Treatment is expensive and often unsuccessful, especially if not instigated early in infection.

Suggested protocols

• tetracycline (25 mg/kg three times daily orally) and streptomycin (10 Mg/kg twice daily by intramuscular injection) combined for 1 week, followed by continuation of tetracycline for a further 3 weeks; or
• doxycycline (12.5 mg/kg twice daily orally) for 2 weeks with gentamicin (2 mg/kg subcutaneous or intramuscular injection twice daily) for 1 week.

The whole treatment may need repeating, particularly for treatment of localised infections (e.g. in the eye).



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