Possible Nocardiosis. Culture or treat?

Appreciate the question — let's unpack this. Nocardiosis is a relatively rare bacterial infection caused by Nocardia species, and it can affect pets' skin, lungs, or even spread throughout the body. You're right to be cautious and seek further advice.



In terms of whether to culture or treat, starting with a culture is generally advisable. Culturing helps confirm the presence of Nocardia bacteria and guides the selection of the most effective antibiotic, since nocardiosis is not responsive to many common antibiotics. Identifying the pathogen ensures that you administer the correct treatment from the start.



At home, monitor your pet for symptoms like coughing, difficulty breathing, or any abnormal lumps or wounds on the skin that seem to worsen. Make sure your pet is comfortable, hydrated, and eating well. Reduce stress and keep their living space clean to support their immune system.



Look out for signs that require immediate veterinary attention, such as a high fever, severe respiratory distress, or if any wounds start to look significantly infected or don't heal. These could indicate a more serious progression of the infection.



Booking a video consult with a Dial A Vet professional would be a great next step to discuss testing and treatment options tailored to your pet's specific needs and to arrange any necessary samples for culture.