猫咪耳朵边缘变黑

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患宠信息:银渐层/妹妹/8个月

咨询描述:猫咪6个月大,银渐层,母,有耳螨,一直在用药,大概一个月前发现耳朵边缘处变黑,很轻微没有在意,最近渐渐扩散如图。

回复总结:猫咪出现耳朵边缘变黑的症状,可能是耳螨,也有可能是真菌感染导致的毛囊炎。针对这种情况,建议先使用具有抗菌作用的洗耳液给猫咪清洗耳道。如果洗耳液的效果不好,建议再使用棉球蘸硫磺皂水清洗发黑的部位,然后使用酒精轻擦,擦完后使用针对真菌感染的软膏涂抹,持续用药七天以上,直到猫咪康复即可。

问题大致一样,细节不同?

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陆文健

执业兽医师

根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您了解一下: 1、治疗猫咪耳螨使用后的是什么药物?把药物名称以及主要成分告诉我; 2、经过1个月的治疗,猫咪耳道还有没有较多的褐色分泌物,以及猫咪还有没有甩头和挠痒痒的动作? 3、您的猫咪耳廓部位发黑比较严重,我怀疑可能由真菌感染导致毛囊炎造成,您使用酒精棉球,轻轻擦黑色的部位,看看能不能擦一些黑色的下来? 4、猫咪耳廓黑色的部位有没有瘙痒?是两个耳朵还是一个耳朵?

1,外用的是**➕***,两三天一次,中间有中断后反复。驱虫用的***和***,这个月刚刚用(之前没有)。 2,有好转,但还是会有沉积物分泌,基本上2天不清理就会看见褐色膏状分泌物,有甩头和抓挠。 3,可以擦拭黑色一些下来,有部分像是沉垢,但底下的部分又擦不掉。 4,有,之前还抓出血了,耳廓红肿。

陆文健

执业兽医师

关于您的猫咪耳螨的问题: 您使用**清洗耳道后使用***应该是有效的,***含有杀虫以及抗真菌药物,对于耳螨应该有效,但目前来看,治疗一个月,还没有恢复,可能的原因是:1、***需要一天使用1次,由于***是药膏,需要将药膏挤入耳道后,要按摩耳部,尽可能让***在耳道内均匀分布;2、您的猫咪可能还不是耳螨,可能是真菌感染(和耳螨症状比较相似),治疗真菌感染,***的效果没有******滴耳液要好,我建议使用10天*** 滴耳液,观察效果。 关于猫咪耳廓发黑的问题: 我的判断可能是真菌感染,导致的毛囊炎,治疗方法:先使用棉球蘸硫磺皂水清洗发黑的部位,然后使用酒精轻轻擦,可能会擦掉一部分黑色,然后使用*****软膏涂抹。也就是:硫磺皂清洗----酒精消毒擦洗----*****软膏抗真菌。

陆文健

执业兽医师

建议处方: 1、*******滴耳液,10ml/瓶,用泵给药适量(大概1ml),一天1次,连用7天,(针对耳道所谓耳螨治疗); 2、*******软膏,15g/支/盒,适量涂抹患处,一天2-3次,连用7天以上(针对耳廓真菌感染)。 处方里面的:1、******滴耳液,针对耳道内真菌感染有效;2、******膏,对真菌感染的皮肤病有效。

好的谢谢医生 是真菌感染的话 算不算猫藓?是否要和人隔离呢?

陆文健

执业兽医师

应该是马拉色菌,也是真菌的一种,虽然理论上可以感染人,但您只要适当防护一下,比如带一次性手套,治愈前尽可能少和猫咪直接接触就可以了。

大概多久可治愈?

陆文健

执业兽医师

请用药1 周后复诊,根据您的猫咪恢复的情况再来考虑是否需要调整治疗方案,

是否有内服抗菌药可以一起配合治疗呢?

陆文健

执业兽医师

不需要内服抗生素进行治疗,没有必要。

对了医生 猫是只有一只耳朵变黑 不影响诊断吧?

陆文健

执业兽医师

不影响诊断,就处理那只变黑的耳朵就可以了。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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