咨询描述:医生您好,小猫外耳炎求助。
症状描述:
频繁挠耳朵,左耳有球菌和杆菌,有豆腐渣分泌物;右耳有球菌和马拉色菌。去宠物医院检查,用药一周后未见好转。
患病时长:
两个月。
医院检查:
诊断书如图。过往病史/临床诊断与治疗/反应
双侧外耳道大量脓性分泌物,明显异味。 镜检左耳见大量球菌及少量杆菌,杆菌呈快速增殖相. 右耳见大量球菌及马拉色菌。
用药情况:
左耳用A*** ,右耳用的***。
问题大致一样,细节不同?
赵阳
执业兽医师
根据你讲到的情况,我初步诊断宝贝是得了中耳炎,中耳炎的诊断标准是耳道有大量杆菌。为了进一步判断宝贝的情况我还有几个问题向你核实一下:1医院医生有无给您开一些口服的抗生素?. ; 2. 小猫现在吃喝大小便都正常嘛?;3.小猫现在有没有神经症状比如一个瞳孔大,一个瞳孔小。眼球水平震颤。头向一侧倾斜。;4左耳用的药那个有中文的名字吗?以上情况请你回忆后详细的描述给我,感谢你的配合。
1.医生有开抗生素,叫*********。2.吃喝大小便正常。
3.无。
4.之前用******法国******滴耳液。现医生开,************
谢谢您。
赵阳
执业兽医师
宠物家长您好,根据我的个人经验,1第一******主要是针对真菌感染的,咱们宝贝的这种情况不适合这种药物,造成小猫耳朵化脓感染的主要原因是杆菌引起的,杆菌是属于细菌中的革兰氏阴性菌。处方中并没有开具针对细菌感染的抗生素。至于球菌感染和马拉色菌感染。马拉色菌属于真菌的一种,***就可以完全治愈这种马拉色菌。没有必要用******。一般中耳炎的治疗周期是2~3周,需要连用2~3周口服的抗生素。并配合洗耳液和***一起使用。结合以上的药敏实验抗生素选择建议使用******
赵阳
执业兽医师
每个医生的诊疗思路不一样,个人建议仅供参考。您现在用的洗耳液中的麻佛微素在药敏实验中属于耐药的抗生素。所以对耳道里的杆菌是无效的。所以从整体来看缺少了针对治疗耳道杆菌的抗生素成分
赵阳
执业兽医师
拜有利片15毫克的,一天两次,一次一片。 洗耳液每天清洗一次,清洗完间隔10分钟涂抹***。
谢谢医生,请问这是这周医生开的药,还可以继续用吗?可以和您的处方搭配使用吗
为保护用户隐私不显示图片/视频
赵阳
执业兽医师
这次的处方中开具了***针剂。这个是主要针对耳道的杆菌感染的。跟我为您开具的口服的***片剂是一样的。打针或者口服都可以。个人觉得******可以停掉,没有必要使用这个药物。这个药物长时间使用需要同时口服保肝的药物,长时间使用容易造成肝损伤。***完全可以治疗马拉色菌感染没有必要用******除非耳道同时有癣菌的感染,您可以更换一下耳道的洗耳液。然后配合你现在手里的***。至于***是选择口服或者打针都可以的。
收到,我这边好好配合。谢谢医生,感谢您耐心诊断和建议。
赵阳
执业兽医师
非常感谢你对蘑菇宠医的信任。如果我的回答能够帮助到您,请您在咨询结束后留下5星评价,你的评价是我工作最大的支持,感谢。祝你生活愉快,爱宠越来越健康可爱。后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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