06/18/2026
CASE HIGHLIGHT: Treating A Septic Joint In The Rural Guatemalan Jungle
A few years ago a filly was brought to our clinic with a history of lameness and a swollen, painful right hind fetlock. There was an old wound over the area still leaking pus. The fetlock joint had become septic!
We had a long discussion about the ethics of managing a septic joint in the field with no opportunity for follow up care. However, these working equids are incredibly valuable and can make or break a family's entire livelihood. There is never a simple answer when working in a rural agrarian setting. This filly was lucky to have a dedicated owner who cared deeply for her and we agreed to give her a fighting chance!
She was placed under anesthesia and we performed a high volume joint lavage using needles and a bag of saline. We injected Naxcel into the joint and gave her injections of Gentamicin and Excede. The limb was bandaged for the journey home and she was sent with Bute and a month supply of SMZs.
Swipe to the end to see our filly happy, healthy and back for her vaccines a year later!
Comment what you would have done in this situation and/or your antibiotic of choice for septic joints.
The Foundation for The Horse Zoetis Equine Boehringer Ingelheim Equine Health