咨询描述：医生您好，我的小猫最近脖子处掉毛严重，细看有红点，然后给它用了下面的药，现在严重了，能麻烦您帮看看，是什么原因导致的，以及用什么药。谢谢！
回复总结：猫咪脖子下面出现掉毛还发红可能是真菌感染引起，也可能是细菌感染导致，确诊需要带猫咪去宠物医院进行皮肤刮片检查。如果暂时不方便就诊，针对症状可以先按照细菌感染用药治疗，需要给猫咪口服治疗细菌感染的药，同时外喷治疗细菌感染的喷剂。平时可以每月定期给猫咪做体外驱虫，做体外驱虫可以很好降低猫咪细菌感染的风险。猫咪皮肤病感染治疗周期比较长，一般需要用药一个月左右才会好转，用药期间最好给猫咪佩戴伊丽莎白圈。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，我初步分析猫咪是皮肤病的症状，但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪一岁大了，体重大概是6千克，出现皮肤红，脱毛掉毛的症状多久了，图片上的药膏是治疗人的皮肤真菌的，您给猫咪用了多长时间，猫咪其他部位有没有类似的症状，家里几只猫咪。
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西，有没有呕吐、腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
以上这些情况您仔细回忆后详细的描述给我，对我给宝贝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。另外，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
1、皮肤红脱毛症状有十天了，药用了3天，*****用了两天，******用了一天，其他部位没有，家里就一只猫。
2、猫养了有九个多月，平时吃鸡胸肉和猫粮，猫粮是新换的，鸡胸肉最近吃的比较多，没有呕吐腹泻症状。
3、都正常
4、没有打喷嚏、咳嗽等症状
5、目前状态良好，接种过疫苗，吃东西喝水正常，四月22号做的体内驱虫，自己买的药喂的
6、没有降温，趴在床上多一点
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，根据您的描述结合您发的猫咪患部的照片来看，猫咪皮肤的症状有可能是真菌感染，也就是猫癣，也有可能是细菌感染，需要做临床检查方可确诊，但是根据我个人的接诊经验来看比较像细菌感染，需要给猫咪口服治疗细菌感染的药，外喷治疗细菌感染的喷剂，一般需要每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低毛病细菌感染的风险。皮肤病感染治疗周期比较长，一般需要用药一个月左右才会好转，猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈（猫咪感染的部位在脖子，担心戴伊丽莎白圈摩擦的皮肤疼，如果有影响建议不戴）再把猫咪的指甲修剪平整，防止猫咪出现抓挠，舔舐的症状，会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒，以后每周消一次毒，猫窝拿出去晒晒太阳，有助于杀菌消毒，您自己照顾完猫咪也需要洗手、消毒，以上建议您可以参考一下。
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.***对猫咪皮肤细菌引起的炎症作用效果比较好，按猫咪的体重用药；2.****抑菌药膏对猫咪皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买（您先用药观察症状，必要时做临床检查）
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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