Dr Spas Spasov
Veterinary Center Dr Antonov
Varna, Bulgaria
Sandra is a French bulldog whose case I have been following for 2 years.
Sandra is regularly vaccinated and with regular tick and flea treatmen and dewormig as well .
When we first met, Sandra was prescribed 2 mg of Prednisolone per kg in the morning and evening.
There were already 2-3 diets with hypoallergenic food with no results .
When the dog is on Prednisolone is very good, with no symptoms.
Sandra has been on immunotherapy for two years and during this time there are a total of 3-4 exacerbated periods with superficial bacterial infection.
To control these infections we tried various antibacterial shampoos and the ONLY systemic antibiotic we used was amoxicillin with clavulonic acid (at least one month ingestion)
During immunotherapy, Sandra takes 1/4 of Prednisolone at 5 mg every 36 hours (Sandra weights about 15 kg throughout the therapy).
For two years, Sandra was very good, and controlling the pyoderma was relatively easy without changing the doses of immunotherapy and without changing the dose of Prednisolone.
The last case of bacterial infection was the beginning of November 2019.
We began the scheme with Chloroxiderm and Amoxicillin with clavulonic acid.
10 days later, it had no effect, even the opposite.
Sandra’s skin was flushed with pustules, color and intense itching.
We did cytology, bacteriology and antibiogram.
The results (Staph. intermedius ) were completely resistant to 15 types of antibiotic from different groups.
The only antibiotic that worked was Rifampim, which is a strategic antibiotic in human medicine and we decided not to use.
Sandra’s improvement has been much slower and in the last few months we have changed several different regimens of local therapy.
Peptive Shampoo & Foam, Duoxo tampons & duoxo spo on (First Month Every Day)
Omega 3 and 6 fatty acids, Chloroxiderm shampoo, Duxo pyo shampoo and foam (second month every day)
Since the beginning of January, Sandra has been on Peptive again with a bath twice a week and a hermitra spray.
The itching has decreased to normal, there are no new pustules and the hair is gradually recovering.
In conclusion, every time we use an antibiotic for systemic therapy or topical therapy, we should think very carefully about all the possible options because resistance is one of the greatest problems of our future.
Diagnosis :
Atopic dermatitis
Superfitial pyodermia
