Dr Daiana Debreczeni
Veterinaru clinic VitalVet
Oradea, Romania.
Information about the patient:
Name: Lala
Sex: Female
Age:10 months
Species: Canis familiaris
Breed: Mix
Medical history
The dog had been treated for 14 days at another veterinary clinic for allergy with steroidal non-inflammatory drugs and antibiotics (amoxicillin and clavulanic acid).On presentation at our clinic the owner complained about the fact that the dog was pruritic and had the lesions presented in the pictures shown below.
Diagnostic tests:
Skin citology, Gram stain: Gram positive, rod shaped cocci (Staphylococcus spp.);
Wood lamp examination: positive;
Trichogram: swollen, frayed hair with irregular outline; cortex and medulla structure – abnormal;
Deep skin scraping: positive for Demodex.
Diagnostic: Demodicosis with secondary pioderma and fungal infection (dermatophytosis).
Treatment:
– Simparica (sarolaner) 1x/month, repeat until 3 consecutive negativ skin scrapings;
- Marbofloxacin, 21 days;
- Bathing with therapeutic shampoo (ketokonazol, clorhexidine formulation) every 3 days;
- Every 3rd bath another therapeutic shampoo was used (benzoyl peroxide);
- Dermoscent Pyo spot-on, 1x/week, 4 weeks;
- FortiFlora probiotics.
Topical gel with onion extract and heparin;
Follow up after 1 month:
After 3 months from the initial consultation:
