inside the mouth, but it's really a moot point now. I'm just glad to know the medication is available now.
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The vet was vague about the stomatitis part, and also expressed confusion that there didn't seem to be any signs of trouble inside the mouth or any other problems.
The vet also called us a couple of hours later to mention that insufficient moisture/humidity could have been a contributing factor. And, in hindsight, there was a week during which Bailey was completely isolated and *not* getting daily water or steam baths. The blackness had already manifested before this time, but that week without proper moisture may have caused it to get worse. We are duly chastized and will make certain, no matter how nasty and aggressive he is, that Bailey gets daily baths again - and we've put a large spray bottle next to the reptarium to remind ourselves to sprtiz them several times a day.
Here's Bailey, still seething from getting the injection, and his doctor:
Last Edit: Apr 23, 2004 18:11:44 GMT -8 by rocmills
Once you are through with your course of Anti-biotics, probiotics is in order to restore the gut flora that will be killed off by the anti's.
Eeck. Here I go feeling like an amatuer again. Probiotics? Eeck. What do we do? Prior to Bailey's tail amputation at the beginning of March, I've never had an ig on antibiotics before. And the vet didn't mention anything about special treatment after the antibiotics. Help?
Sorry to have disappeared for so long, was quite a while recovering from the sprained back.
Bailey and Mary have been moved to their outdoor habitat finally, so there will be no more rubbing of their noses on cage walls.
Their nose wounds are healing, very slowly - but at least it isn't getting worse. Just prior to being moved outside, Bailey went on a cage-rubbing binge and has seriously scraped up his chin. It is raw and red and ugly. I am applying the sulphadine cream and neosporin whenever he will let me get close enough to do so. Unfortunately, Bailey is still in kill-everything mode, so treatment is often difficult.
Mary is in the middle of a full-body shed, and has become extremely anti-social since being moved outdoors. She now acts like we are viscious predators when we approach her, running away when she can, tail whacking when cornered.
I'm at my wit's end with these two. I just don't know how to deal with their attitudes anymore. If something doesn't change soon, I'm afraid I may look to place them in new homes. My husband doesn't want anything to do with them anymore, he's gotten so tired of the attacks and the bad attitude. Can't say as I blame him, as I'm rapidly approaching the same opinion.
Ulcerative stomatitis or mouth rot is another bacterial condition that is most often seen secondarily to other conditions. Any condition that depresses the immune system may lead to stomatitis. Consequently, stomatitis maybe seen in conjunction with nutritional disease, dystocia, or cold stress. Rostral abrasions may also result in infectious or sterile proliferative stomatitis. Stomatitis does not seem to be as common in green iguanas as it is some other reptile’s species.
Treatment: Sequelae of stomatitis include progression to local osteomyelitis infection of tooth roots and septicemia. Stomatitis generally responds to debridement and chlorhexadine flushes combined with the use of parenteral broad-spectrum antibiotics. Both gram positive and gram-negative bacteria may be implicated. Mixed infections involving opportunistic bacteria that comprise the normal oral flora are common. In refractory cases, culture and sensitivity of affected areas are indicated. Culture of fluid or tissue obtained from deeper areas of the lesion tend to be less contaminated than do superficial swabs. Correction of any predisposing factors is also essential in management of stomatitis.
I found this in a book I have here.. Sorry I did not see the post before. and no I am not a Vet LOL! The book I have was copy righted in 2003 hope this help you alittle more
Note from Administrator: The source of the above info is: Biology, Husbandry, and Medicine of the Green Iguana By Elliott R. Jacobson, Thomas Huntington Boyer ISBN 1575240653