咨询描述：猫咪猫藓老好不了。一直在挠，痒得很，有时候都会咬破。用了药浴，之前只有耳朵上有，现在长到肚子上了，也有涂药（碘伏+盐酸特比奈酚）
患病时长：四个月
用药情况：碘伏+盐酸特比奈酚
回复总结：针对猫咪肚子上挠破了的情况，需要领猫咪做一个临床的检查，看一下猫咪是真菌引起的还是细菌引起的，再对症治疗效果会比较好。可能是细菌性皮肤病，所以如果是细菌性的皮肤病，正常给他用盐酸特别奈芬是没有作用的，需要给他口服治疗细菌性皮肤病，还有需要涂抹治疗皮肤病的药膏，配合使用效果会比较好。
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.您家猫咪六个月大了，体重大概是七千克
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
7.家里一共几只猫咪，其他猫咪有没有相似的症状，猫咪猫癣是去宠物医院确诊的吗，伍德氏灯下是有荧光绿吗，正常您给猫咪用药多久了
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。
体重是7斤，我们养了快四个月。吃喝拉撒很正常，平时也就吃***鸡肉粮。精神状态很好，就是他带着圈也要舔毛，他觉得很痒。打了疫苗了，也按时做驱虫，没有咳嗽打喷嚏。居住的环境也没有降温，平时趴地上和垫子上有时候还趴床上，时间差不多。猫藓是拿灯照出来的，用药用了三个月了，好了一处又长出一处新的，最近变严重了，但是我们灯坏了，没法判断肚子上是不是猫藓。平时用的碘伏+盐酸特比奈酚。
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，猫咪吃饭喝水正常，拉粑粑、排尿也正常，环境没有突然降温，没有出现咳嗽，打喷嚏，流鼻涕的症状。猫咪目前的这个症状是皮肤病的症状，但是不确定是真菌感染（猫癣的）还是细菌性皮肤病，具体您需要领猫咪做一个临床的检查，看一下猫咪是真菌引起的还是细菌引起的，再对症治疗效果会比较好，因为从图片来分辨。猫咪患部症状不像是真菌引起的猫癣（有时候伍德氏灯照，出现荧光绿也不一定是猫癣，照到穿的毛衣上也会出现荧光绿，所以单凭灯光不能确诊）比较像是细菌性皮肤病，所以如果是细菌性的皮肤病，正常给他用盐酸特别奈芬是没有作用的，需要给他口服治疗细菌性皮肤病，还有需要涂抹治疗皮肤病的药膏，配合使用效果会比较好。
我们现在在西安，没发出去看医生买药，家里就只有这些药，只能有啥给他用啥，不能让他变严重。您这边有啥建议？有啥药能推荐下吗？我们也有用酮康错药浴。
刘文飞
执业兽医师
您好，猫咪主人，酮康挫也是治疗真菌感染的，也就是猫癣，猫咪目前脱毛掉毛，比较痒，会抓挠，舔舐，不舒服，根据狗狗的情况，我给它开个处方。处方里面的1.阿莫西林克拉维酸钾，对狗狗的皮肤发红炎症作用效果比较好，按狗狗的体重用药；2.佛本尼考溶液抗菌止痒，消炎止痛作用比较好，您可以根据需求自行选择购买
刘文飞
执业兽医师
您好，不建议用了（最好给猫咪做临床的检查，确诊之后用药效果比较好）或者建议您换药试试，处方有推荐您，您参考一下
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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