咨询描述:医生你好。
症状描述:我家猫咪的嘴旁边长胡须的稍下方四天前突然掉毛了一小片,但是第二天长出来了新的小小的细毛,还有接了一点点痂,我们以为是伤,没有管,但是今天又突然在那个地方秃了一片,范围有所扩大,细看有黑色的小点,所以那个是受伤的还是毛囊炎还是猫癣呢,该用哪些药物,谢谢医生。
患病时长:四天
回复总结:猫咪嘴巴掉毛,还有结痂黑点,考虑是毛囊炎的症状。资料上,需要给猫咪患部清创,用生理盐水清洗。然后,口服治疗毛囊炎的抗生素,外抹治疗毛囊炎的药膏。饮食方面,需要给猫咪清淡饮食。另外,建议每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫。毛囊炎感染周期比较长,用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪出现抓挠、舔舐的症状。
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,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.您家猫咪一岁一个月大了,体重大概是两千克,猫咪多久做一次体内体外的驱虫,最近一次驱虫是什么时间,猫咪有没有被火烧,皮肤的症状多久了,其他部位有没有类似的症状
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,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
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.还没有做过驱虫,没有被火烧过,出现炎症已经四天了,其他部位没有出现过类似炎症。
2.养她八个月了,平时吃的是猫粮,还有鸡肉的猫条,金枪鱼的猫饼干,没有给他喂过其他的东西,平时也不吃肉类,但是最近我发现它它在捉苍蝇吃,!不知道是不是这个的原因,它捉苍蝇根本挡不住,两三天捉两三只这样,大概持续一个月了,但是没有呕吐过也没有腹泻。
3.猫咪的喝水,吃饭,排便,排尿都可以,但是比较嗜睡,不怎么喜欢玩。每天上午和下午还有晚上都会睡很久很久,活动时间大概不到八个小时。
4.没有咳嗽,打喷嚏,流鼻涕的症状,最近两天内有给他喂活性益生菌,每天2克左右,掺在猫粮里。
5.目前精神状态很好,有吃过东西和喝水,但是没有打过疫苗,没有做过驱虫。
6.没有突然降温,她睡在垫子上。但是由于最近气温比较高,她喜欢趴在木地板上。
7.一周之前她在我奶奶家呆过二十天,那边在村里有那些野猫,有没有可能是在那边传染过来的呢,刚刚带回家第一天和第二天也没有发现她的炎症,第三天突然看到嘴巴哪里一坨毛没了,持续了两天没有变大,今天突然变大了两倍左右。
刘文飞
执业兽医师
您好,猫咪主人,收到您发的图片,结合猫咪的具体症状来看,猫咪皮肤的症状是毛囊炎的症状,毛囊炎和猫癣比较相似,毛囊炎的症状起初为小黑点,后转变为脓疱疹,常出现在下巴以及背部、尾部,猫癣的症状为圆形、不规则形或者全身性的脱毛,伴有皮屑,有些还可能有红斑、丘疹和结痂。可全身性发作。猫咪毛囊炎需要给猫咪患部清创,用生理盐水清洗,然后口服治疗毛囊炎的抗生素,外抹治疗毛囊炎的药膏,一般需要给猫咪清淡饮食,然后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,清淡饮食可以很好的降低毛病感染毛囊炎的风险。毛囊炎感染周期比较长,一般需要用药一个月左右才会好转,猫咪皮肤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,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。猫咪住的环境需要保持干燥,然后彻底的大消毒,以后每周消一次毒,猫窝拿出去晒晒太阳,有助于杀菌消毒,也可以让猫咪适当的晒晒太阳,不能晒的时间长,晒的时间长了猫咪患部会出现比较痒的症状,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。
谢谢医生,不过需要清淡饮食的话,猫条和饼干还能不能喂呢,我怕它光靠猫粮会饿死呜呜呜~还有毛囊炎会不会威胁到她的生命呢
刘文飞
执业兽医师
您好,猫条、饼干可以吃,您把量控制一下就可以了,主食以猫粮为主,毛囊炎前期不会危及生命,但是后期严重后出现败血症会危及生命
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.马坡沙星对猫咪毛囊炎引起的炎症作用效果比较好,按猫咪的体重用药;2.氟苯尼考溶液对猫咪皮肤消炎抑菌效果比较好,您可以根据需求自行选择购买
好的,谢谢医生,能确定不是猫癣吗(没有怀疑您的专业性判断,只是想再确认一下)谢谢医生
刘文飞
执业兽医师
您好,猫咪主人,根据我个人的临床接诊病例判断是毛囊炎,您要是不太放心,可以领狗狗做一个临床检查,因为毛囊炎和毛癣的症状比较类似,一般会混淆。
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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