咨询描述:你好,我家猫2岁多,杯状病毒携带。
症状描述:牙龈红肿(牙龈炎),皮肤发红(耳朵,肚子的皮肤比较多)
患病时长:从四个多月时候开始牙龈就有一些红肿+口臭,没什么大问题就没注意,今年四月份突然严重开始会用前爪挠嘴,随后带去医院就医。皮肤病是今年6月底我给它洗了一次澡没吹干之后慢慢开始的,一开始只有一只耳朵秃了,后来慢慢另一只耳朵,胸口,脖子都被它挠秃了。
医院检查:因杯状病毒引起的牙龈炎,无法痊愈。皮肤病医生一开始诊断猫藓,但是照灯和培养皿均无反应,后来医生也说看不出来了。
用药情况:牙龈炎的时候在第一家医院被让喂了两个月的含类固醇的药,一停药就复发,后来担心副作用就停了。换了第二家医院给开了含干扰素的保健品,现在每天滴在嘴里。皮肤病一开始开了个含类固醇的激素药,涂了没什么用,后来喂圣马力诺的毛囊修复粉秃的地方慢慢长毛了,但是还是经常抓挠,掉毛也比较多。
牙龈炎也在国内买过**和****喷剂,都没有太大效果。皮肤病也一直反反复复找不到原因,隔几天身上就被它舔秃舔破一个地方。希望医生能帮忙分析一下还有推荐一些药。顺便附上上周五刚做的血检结果。
还有最近比较在意的是从7月份开始体重有点下降,之前喂类固醇时候吃的比较多稍微胖一点4.6kg,最近吃饭喝水量不变甚至比之前吃的多了一点点,但是体重掉到了4.2kg。
问题大致一样,细节不同?
吕健
执业兽医师
根据你的描述,小家伙有杯状病毒,而且反复发作,牙齿疼痛,已经影响食欲,建议全口拔牙(但也不一定好)
1.口服**环素和***韦***。
2.提高猫咪抵抗力,促进食欲,口服******。
3.耳朵可能是抓挠的,由于牙龈疼,以及舔舐引起的超敏综合症。可以吃点儿抗过敏的药物,必要时抗抑郁的药物。
食欲是正常的,吃饭没有减少。
耳朵抓挠是跟牙龈有关系吗,但是之前没有这个情况,耳朵里面很干净,但是它经常会摇头或者抓挠,不知道原因。
而且变红的地方不止是耳朵,还有肚子,但是今天皮肤没有那么红没办法拍照片提供给您,有的时候会很红。脖子和胸口它之前也挠,我觉得比起牙龈炎带来的综合征更像皮肤病。
它食欲和精神都很好,就是体重稍微下降了0.3kg左右,会有什么原因呢?
吕健
执业兽医师
1.食欲正常,体重降低,可能给类固醇用药有关系,而且0.3kg也不少,半斤多了。
2.如果口腔疼痛,猫咪会抓挠的,摇头可能是因为牙疼。
3.肚子变红可能与舔舐有关系,需要知道是表面发红,还是淤血?
4.皮肤红,还有可能是过敏,或红斑狼疮(自体免疫问题)
类固醇药物从6月开始就已经停了,现在没有在喂了。体重减少还能有其他什么原因吗?我一个月做一次驱虫,用的***,会有体内有寄生虫的可能性吗。
医生推荐的**环素和***韦如果它没有其它原因也可以喂吗,会不会产生依赖性,之后停药就会复发呢。
其他地方的皮肤都是粉色,肚子表面就是红色,名字颜色会比其他地方的皮肤红一些,但是它好像不是很痒,有些地方会有黑色小点点,会有溢脂性皮炎的可能性吗。
应该没有红斑狼疮那么严重,只是皮肤发红偶尔有点痒,其它都比较正常。图片是之前秃的地方的样子,现在已经慢慢长出来毛了。
为保护用户隐私不显示图片/视频
吕健
执业兽医师
1.体内寄生虫的概率低,可以做便检排查一下。
2.小家伙吃生肉,可以检测一下是否有弓形虫。
3.**环素等,只要不产生耐药性,可以长期吃,但可能会伤食道,建议买**巧克力膏,补充***,**、提高抵抗力。
4.会有皮炎的可能,尤其吃了类固醇药,激素分泌紊乱。
5.多陪伴猫咪、帮猫咪梳理毛发,缓解猫咪情绪,同时使用***是有效的。
类似这种感觉的颜色发红,但是没有这么深。
为保护用户隐私不显示图片/视频
吕健
执业兽医师
这种可能是舔舐后,猫咪口水残留,引起了细菌滋生,还有口水里的铁离子氧化后也会发红。
之后如果耳朵或者其他地方有发红或者抓挠的现象,需要涂什么药吗?
吕健
执业兽医师
1.可以吃**消炎,2mg/kg,每天一次,连用7天。
2.使用皮肤喷剂消毒。
3.还有,就是控制瘙痒,吃止痒药,以及皮肤低敏处方粮。
吕健
执业兽医师
非常感谢您对蘑菇宠医的信任。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,您的评价是我工作最大的支持,感谢。 后续宠物有其它问题,您可以到“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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