咨询描述:2年前猫咪耳朵边缘出现硬块结痂,今年开始,耳朵上的结痂开始扩大,尾巴尖与鼻子上也出现黑色结痂并伴有脱毛症状。注射过两个月抗生素,有好转但未消失。三周前使用*************软膏后产生严重副作用,耳朵上严重脱毛并感染,之后停止用软膏,服用***********
十日抗感染,现在伤口愈合但是耳朵仍有结痂,尾巴依旧日没有好转。最近在持续使用氯已定清洗患处。猫咪精神状态良好,食量引水量正常无变化。
希望能够得到治愈目前耳鼻尾巴症状的方式
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪耳朵黑的情况有么有做临床检查,猫咪平时抓挠是否严重,黑色结痂掉落皮肤是什么颜色的
2.您养猫咪大概多长时间了,猫咪平时都吃哪种食物,最近有没有给猫咪换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
3.猫咪排便,排尿,玩的状态怎么样
4.猫咪有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过什么药;
5.猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
以上情况您回忆后详细的描述给我,感谢您的配合。
您好刘大夫,猫咪有作临床检查,怀疑有感染进行过两周的一次共四次抗生素注射但唯有好转,之后又使用过*************陪***软膏七日,但无效且导致耳朵严重脱毛,后为了抗感染服用***************抗感染。 2.猫养了接近四年,一直吃royal cannin 的波斯粮未更换,偶尔有呕吐物,主要是猫自己的毛发,呕吐物微黄。3.排便成型,有时会有毛发出现,排尿也规律,玩耍精力充沛。4.仅最近几天出现过一两次打喷嚏状况。5.疫苗按时接种,体外驱虫也暗示给药。6.猫一直睡在垫子上,大部分时候睡在我的床上,枕边。
刘文飞
执业兽医师
您好,猫咪主人,收到您的详细描述,根据您的描述结合您发的猫咪患部的照片来看,猫咪是真菌感染,也就是猫癣,需要给猫咪口服治疗猫癣的药,外喷治疗猫癣的喷剂,一般需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低毛病感染猫癣的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转,猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪出现抓挠,舔舐的症状,会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒,以后每周消一次毒,猫窝拿出去晒晒太阳,有助于杀菌消毒,家里有没有老人和小孩,如果有老人和孩子建议不要让他们接触到猫咪,因为猫癣是真菌感染,会传染给人,老人和小孩皮肤免疫力抵抗力比较差,比较易感,所以不建议接触,您自己照顾完猫咪也需要洗手,消毒,以上建议您可以参考一下。
您好,感谢给出诊断,请问是否可以给我的猫开具相关药物?包括口服与喷剂?以及使用方法?谢谢
刘文飞
执业兽医师
宝贝家长你好,考虑宝贝真菌感染的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1、口服*****康唑内服溶液+****萘芬喷剂抗真菌药
2、配合****快速重建和维护皮肤屏障
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
注意一般需要用药治疗14天以上,真菌才不会反复发作。此外,你在家给宝贝做好环境清洁,把宝贝这段时间使用过的用品、玩具都进行全面的消毒处理。
刘文飞
执业兽医师
从目前您提供的信息看,我大致诊断为真菌感染,可以先按照真菌感染去治疗,如果用药没有好转就需要去医院刮片确诊,因为线上问诊的局限性,只能给出这个治疗方案。
刘大夫您好,我这边**康唑不太容易购买,请问有相同效果的替代药物么?谢谢您。另外,****是否可以使用人类的******代替?
刘文飞
执业兽医师
那您买****萘芬片剂,按照体重用,医生本人和平台是不支持给宠物使用人用药的,还请您考虑后采纳。
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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