Kinda gruesome wound recovery

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islandguy11

Redtail Catfish
MFK Member
Sep 17, 2017
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Thailand
*Long post warning* :) So my beloved Kamfa-Red Texas is in the process of (hopefully) recovering from a pretty gruesome wound that I'm going to present as kind of a photo journal I've been taking each day during the process.

Background: Drakaris is about 10.5" and resides in a bare bottom 115 gallon that's kept quite pristine -- 45% water change every 6-7 days, plus twice a day (before feeding) his waste is siphoned out, with the total ~12 liters taken out replaced. Water parameters are a very consistent 0 ammonia, 0 nitrite and nitrates 10-20 depending.

In the ~1.5 years I've had him he's never had any real health issues except a rare scrape now and then, all of which healed up pretty quick and nicely. However, he also has a suspected tumor near his right eye, since about 4 months ago, which I at first thought was related to his current injury, but now I'm really not sure.

Day 1: After a water change I noticed he had a small open wound near his right pectoral fin. But it looked a bit strange, kind of round-ish, more like a pimple had popped, with a bit of loose skin still there. I didn't take any pix because I thought it wasn't serious and would heal fast as usual. I didn't add any treatment because I just added some aquarium salt during his water change, thinking that would be enough.

Day 2: But the next day it was noticeably swollen, so I decided to dose his tank with some 'OF Flowerhorn Internal Bacteria & Ulcer Away', as I was thinking the wound was some kind of ulcer.
Drakaris Injury Day 2a.jpg Drakaris Injury Day 2b.jpg

Day 3: Unfortunately by the next day it got much bigger and redder, looking like it would burst. I'm not sure if the Ulcer Away medicine didn't work, or whether it was pushing the bad stuff out so to speak.
Drakaris Injury Day 3a.jpg Drakaris Injury Day 3b.jpg

Despite the kinda gross wound he was otherwise acting totally normal -- eating like pig as usual, doing half loop to loops when I approached the tank and even doing his daily artwork with his rocks. I also started feeding him some higher protein pellets to hopefully give him some more healing power.

Day 4: The next day though the wound got almost volcanic looking and then burst open -- I really thought he was a goner, and that it would keep growing and he would explode or need to euthanized. But I thought to give it another day or two and treated him with 'OF Fungus & External Bacteria Away' (which gave the tank a green color). That night I went to bed with a heavy heart -- Drakaris is the coolest, most loved fish I've ever had (and that includes 2 lovely Asian Arowana who will never, ever have even half the character he has).
Drakaris Injury Day 4a.jpg Drakaris Injury Day 4b.jpg

Even my hound dog was worried about Drakaris...
Bunn worried about Drakaris m.jpg

Day 5: As I was taking off his tank cover (velcroed fabric to block out light) I was half expecting him to be dead or half dead -- but surprisingly the wound was MUCH better!
Drakaris Injury Day 5a.jpg Drakaris Injury Day 5b.jpg
I was so happy to see this, but knew he wasn't out of the woods yet.

Day 6: Continued with same treatment, more improvement.
Drakaris Injury Day 6a.jpg

Drakaris Injury Day 6b.jpg

Day 7: In some ways the wound looked better but then coming out of it was something weird that looked kind of like half a Hikari foodstick (but of course wasn't, I'm not sure what it was frankly). So I did a 40% water change, then treated again with the OF Ulcer Away med.
Drakaris Injury Day 7a.jpg

Day 8: The 'food stick' like thing was gone, wound was looking much better, but decided to add a half dose of the 'OF Fungus & External Bacteria Away' to be safe.
Drakaris Injury Day 8a.jpg Drakaris Injury Day 8b.jpg

Day 9: A bit of skin still hanging around the wound but overall looking pretty good, I hope it continues to improve, with no recurrence, will update later.
Drakaris Injury Day 9a.jpg Drakaris Injury Day 9b.jpg

If you're still here you are probably sick of seeing pix of this fish, but I hope at least some find the info/pix useful.

Likewise if anyone has a better idea of what actually hit him I'd love to read your thoughts. Fortunately I really don't have much experience with serious fish injuries, this is by far the worst and I've never seen similar in any fish I've owned.
 
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Maybe some lymphocystis kicked and the area got infected. Hard to say what’s going on. Initially looks like an abscess with some dead tissue in it. Looks like the human version of a sebaceous cyst that infected and once opened up all that material comes out.

Once all out it’s essentially cured. Maybe similar.
 
Maybe some lymphocystis kicked and the area got infected. Hard to say what’s going on. Initially looks like an abscess with some dead tissue in it. Looks like the human version of a sebaceous cyst that infected and once opened up all that material comes out.

Once all out it’s essentially cured. Maybe similar.

Thx for the input Ron, could very well be the case what you say; perhaps I'll continue the internal bacteria/ulcer med a bit longer to make sure it's all hopefully out.
 
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Dang, so glad to see that he's recovering so well! I tend to agree with Ron. I have seen similar abscesses like this on FH over the years, including on my last adult FH. (on his head) There never seems to be any rhyme or reason as to why they surface, sometimes they clear up, and sometimes that's all she wrote. IME flowerhorn are not typically great at fighting off secondary infections, so you did everything right, Barrett. Probably a very good thing that you have all that Asian voodoo magic medicine on hand. lol I would have done everything exactly as you have. Here's to hoping that you never see anything like that again!
 
Dang, so glad to see that he's recovering so well! I tend to agree with Ron. I have seen similar abscesses like this on FH over the years, including on my last adult FH. (on his head) There never seems to be any rhyme or reason as to why they surface, sometimes they clear up, and sometimes that's all she wrote. IME flowerhorn are not typically great at fighting off secondary infections, so you did everything right, Barrett. Probably a very good thing that you have all that Asian voodoo magic medicine on hand. lol I would have done everything exactly as you have. Here's to hoping that you never see anything like that again!

Voodoo magic meds, lol (but until they start disclosing specifically what's in their concoctions that's exactly what they are by our standards, it's an apt moniker). That said I wouldn't doubt if especially the 'OF Fungus & External Bacteria Away isn't very different at all from other commonly found anti-bacterial meds found in LFS here (or maybe even the US/Canada for that matter) -- it turned my water the same exact color as a similar (and much cheaper) anti-bacterial med I used a couple of years ago with another fish, not that such is conclusive.

But at the end of the day they seem to be working -- and as advertised haven't affected my beneficial bacteria in the main internal overflow filter, been testing water parameters over last days and no ammonia spikes or difference from usual test readings.

However I'm now not so sure about the effectiveness of one of those voodoo meds ('O' Arowana herbal med) but will comment on that in the other thread I have going particularly about that treatment).

Thanks a lot for your comments though Neil, makes me feel even better -- at one time I was almost seriously starting to prepare to euthanize him, even discussing with one of my staff how I wanted him to go buy a clay bbq pot so he could cremate Drakaris and put his ashes in a dragon vase from his tank) -- while he's not 100% healed yet, hopefully he will be in near future.
 
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As an update regarding Drakaris' wound: after mostly clearing up it seemed his wound wouldn't heal/close 100%, which I think might be due to it's location, right between his pectoral fin and gills, there's a lot of movement there. I'm pretty sure it would have healed up all the way if say on his side or top.

And then he had a bit of a relapse and some stuff started to come out of the wound again. So I dosed some more the 'Ocean Free Flowerhorn Internal Bacteria & Ulcer Away' (only a half dose as that's all I had on hand) and some more came out.
Drakaris wound relapse 1 med.jpg
Drakaris wound relapse 2 med.jpg
Then I decided I didn't want to keep pumping meds into the water and tried a different tack: after a 50% water change I added some 'Wish Arowana Spa' (wild almond leaf extract, sodium chloride, calcium chloride & preservatives) that I've been using with my 2 Asian Arowanas (and have a thread going on about in that sub-forum).
Medifish Wish Arowana Spa 3ss.jpg

NOTE: If one has soft water/lower buffering capacity I would advise NOT to use regular almond leaves as it could result in a decent drop of your PH, which could be even worse for your Flowerhorn that loves high PH.

However my water is pretty hard, and I'd already tested this treatment and found no effect on PH at all, 7.9-8.0 as usual even after exceeding recommended dosage. It's possible the sodium chloride and calcium chloride also act to help stabilize PH with this particular solution -- of course adding just almond leaves or similar won't have these supporting ingredients.

Anyway I decided to try it with Drakaris....and the improvement was surprisingly quick and quite noticeable (kinda difficult to see in pix below, if I get too close with the camera he gets pissed off and does his aggro-dance, but in person it's easy to see and quite amazing how fast it acted)...

After 1 day: stuff coming out of wound is mostly gone and surrounding area better too:
Drakaris wound relapse getting better after Almond Leaf extract Day 2 meddd.jpg

After 2 days: stuff coming out of wound is almost entirely gone:
Drakaris wound relapse getting better after Almond Leaf extract Day 1 med.jpg

After 3 days: There's kind of an indentation where the hole has sunk in, but it's closed up and nothing coming out all, surrounding tissue looks much cleaner/better.
Drakaris wound relapse getting better after Almond Leaf extract 3 med.jpg

So I will continue this almond leaf extract treatment for a few more days and hope the wound has really healed up. That said I have to say part of me is starting to wonder again if what's going on inside behind the wound might be in some way or another related to the suspected tumor under his right eye, only time will tell in this regard I think.
 
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