回复总结：猫咪出现头顶长好多疙瘩的情况，考虑是细菌性感染引起的毛囊发炎或者真菌感染引起的猫癣问题。如果有条件可以带猫咪去宠物医院做基础的皮肤病检查，确诊是什么类型的皮肤病，然后在准确的用药。如果暂时不方便带猫咪到医院检查，可以给猫咪使用碘伏抗菌消炎处理，碘伏对真菌和细菌都有比较好的抗菌效果，每天使用两次，一般一周左右的时间应该会有很明显的改善。
问题大致一样，细节不同？
魏新立
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.宝贝现在多大了呢？平时有没有按时做好体外驱虫呢？
2.头顶上的疙瘩是突然间出现的，还是有一段时间了呢？猫咪有没有瘙痒的不适症状呢？
3.有没有宝贝头顶疙瘩部位清晰一点的照片呢？我可以看一下吗？临床上主要鉴别诊断细菌性感染引起的毛囊发炎或者真菌感染引起的猫癣问题，如果有条件可以给宝贝做基础的皮肤病检查，确诊是什么类型的皮肤病，然后在准确的用药，皮肤病检查的费用通常在¥40左右。暂时不方便带宝贝到医院的话，我们可以给宝贝使用碘伏抗菌消炎处理，碘伏对真菌和细菌都有比较好的抗菌效果，每天使用两次，一般一周左右的时间应该会有很明显的改善。
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。
猫咪是德文，6个月左右，体重不太清楚，刚到我家里半个多月，之前做过驱虫，头顶的痘痘来了之后才长的，差不多一个礼拜前发现的，一开始就一点点没怎么注意，后来越来越大。瘙痒的话好像一般，没看他挠头顶（不排除挠不到），脸两侧和耳朵但是有挠，照片我发你，有的。
魏新立
执业兽医师
可以的，我认为更大的可能性，就是最常见的毛囊发炎，引起的局部肿胀，不过我们最好还是能给宝贝做基础的皮肤病检查，来排除看会不会有猫癣的问题，因为猫癣和普通的毛囊发炎的治疗方向还是有一定的区别。
因为他没掉毛，所以身边朋友说应该不是猫藓，如果是毛囊发炎的话要用什么药呀？还有就是他最近有点呼哧呼哧的，不知道是不是空调开的原因，像鼻涕一样，有时候还会打喷嚏
为保护用户隐私不显示图片/视频
魏新立
执业兽医师
不能吹太冷空气的空调的，本来牠的毛发就比较浅，吹冷空气，很容易引发呼吸道感染的问题。如果是毛囊发炎，我们可以给宝贝使用抗菌消炎的药物，我推荐一个我们临床上常用的，您可以参考了解一下。
昨天带它去医院检查呼吸道了，回去看它猫粮没怎么吃，还有喉咙咯痰的呼吸声。头上那个基本就是毛囊炎，但是报告我没太看懂，这个严重吗？需要吃什么药嘛
为保护用户隐私不显示图片/视频
魏新立
执业兽医师
还是挺严重的，常见的物种呼吸道微生物感染就有三个，像杯状病毒是没有办法完全根治的，我们可以给宝贝使用抗菌消炎的药物，配合使用抗病毒的干扰素，干扰素需要到附近的动物医院皮下注射。
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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