咨询描述:医生你好,我家猫咪是布偶猫,九个月了,做了呼吸道五项确诊了疱疹病毒阳性,但没有什么症状,吃喝拉都正常,需要去打一周针治疗吗,然后脖子这里一直挠和舔,给它剃毛了发现皮肤上都是这样的黑点点,有点扩散到前腿那边了,这是猫藓吗
回复总结:猫咪疱疹病毒阳性,首先它的疱疹病毒的问题,虽然它的pcr检测结果呈阳性,说明它自身携带疱疹病毒,但只要没有出现发病的症状,也就是出现我们所说的猫鼻支症状如打喷嚏、结膜炎、角膜炎等,那就不需要打针治疗。因为也没有针对性的针药去预防。这种情况不如给它口服赖氨酸、牛磺酸,降低它发病的风险即可。
问题大致一样,细节不同?
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。首先说一下它的疱疹病毒的问题,虽然它的pcr检测结果呈阳性,说明它自身携带疱疹病毒,但只要没有出现发病的症状,也就是出现我们所说的猫鼻支症状(如打喷嚏、结膜炎、角膜炎等),那就不需要打针治疗。因为也没有针对性的针药去预防。这种情况不如给它口服赖氨酸、牛磺酸,降低它发病的风险即可。
然后是皮肤的问题,如果它存在反复抓挠、舔舐自损的行为,说明它有明显的瘙痒症状。在没有其他临床症状的情况下,可以考虑对症治疗,也就是使用抗炎药按照异位性皮肤病进行止痒,同时配合针对异位性皮肤病的药浴香波进行处理,看能否缓解它目前的瘙痒症状,不建议剃毛。您所看到的黑点,是毛囊表现出的症状,且不符合典型的猫癣引起的特征,个人判断并非猫癣。
(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
我去线下医院那个医生看了一眼就说是藓,我说做个镜检,她说不用,就是藓,然后要我买了一个瓶纽诺宠肤清喷,但是我这喷了快一周了也不见好,而且搞得它毛黏黏的,舔的更严重了,带着圈把圈和下巴都舔得湿湿的,我以为是藓,就给剃开就毛好上药,唉,它应该是痒的,那该吃啥药呢
周琪林
执业兽医师
一般情况下,我们都无法通过肉眼去判断是否为猫癣感染的,需要借助仪器,如显微镜、伍德氏灯、真菌培养皿等。虽然猫癣在临床上有一些比较典型的症状,例如表皮环、鳞屑等,但当出现时,我们只能说猫癣概率较高,但并不能确诊。而在猫癣治疗过程中,我们也不推荐使用外用刺激的喷剂去治疗,因为猫咪本身属于有洁癖的动物,身上如果占有异样的物质,就会想办法去舔舐干净,加上药物刺激,猫咪皮肤较为脆弱,也可能引起医源性的问题,反而不利于皮肤病恢复。因此,如果确诊为猫癣,我们是更建议口服抗真菌药物+治疗真菌的药浴香波进行全身性治疗,而不是用喷剂进行局部性治疗。
针对瘙痒的话,再没有确诊具体引起瘙痒的病因时,可以考虑口服泼尼松龙来缓解它瘙痒的症状。一般对于异位性皮肤病,建议连续使用泼尼松龙治疗一周时间。同时定期配合治疗异位性皮肤病的药浴进行症状的控制。
好的,它皮肤这种黑点点只有在它舔得多的地方有,其他地方是皮肤挺白净的,而且感觉有慢慢变多,不过没有掉毛,这个没关系吗?
周琪林
执业兽医师
这种黑点点只要没有形成严重的痤疮,或者其他的继发性感染,是不用治疗的。其实很多猫咪都有类似问题,最常见的就是当猫咪出现黑下巴时,这个黑点就十分明显,这有点类似于我们人的粉刺,我们可以通过一些去油洗护用品,达到清洗毛囊的目的,猫咪则不可能随时去洗澡清理毛囊。所以,只要没有形成痤疮,就不需要治疗。如果是局部清洗,可以考虑使用水杨酸类的清洗液去清洗。
好的,谢谢医生,这个是我和线下那个医生的聊天,她说我家猫咪那个疱疹病毒一岁前打一周针和干扰素那些的话可以防止以后发病,有这种说法吗,因为我看大家都说这个病毒会终身都有,然后它现在也没症状,之前是有点打喷嚏我给它吃了三天速诺也好了,就很纠结要不要去打
为保护用户隐私不显示图片/视频
周琪林
执业兽医师
这个没有科学依据。干扰素的主要作用是抑制病毒复制的药物,一般在病毒大量复制时使用,而且目前临床上也有干扰素眼药,不一定非得去打针治疗。疱疹病毒通常是潜伏在猫咪三叉神经细胞内,一旦感染,终身携带,但同时也可以刺激机体产生抗体。只有在发病期,病毒会大量复制,所以如果自身免疫力强,抗体充足的猫咪,其实即使携带这个病毒,也不一定会出现发病的症状。
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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