咨询描述:患病时长:一周
症状描述:6月大的幼犬,洗澡剃毛几天后发现皮肤上有一个圆形伤口,过了一天又发现附近也有同样伤口,背部4个和腿部1个,其他部位暂时没有发现。另外,眼睛也发炎,眼皮红肿,白眼球有红血丝。狗狗没受过外伤,没被其他狗狗咬过。最近精神不振,食欲不佳,不怎么吃不怎么喝,昨天拉屎后发现肛门处流血状液体,但大便成型没有带血,发烧40.1度。今天去附近宠物诊所打了消炎针、止痛针、退烧针。
医院检查:医生说是放线菌感染,因为在县城里,没条件做更详细的检测
用药情况:
回复总结:狗狗放线菌感染,发病后全身出现烂洞的情况,临床上可以治疗,但预后不良,即使治疗,控制炎症,效果也不佳,狗狗仍会有生命危险。治疗主要是需要尽可能多地切除病变组织,实施广泛性切除手术,手术有可能会使感染扩散,风险比较大,还需要需要长达一个月几个月的全身使用抗生素,即使临床症状完全消失后也要连续用药。这种情况建议住院治疗,因为皮肤还会烂洞,建议交给专业的医生治疗,后期看狗狗恢复情况。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,狗狗主人,狗狗皮肤的症状确实是放线菌感染的症状,发病后全身出现烂洞的情况,临床上可以治疗,但预后不良,即使治疗,控制炎症,效果也不佳,狗狗仍会有生命危险,您需要有一个心理准备,治疗主要是需要尽可能多地切除病变组织,实施广泛性切除手术,手术有可能会使感染扩散,风险比较大,还需要需要长达一个月几个月的全身使用抗生素,即使临床症状完全消失后也要连续用药,这种情况建议住院治疗,因为皮肤还会烂洞,您自己也处理得不是很专业,建议交给专业的医生治疗,后期看狗狗恢复情况
她这个放线菌是什么引起的呢,只有住院治疗才能解决吗?治愈率高吗?马上春节,我们这边宠物医院春节一周不营业,我应该怎么办
刘文飞
执业兽医师
您好,狗狗主人,放线菌病主要是放线菌穿透皮肤或进入狗狗身体之后,攻破免疫系统引起的一种全身感染疾病(主要破坏了免疫系统)临床上治愈率不高,您要有心理准备,最好住院,但是马上春节,如果住不了,您就和医生沟通,打长效消炎药
她第一次来例假,这个乳腺下面有一个肿块,也是因为放线菌引起的吗
为保护用户隐私不显示图片/视频
这边宠物医院实在没条件,我这边问了学兽医的朋友,让清创后用***药膏摸,可以吗
刘文飞
执业兽医师
可以用,***具有消炎止痛,活血化淤的功效,那您想给狗狗用上,戴上伊丽莎白圈,防止抓挠舔舐。
好的,医生,这个是脓皮症吗?脓皮症跟放线菌更倾向于哪一个
刘文飞
执业兽医师
您家狗狗倾向于放线菌,脓皮症也是全身发作,会出现红疹,疱疹,不会出现这么严重的溃烂
医生,您好,我这边医院找广州的医生问了一下,因为没办法做刮片送检,根据照片视频判断是脂膜炎。它打完三针疫苗加狂犬疫苗后做了一次抗体检测,细小一级,犬瘟六级,医生说细小太低,建议补打一针疫苗。补打的时候狗狗乱动,针扎穿皮肤,液体流出来了,我不确定有没有注射进去,医生又重新弄了一针疫苗给狗狗注射进去了。是否和打疫苗有关系呢?腿上的伤口今天晚上又挤出来了豆沙色液体。想听听您的意见,肉眼判断是否是脂膜炎,如果是脂膜炎的话要如何用药如何治疗,好治吗
刘文飞
执业兽医师
您好,狗狗主人,根据我的临床接诊经验分析,打疫苗造成的可能性不大,如果打疫苗扎穿皮肤,流出来液体,这个液体是鲜血就是正常的,如果说流出黄色的液体,或者流浓汁,说明狗狗皮肤已经在发生病变了,当时可能没太在意,豆沙色的液体是流脓血的症状,我这边认为不太像脂膜炎的症状。
昨天晚上腿上这个伤口又挤出了一点脓血,背上伤口下面又发现一处还没破的紫黑色小肿块(视频中有拍到)请问这个是什么情况,要弄破还是不去动它?马上春节,周边医院都关门,身上的这些伤口是需要怎么处理呢?
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,需要把毛毛剃掉,用双氧水消毒,消完毒涂抹您前面提到的***,如果无法输液,就需要口服消炎,戴上伊丽莎白圈,把指甲修剪平整光滑,防止抓挠舔舐的情况但是面对这种全身感染严重的症状担心出现败血症,一旦出现败血症狗狗会有生命危险
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,对狗狗皮肤炎症作用效果比较好,按狗狗的体重用药;您可以根据需求自行选择购买
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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