咨询描述：你好 狗狗得了狗藓涂了药 有些地方完全好了 有些地方越来越严重 这是怎么回事
回复总结：狗狗得狗癣涂药后症状严重，考虑是由于使用抗真菌药膏或者喷剂进行局部治疗效果不理想，建议使用口服药物进行全身治疗。由于小孢子等真菌主要在狗狗皮肤免疫力低下时感染，所以建议在给狗狗使用口服抗真菌药物治疗的同时，给狗狗口服增强皮肤抵抗力的药物。狗狗真菌感染治疗周期大概7-15天，建议在皮肤症状消失后再继续服用3-5天。
问题大致一样，细节不同？
陆文健
执业兽医师
麻烦您拍几张狗狗狗癣的照片给我，另外还有几个问题需要向您核实一下：1、狗狗品种？年龄？体重？2、狗狗真菌感染有多长时间了？主要发生在什么部位？有没有频繁挠痒痒？3、您给狗狗使用的是什么药物进行治疗？把药物名称告诉我。以上这些情况您仔细回忆后详细的描述给我，对我给狗狗目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
1岁的柯基犬，30斤。上个月19号发现的小红疙瘩，结痂掉毛，一直涂****了，一周左右发现涂抹的地方好了，但是全身其他地方有很多处都长了结痂。后来又洗了2次药浴，用的是******浴液，用了之后大部分都好了，但是现在脖子下面和侧面还有肩膀附近越来越红，都红的成黑红色了，面积也在扩大！现在狗狗总是挠，以前不挠。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
您的照片已经看到，但从照片上来看，不像是真菌感染（狗癣），真菌感染部位一般掉毛都是比较严重。您的狗狗是怎么确诊为狗癣的？
它一开始身上其他地方是小红疙瘩，有圆形结痂，还掉毛掉皮屑，宠物医生说的是狗藓，狗藓的地方已经好了，现在脖子的地方是什么病？我给你发它以前狗藓的照片，现在脖子这的跟以前症状不一样，但都是一起得得病。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
根据您的照片结合您的描述的信息，您的狗狗应该是小孢子菌感染，小孢子菌也属于真菌的一种，您使用的***（一种抗真菌的药膏）和抗真菌洗浴液有效。目前您的狗狗脖子周围等部位也发生感染，可能需要口服药物****进行治疗，局部用药效果不好。以上建议供您参考，如果需要开具处方，请完善您的狗狗的资料（品种、年龄、体重、公母、有无免疫、有无驱虫），也可以直接申请处方，在申请时填写狗狗的资料。
请问吃口服的药同时外用药还继续用吗？治疗周期还需多久？现在已经治疗20多天了！
陆文健
执业兽医师
口服药物的同时一般不需要外用药，治疗周期大概7-15天，在皮肤症状消失后，再继续服用3-5天。
陆文健
执业兽医师
您的狗狗全身小孢子菌感染，使用抗真菌药膏或者喷剂进行局部治疗，可能效果不是很理想，建议使用口服药物进行全身治疗。由于小孢子等真菌主要在皮肤免疫力低下的情况下感染，所以建议在使用口服抗真菌药物进行治疗的同时，口服******，增强皮肤对真菌的抵抗力，下面我给您的狗狗开一个处方供您参考。
陆文健
执业兽医师
建议处方：1、********，30mg×30片/盒，一次口服1.5片，一天1次，连用7-15天，在皮肤症状消失后，再继续服用3-5天。2、*********溶液，70ml/瓶，一次口服4ml，一天2次，连用7天以上。
陆文健
执业兽医师
几点说明：1、口服****，不需要外用药物，也不需要洗药浴；2、请用药5天后复诊，根据您的狗狗的恢复的情况再来考虑是否需要调整治疗方案，有问题可随时在线联系。
请问这个药我在药店能买到吗？或者说什么药比较容易买到又能平替您开的这个药
陆文健
执业兽医师
您可以去宠物医院购买，药店也有****，但医生本人和平台是不支持给宠物使用人用药的，该用药的治疗效果及意外风险无法承担，还请您考虑后采纳。
陆文健
执业兽医师
感谢您对蘑菇宠医的信任，如果我的回答能够帮助到您，请您在咨询结束后留下5星评论。后续宠物有其它问题，您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。谢谢您的支持和鼓励，祝您的爱宠早日康复！
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
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