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This case covers various skin conditions in animals including Cheyletiellosis, Warbles, Botfly, Dog Lice, and Dermatophytosis. Learn about their clinical signs, diagnosis, and treatment options.
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Cheyletiellosis • “walking dandruff” • Affects dogs, cats, rabbits, humans • Feed on lymph • Eggs deposited on hair shafts • Highly contagious among animals • Direct contact and fomites
Cheyletiellosis • Clinical Signs • Severity of pruritis varies • Dry scales along back => entire body • Patchy hair loss from scratching
Cheyletiellosis • Dx: • collect scales with clear tape, flea comb, skin scraping and ID with microscope • Rx: • Weekly baths with flea control products containing pyrethrins or permethrin and/or lime sulfur dip
CASE #7 http://www.youtube.com/watch?v=90exkFR2iSM
Warbles (Cuterebra) • Adult fly lays eggs => larvae penetrates skin of animals=>matures=> leaves animal to become an adult fly • Dx: swelling of skin behind ears with opening – can see larvae
Warbles (cuterebra) • Tx: open fistula and remove larvae • Flush wound (betadine, Nolvasan) • Oral antibiotics for skin infection • Client Info: keep animals in fly-free environment
Warbles (Cuterebra) Botfly, genus cuterebra
HANG IN THERE! “The light at the end of the tunnel is not an illusion. The tunnel is.”
Myiasis • Many spp. of flies lay eggs on wet, warm, damaged skin => larvae are maggots • Dx: visually seen under matted hair with foul odor • Rx: Clip hair • Flush wound, clean daily • Antibiotics • Keep indoors to prevent re-infection • Client info • Disease of neglect • More common in heavy coated animals in summer • Do not use dips to remove maggots
Dog Lice • Host specific • disease of neglect • Dx: lice cause intense itching • Blood suckers => anemia if heavy infestation • Presence of lice or nits or eggs diagnostic • Rx • Treat all animals in house with dip, shampoo or dust • Topical insecticides used for fleas and ticks are adequate • Wash bedding thoroughly • Ivermectin orally (extra-label use) • Client Info • Humans don’t get lice from pets
Dermatophytosis • Superficial cutaneous infection • 3 primary dermatophytes • Microsporum canis • Trichophyton mentagrophytes • Microsporum gypseum • Cat: 90% M. canis; Dog: all 3
Dermatophytosis • Transmission • Direct contact • Contact with infected hair and scale through fomites • Spores small and easily aerosolized • Fleas • Infected hairs – infective for up to 18 months • Incubation period 1-3 weeks • M. canis– cats • Trichophyton – rodents or nests • M. gypseum – geophilic (soil) • More common in moist, warm environments
Dermatophytosis • Clinical Signs • Hair loss, scaling and crusting • +/- pruritus • Cats • Mimics other skin diseases • Can form ulcerated dermal nodules • Dog • Focal or multifocal areas of hair loss • Papules, scales and crusts • Central area of hyperpigmentation
Dermatophytosis • Dx: • Wood’s Light – UV light • Quick and easy screen • 50% of M. canis fluoresce, rest do not • Differentiate from scale, dust, dirt • Lamp must warm up for 5 minutes prior to exam.
Dermatophytosis • Dx • Fungal culture – definitive • Color change to red in 1-3 weeks • Confirm with microscopic exam • Tx • Usually self curing in healthy animal – may take 2-3 months, esp. in kittens • 3 elements to effective treatment: • Topical – reduces contamination on hair coat • Systemic- reduces healing time • Environmental-decreases contamination and spread
Dermatophytosis – Treatment • Clip haircoat, particularly long hairs • Topicals • Spot treatment may predispose to subclinical infections • Whole body shampoos, dips, rinses twice weekly • Lime-sulfur at 8oz/gal • Miconazole containing shampoos
Dermatophytosis-Treatment • Systemic tx • Griseofulvin • GI absorption variable • Adverse effects • Vomiting/diarrhea, anorexia • Bone marrow suppression • Neurologic signs • Ketoconazole • Potential liver toxicity • Itraconazole • Less Side effects • Tx till resolution of signs and 2 negative cultures
Dermatophytosis – Treatment • Environment • Remove or discard all bedding, brushes, fabric toys, etc • Cheap vacuum to clean with, then discard • Clean all surfaces; use bleach • Vacuum daily • Disinfect weekly • Catteries – strict isolation
Dermatophytosis – Zoonosis • At risk populations: children, immune suppressed adults, older adults • Cats can be carriers w/o clinical signs