回复总结:猫咪耳朵外侧皮肤变黑,可能是猫癣和马拉色菌混合感染导致的。治疗方面,建议给猫咪使用宠物专用消炎杀菌的外用喷剂,一天一次,连用14天,之后停7天,再用14天。另外,也可以给猫咪服用含有伊曲康唑成分的药物,口服药可能痊愈得更快,也不会导致皮肤毛囊受损。注意,口服药物有一定的肝脏副作用,需要定期监测肝功能。
问题大致一样,细节不同?
郭秋萍
执业兽医师
由于您在提问里面没有描述您家宝贝的基本情况以及您的问题,您现在可以先详细的描述一下。包括但不限于1.给我讲一下宝贝的基础信息,像是品种、年龄、体重、是否绝育等2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看)3.它这样子多久了?4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看)5.是否用过药?用药的详细情况都讲一下。
最开始去给猫咪检查,宠物医院说耳朵里面马拉色菌感染,有棕色脏东西附在耳朵上面,开了***,用药之后越来越严重,耳朵下面因为药流出来猫咪频繁抓,抓伤之后开始变黑,又去检查,猫藓感染,让耳肤灵停药,开了7天****,其他药说不让用了,没有好转,皮肤越来越黑,耳朵里面也是很脏,自行买了***滴耳液滴耳朵,脏东西有好转,***洗耳朵外面瘙痒明显变少,猫咪也不怎么抓了,就是皮肤黑色变浅,洗不掉范围变大,我现在了就是不清楚猫咪到底是什么感染,黑色的怎么一直不掉最后一张图是现在的样子,黑色变浅了
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你的描述来看,猫咪的皮肤变黑,一方面是因为皮肤疾病破坏了皮肤的正常结构,另一方面,也是最主要的方面是药物刺激造成了黑色素沉着。
这种黑色素沉着,一部分会在用药停止或者皮肤病好转后,逐渐恢复,一部分可能永久出现黑色素沉着了。
至于耳朵以及周边皮肤的感染,确诊是需要做耳道镜检和皮肤刮片镜检,真菌培养来诊断的,不知道有没有做这方面的检查?
从你描述来看,我推测,它的耳道多半是马拉色菌感染,皮肤可能是猫癣感染,也可能马拉色菌混合猫癣感染。
耳朵里面现在很干净,外面皮肤是黑的,硼酸冰片和洁尔阴可以继续用吗,在黑色区域在宠物医院做过刮片是猫藓感染
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
猫咪耳朵里面很干净,就说明耳朵里面没有问题了。
外面皮肤刮片确诊是猫癣,那就是猫癣。
你提到的****对猫癣是没有治疗效果的,所以没有必要使用。****是人用洗剂也不建议给猫咪用,因为猫咪的皮肤和人的皮肤不一样,很容易导致皮肤二次伤害。
它目前这种状态,你可以给它局部擦***,一天一次,连用14天,停7天,再用14天。也可以什么外用药也不擦,直接口服****。口服药可能痊愈的更快,而且也不会导致皮肤毛囊受损。不过口服药物有一定的肝脏副作用,需要定期监测肝功能。
郭秋萍
执业兽医师
根据小白的情况,我给它开个处方。处方里面的
1. ***,一天两次,喷于患处,避免流入耳道
2.****,一天两次,一次半片,吃7天,停7天,再吃7天,为一个疗程,可能需要2-3个疗程。
郭秋萍
执业兽医师
不推荐使用***,他会加重局部的皮肤发黑。尤其是单纯的特比萘芬成分的喷剂,或者添加有地塞米松成分的混合喷剂。
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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