咨询描述：症状描述：长毛猫，毛发长期打结，发现脖颈和腋下的毛秃了才带去医院看，医生把毛都剃了，也做了镜检说是真菌和细菌感染的皮肤病。
毛剃了之后小猫特怕冷，昨天晚上连打了十好几个喷嚏，今天摸他鼻头都干了。今天很没精神。
患病时长：一个星期左右，每天坚持上两遍药，一周一次打针，已经打过两次了。昨天晚上给他吃了口服的药。
用药情况：喷的是肤康和百肤康，涂复方酮康唑软膏。口服的药片不知道叫啥大夫就说是治皮肤病的。打针是消炎的和抗真菌的。
因为小猫才绝育完不长时间，所以没给药浴。
问题：1.大夫让每星期都去打针，用了一个星期药感觉没啥效果，想问有必要一直打针吗，怕有什么抗生素对小猫身体不好，而且他现在没毛了，一出去就感冒，每星期都去感觉很折腾。
2.他这个症状严不严重，到底是什么病，医院大夫就说是皮肤病具体也没说是啥。
3.需不需要换药，医院给的药对症吗
4.结痂要撕掉吗，还是等它自然脱落，他皮肤黑点点什么怎么回事，正常吗
5.这个病很难治吗，每次去医院大夫都是问一点说一点，我平时具体需要怎么做用不用碘伏擦患病的地方？
6.还有他感冒了，可能是昨天出去着凉了，会不会发烧呀，要注意什么，需要再另外吃药吗？
回复总结：猫咪皮肤发红毛发打结，如果猫咪有大面积发红的现象，而且还有特别明显的瘙痒和抓挠，可能会考虑是马拉色菌这一类的感染。猫咪毛发打结之后，也可能会损伤到毛囊导致局部的黑色素沉淀，所以猫咪的皮肤也会出现比较多的粉刺。这种情况可以考虑选择继续打针治疗巩固，或者天天口服伊曲康唑。后期可以给猫咪使用增强皮肤抵抗力帮助皮肤和毛发恢复的药物，再配合口服点复合维生素b口服液促进皮肤代谢。
问题大致一样，细节不同？
苏鹏
执业兽医师
您好，对于您描述的这种情况，我还需要先了解一下猫咪像这种皮肤表现之后，有没有出现明显的皮肤瘙痒发红或者破溃出现一些丘疹或者结痂的表现？
这图片都是治疗之后的图片还是治疗之前的图片？
最近是多久进行的体外驱虫？用的是什么体外驱虫药？
因为从目前的图片信息来看，不太像是常见的猫癣一类的真菌的感染如果之前有大面积的发红而且还有特别明显的瘙痒和抓挠。那么可能会考虑是马拉色菌这一类的感染，因为猫咪是长毛猫有些猫咪打结之后，也可能会损伤到毛囊导致局部的黑色素沉淀，所以猫咪的皮肤也会出现比较多的粉刺。
所以首先猫咪目前的皮肤问题都还没有完全确定，所以使用所谓的抗细菌和抗真菌的治疗，暂时就不要继续进行，而且目前已经治疗一两个星期也没有明显改善说明治疗的方向和用药，可能存在有一些问题。
医院用的药主要是以抗真菌为主的，所以刚刚也提到这种皮肤问题，并不太像是普通的真菌感染，所以可能使用效果意义都不大
皮肤没有出现明显的感染，破溃也不用给他们使用碘伏这一类的消毒剂进行涂抹，皮肤有可能还会造成皮肤的刺激
目前感冒是什么表现打喷嚏，还是流鼻涕，体温有升高吗？
1.应该是痒的，他一直想舔，给带了伊丽莎白圈，皮肤发红，尤其是脖颈下面比较严重，腋下还可以，脖颈儿地方已经结痂了是那种特薄的黑褐色的皮，有时候用棉签就能擦掉。我不知道丘疹是啥样的，看不出来。
2.图片是刚拍的，最后一张是前两天拍的。上周五带他去医院检查出来的皮肤病。
3.上次驱虫是一月19号，正好一个月该给他再驱虫一次了，用的是大宠爱的体内外一体的。
4.那就是打针先不用打了么？那用换药吗？他这个是脓皮症吗？
5.他就是单纯的打喷嚏🤧，也没有鼻涕啥的，鼻头有点干，一口气打好几个。中午那会儿给他测了两次大腿，是37.1度。
苏鹏
执业兽医师
如果之前皮肤有明显的瘙痒和发红的情况，特别是脖子下面和腋下这种情况是比较符合典型的马拉色菌皮炎的感染。
从目前皮肤的表现来看，应该是皮肤恢复后期，并不是属于急性感染期说明之前的用药是有控制的。
这种情况可以考虑选择继续打针治疗巩固要么就是要天天口服药物（伊曲康唑）可能还需要再口服7到10天。
体外驱虫还是继续按时进行否则皮肤抵抗力比较差情况很容易引起体外寄生虫感染。
如果只是轻微打喷嚏精神食欲没有问题注意做好保暖就可以，体温因为是没有检测好所以有偏低。
后期可以给猫咪使用黄金点增强皮肤抵抗力帮助皮肤和毛发恢复，再配合口服点复合维生素b口服液促进皮肤代谢。
对了还有他尾巴以前油的厉害，怎么擦洗也洗不掉，毛剃了之后发现尾巴里面的皮肤是这样的，这是什么情况？需要擦什么吗？用那种去油的慕斯泡沫给他擦都不管用？
为保护用户隐私不显示图片/视频
苏鹏
执业兽医师
一般他们做完绝育之后，这种情况就能得到改善，因为很多公猫都会存在这种种马尾的情况，如果只是尾部比较严重，可以经常清洗尾巴。建议使用抗皮脂溢液的香波进行清洗，这样效果会更好。
对于粉刺比较明显的部位，可以涂抹凡士林软膏可以起到软化皮肤的作用，如果皮肤有出现发红发炎破溃的情况可能就需要在口服抗生素配合醋酸氯己定进行外部消毒处理。
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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