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I would be very surprised if the Zithromax doesn't sort him out. I am so glad your vet was willing to speak with Simon and Kim Maddock. I've used Zithromax quite a few times with various piggies and it's a fantastic antibiotic. If he doesn't get better with the Zithromax, then I am wondering if it could be an allergy rather than an infection. I know quite a large number of piggies have been suffering from URI type symptoms due to the high levels of pollen around at the moment. Just a thought!