Lurcher with superficial pyoderma secondary to atopic dermatitis

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Diagnosis

Superficial pyoderma
secondary to atopic
dermatitis

Bacterial culture

1. Staphylococcus pseudintermedius
2. Bacillus speciest

Superficial pyoderma secondary to atopic dermatitis cured in 27 days

Patient history

Period of reference: October-December 2012

Pruritus and recurrent ventral pyoderma

  • Treated with repeated courses of antibiotics and a hypoallergenic diet trial
  • Diagnosis of superficial pyoderma secondary to atopy
  • Intradermal allergy testing: multiple positive results

Treatment with extended course of oral cephalexin and
allergen-specific immunotherapy. Dog otherwise well.

Physical examination

  • Ventral pruritus
  • Papular rash ventral abdomen and groin despite extended course of cephalexin (49 days) at appropriate dose and twice weekly washes with chlorhexidinebased shampoo (Microbex)

Antibiogram

Amoxicillin/clavulanic acid S I R
Cephalexin S I R
Enrofloxacin S I R
Marbofloxacin S I R
Oxacillin S I R
Pradofloxacin S I R

Treatment

  • Veraflox® 60 mg 1.5 tablets once daily
  • Chlorhexidine-based wash twice weekly continued (Microbex)
  • Allergen-specific immunotherapy commenced

Veraflox treatment days

Number of days of Veraflox® treatment until cure: 27 days

Follow-up visit 1

  • Day 35
  • Pyoderma lesions resolved
  • Pruritus reduced but still present
  • Continue immunotherapy and twice weekly chlorhexidine-based washes

Treatment Success

Whilst the culture suggested the Staphylococcus was sensitive to cephalexin, the response to therapy was poor. The bacillus was resistant so the antibiotic was changed to Veraflox® and a good response was seen.

Examiner

Clinician Dr. Paul S. Coward

Specialization Veterinary Dermatology

Clinic name Dr. Paul S. Coward Veterinary Dermatology

Address Verwood Dorset BH31 6BL, United Kingdom

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Superficial pyoderma secondary to atopic dermatitis cured in 27 days

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