咨询描述:猫咪后脖颈,耳后和咽喉位置都答应有红色结痂,只有耳后的位置是他自己能挠到的地方,其他两处都挠不到。家里只有一只猫,他平时玩的地方也没有锋利的物品。伍德氏灯也照了,没有荧光反应。
回复总结:猫咪后脖颈有红色的结痂,实际上,真菌的可能性会比较高,因为通常来说,只有真菌会比较明显的表现出这个症状。但是并非所有的都可以通过伍德氏灯照出来。对于这种情况来说,一般都是建议口服一些抗真菌药物和补充剂用于治疗。因为瘙痒是真菌感染的一个典型症状,必须佩戴伊丽莎白圈。
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长对这种情况来说,能不能拍摄几张照片发过来看一下?我想问一下,猫咪耳朵里面有没有油脂或者脏东西?耳朵后面的一些问题,还有脖子下面,并不一定是真菌,也要考虑一下耳螨,或者是中耳炎的可能性。家里面有没有棉签?尝试着给猫掏一下耳朵,看一下里面是不是脏东西比较多?或者是不是里面有油脂?猫耳朵里面有没有发红?
耳朵里干净的,颜色也正常,体外驱虫8月份做的,体内驱虫好像超过半年没做了。3月份打完的疫苗。上传的图片第四张耳朵位置那一小块是胎记,从小就有的。吃喝拉撒都正常的,精神状态也挺好,没有频繁打喷嚏,不流鼻涕,眼屎也不多。他怕洗澡,所以就春节前用免洗手套给擦过一次。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,耳朵里面是干净的,所以暂时先不考虑耳螨。但是能不能指出结痂的位置?因为我并没有发现特别明显的异常症状,虽然结痂看上去有的,但是从临床症状上来看,真菌的可能性也不是特别高。平时的话抓挠的特别特别厉害吗?还是说次数并不多?
抓挠和舔毛比平时次数多一点,但不是特别频繁,掉毛比以前厉害了。下巴的地方结痂开始褪了,看着有点像人的头皮屑。平时吃罐头多一点,猫粮吃的少,大概三分之一的样子。不吃生肉。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
实际上,对于这几张照片来看,真菌的可能性会比较高,因为通常来说,只有真菌会比较明显的表现出这个症状,但是并非所有的都可以通过伍德氏灯照出来。对于这种情况来说,一般都是建议口服一些抗真菌药物和补充剂,用于治疗。因为瘙痒,实际上是真菌感染的一个典型症状。
还有就是屋子里面是不是长时间不太见阳光?
自从家里通地暖之后,小家伙确实不怎么晒太阳了,都是在地板上趴着的,差不多有十来天不好好晒太阳了。有没有可能是脂溢性皮炎?
徐灿
执业兽医师
这种情况和脂溢性皮炎没有关系,脂溢性皮炎一般都是区域状的掉毛。而且会有一定的油脂,但是和它的症状不符合。他这种情况主要考虑的实际上还是真菌的一个感染。后续主要还是建议增加抗真菌药物
徐灿
执业兽医师
我帮你开了一个常用的方案,后续的话你可以参考使用,但是一定要注意,首先就是用药时间会比较长一些。症状以后还需要坚持用药一周,这么做的主要目的,主要是避免复发。
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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