Just got a reply from Dr. Stahls office.

He really needs surgery... and it has gotten very large and involved, so we would be concerned with the infection getting into the bone/blood stream at this point. (reptile pus is very caseous and needs to be removed surgically, not drained, every time) If he is still strong, has good muscular tone, the best bet would be to fed ex him down here for treatment. Or, if you’d prefer, I could set up a phone consult with Dr Stahl... maybe even have him talk to your vet to instruct them on what to do. He needs to be started on antibiotics, ceftazadime and Baytril every 3 days and meloxicam for pain/inflammation. you can fax the records to us at 703-281-3730 for now, that way they are here no matter what you decide as far as Dr Stahls involvement. Let me know, Jen