咨询描述:猫咪皮肤由于之前被蜱虫咬过,现在出现疙疙瘩瘩的硬节,也许是细菌感染,请问怎么治?
回复总结:猫咪被蜱虫咬后出现疙瘩考虑是蜱虫叮咬后导致的寄生虫性皮炎,有细菌感染的可能,也可能和自身皮肤免疫抑制有关。可以先给猫咪局部涂抹抗菌药物,同时配合口服鱼油提高自身免疫力,连续使用2到3周观察是否有改善。建议把猫咪患处的毛发剃掉,将患处分泌物都清理干净后再用药。如果猫咪出现不吃东西的情况,还要考虑巴贝斯虫感染,建议带猫咪到宠物医院做进一步检查,需要检查血常规、血涂片、生化检查等,确诊病因后再对症治疗。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
根据您以上描述,还不能做出进一步的判断。我还有几个问题需要向你核实一下。1.宝贝的年龄,品种,体重。2.什么时候被蜱虫咬的。3.现在皮肤是特别明显的小疙瘩的吗,自己有没有想要抓挠舔舐,有局部皮肤照片可以上传一下。以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
年龄2岁,田园猫,体重正常,被蜱虫咬是在2个月前,之后就陆续在被咬周围(脖子下面)长小疙瘩,开始以为是个别的猫打架,但是发现疙瘩一直在,而且很多,可以小块小块扣下来,上面会粘连毛发,这几天不吃不喝,没有精神,总是在睡觉,不知道是不是因为这个原因,他自己不太挠,但很喜欢我给他挠
邓薄鸿
执业兽医师
您好,看到您描述的情况了,这种话确实是很大概率考虑一个蜱虫叮咬之后导致一个寄生虫性皮炎的问题了,这个的话就是会有细菌感染的可能也有可能和自身皮肤免疫抑制有关系。这种的话可以先给他局部涂抹****,同时配合口服鱼油提高自身免疫力,这样连续使用2到3周看会不会有所改善。已经根据您的情况为您开具处方,处方开出后,你可以通过处方自主选择购买药品。如果确定使用药物,请用药14天后复诊,根据宝贝恢复的情况来调整治疗方案
邓薄鸿
执业兽医师
是的,有病变的位置是需要把局部毛发剃掉,能够尽量把上面的分泌物都清理干净话就是清理干净之后再用药,这样效果会更好
邓薄鸿
执业兽医师
完全不吃不喝肯定是不可以的,这种情况没有呕吐的情况下可以说强制喂食一些流食或者是猫粮弄碎加水用注射器灌进嘴巴里了,要是这种超过36到48小时,同时猫咪状态也越来越蔫了,这个时候因为之前被蜱虫咬过就不能排除会不会有巴贝斯虫感染暴发的情况了
邓薄鸿
执业兽医师
就是如果说皮肤问题的话,咱们可以说就是可以在家用用药观察之类的。但是针对这种不吃东西等问题的话,如果真的是咱们刚才考虑的是不是巴贝斯虫感染了,这个需要到医院进行进一步检查就是血常规,血涂片,生化检查等,确定具体问题之后才能够进行专门的治疗的,这种疾病在家是没办法治疗的
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"244500":{"id":244500,"case_id":29455,"user_id":1401608,"to_user_id":1833595,"type":3,"content":"您好,看到您描述的情况了,这种话确实是很大概率考虑一个蜱虫叮咬之后导致一个寄生虫性皮炎的问题了,这个的话就是会有细菌感染的可能也有可能和自身皮肤免疫抑制有关系。这种的话可以先给他局部涂抹****,同时配合口服鱼油提高自身免疫力,这样连续使用2到3周看会不会有所改善。已经根据您的情况为您开具处方,处方开出后,你可以通过处方自主选择购买药品。如果确定使用药物,请用药14天后复诊,根据宝贝恢复的情况来调整治疗方案","media":{"images":{},"videos":{},"business_params":{"prescription_id":100444}},"is_doctor":1,"status":1,"created_at":"2022-01-15 08:26:38","show_rx":true,"rx_info":{"id":100444,"rx_no":2.0220115082622502e+24,"user_id":1833595,"doctor_user_id":1401608,"is_independent":0,"case_id":2574550,"pet_info":{"pet_id":0,"pet_name":"猫","pet_nickname":"猫","pet_gender":1,"pet_birth":"3-0","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"3岁"},"diagnose":"寄生虫性皮炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-15 08:26:22","updated_at":"2022-01-15 08:26:38","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":986,"prescription_id":100444,"doctor_user_id":1401608,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-01-15 08:26:22","updated_at":"2022-01-15 08:26:22","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":242,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-13 09:06:56","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1140,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":253,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-12 20:12:30"}},"1":{"id":987,"prescription_id":100444,"doctor_user_id":1401608,"product_id":874,"product_sku_id":915,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-01-15 08:26:22","updated_at":"2022-01-15 08:26:22","product_info":{"id":874,"hash_id":"7GDJdPpkrLxWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"9":170},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":118,"sell_point":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","recommend_reason":{"0":"用于猫咪红疹皮癣、非季节性脱毛","1":"用于猫咪毛发稀疏、毛色干枯无光","2":"用于猫咪眼神无光"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,修复皮肤屏障,毛发干枯,毛黄,掉毛,脱毛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/1283b0b0d39efc1eb0dcec3ab3cbd6ab.jpg","images":{"1":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/ceab749eb9b24f24c1e9575e217a681c.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/b41c2c08318f1c6bd2b4a292cb280c96.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:33:23","ins":{"id":118,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","common_name":"宠物营养补充剂","trade_name":"养毛护肤乳化鱼油","en_name":"EMULSIFIED DISH OIL","brand_name":"遇上阿萌","is_prescription":0,"cover":"\/drug\/2023\/09\/66d40511dbdf0772d17d9e98f211a6d0.jpg","specification":"50ml\/瓶","reference_price":98,"component":"深海鱼油、纯净水、虾油、鸡油、糊精、蔓越莓粉等","indication":"1.猫狗红疹皮癣。\n2.毛色干枯无光。\n3.猫狗毛发稀疏。\n4.猫狗非季节性脱毛。\n5.猫狗眼神无光。","usage_dosage":"1)看直接喂食,或放置于饲粮\/湿粮上喂食。\n2)每日每2kg体重喂食1ml。\n3)泵头完成按压1次约1ml。","contraindication":"","adverse_reaction":"","attention":"应避免儿童接触。不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预(2021)16288","storage_method":"本产品应储存于干燥、阴凉、通风、清洁处,防止高温、潮湿、暴晒","validity":"2年","manufacturer":"山东奥奈生物医药有限公司","status":1,"created_at":"2020-11-26 15:38:09","updated_at":"2023-09-12 14:34:04"}},"product_sku_info":{"id":915,"product_id":874,"title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","advword":null,"price":48,"market_price":68,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:26:32"}}},"drug_data_bak":{"0":{"id":986,"prescription_id":100444,"doctor_user_id":1401608,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-01-15 08:26:22","updated_at":"2022-01-15 08:26:22","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":242,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-13 09:06:56","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1140,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":253,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-12 20:12:30"}},"1":{"id":987,"prescription_id":100444,"doctor_user_id":1401608,"product_id":874,"product_sku_id":915,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-01-15 08:26:22","updated_at":"2022-01-15 08:26:22","product_info":{"id":874,"hash_id":"7GDJdPpkrLxWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"9":170},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":118,"sell_point":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","recommend_reason":{"0":"用于猫咪红疹皮癣、非季节性脱毛","1":"用于猫咪毛发稀疏、毛色干枯无光","2":"用于猫咪眼神无光"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,修复皮肤屏障,毛发干枯,毛黄,掉毛,脱毛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/1283b0b0d39efc1eb0dcec3ab3cbd6ab.jpg","images":{"1":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/ceab749eb9b24f24c1e9575e217a681c.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/b41c2c08318f1c6bd2b4a292cb280c96.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:33:23","ins":{"id":118,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","common_name":"宠物营养补充剂","trade_name":"养毛护肤乳化鱼油","en_name":"EMULSIFIED DISH OIL","brand_name":"遇上阿萌","is_prescription":0,"cover":"\/drug\/2023\/09\/66d40511dbdf0772d17d9e98f211a6d0.jpg","specification":"50ml\/瓶","reference_price":98,"component":"深海鱼油、纯净水、虾油、鸡油、糊精、蔓越莓粉等","indication":"1.猫狗红疹皮癣。\n2.毛色干枯无光。\n3.猫狗毛发稀疏。\n4.猫狗非季节性脱毛。\n5.猫狗眼神无光。","usage_dosage":"1)看直接喂食,或放置于饲粮\/湿粮上喂食。\n2)每日每2kg体重喂食1ml。\n3)泵头完成按压1次约1ml。","contraindication":"","adverse_reaction":"","attention":"应避免儿童接触。不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预(2021)16288","storage_method":"本产品应储存于干燥、阴凉、通风、清洁处,防止高温、潮湿、暴晒","validity":"2年","manufacturer":"山东奥奈生物医药有限公司","status":1,"created_at":"2020-11-26 15:38:09","updated_at":"2023-09-12 14:34:04"}},"product_sku_info":{"id":915,"product_id":874,"title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","advword":null,"price":48,"market_price":68,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:26:32"}}}}}}
微信扫一扫
立即问宠医