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AQUILES PASTOR ALEMAN
FECHA DE NACIMIENTO 27/04/16
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Motivo de la consulta
16/08/16 Se rasca mucho y tiene ronchas en la panza
Lesiones: marcado eritema con pápulas y pústulas en el vientre.
Raspado de piel: negativo
Diagnósticos diferenciales: -sarna sarcoptica-demodexia
-Piodermia
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RESEÑA
• Pastor alemán
• 3 meses y 19 ds
• Macho con pedigree
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Historia clinica
• Plan vacunal al día
• Plan antiparasitario con análisis coproparasitologico negativo
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Antecedentes dermatológicos
• No tiene
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Examen físico
• Sistemas corporales SLA
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Examen dermatológico
• Leve eritema con pápulas, pústulas y costras en el vientre, pecho y axilas.
• Marcado prurito.
• No se observan parásitos externos.
• Oídos SLA
• Patas, uniones mucocutánaes y cavidad bucal SLA
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Trastornos congénitos antes de los 4 meses
• Demodicosis
• Hipotricosis,linfedema.
• Dermatomiositis.
• Dermatofitosis
• Alergia alimentaria
• Ictiosis
• Impétigo
• Celulitis juvenil
• Enanismo hipofisario
• Tirosinemia.
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Diagnosticos diferenciales
• Sarna sarcóptica
• Demodexia
• Piodermia
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Examen de laboratorio
• Raspado de piel (-)
• Citología de piel = no realizada
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Reevaluacion
• Demodexia : no
• Sarna sarcóptica: probable
• Piodermia :probable
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Diagnostico presuntivo
• Sarna sarcóptica
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tratamiento
• Doramectina 0.4 mg/kg/ 7 ds
• Cefalexina 25mg /kg /7 ds
• Baños con shampoo peróxido benzoilo
• Control en 7 ds
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20/08/16
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Control • 23/8/16 no mejora
• Raspado negativo
• Tto: sigue con cefalexina y baños con peróxido
• 2 aplicación de doramectina 0.4 mg/kg
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Luego de un mes
• Lo llevan a otra veterinaria
• 17/09
• Tto: clindamicina x 15 ds
• Prednisolona 1 mg / kg / 5 ds
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19/09/16
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20/09/16
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20/09/16
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27/09/16
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29/09/16
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04/10/16
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Vuelven !!
• 13/10
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13/10/16
• Ampollas ceramidas cada 7 ds/ 4 semanas
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13/10/16
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20/10/17
• Se realizan análisis bioquímicos con resultados normales.
• Se pide T4l y colesterol por marcado temperamento linfático, alopecias, con resultado normal. T4l: 2.13 ug/dl
colesterol: 229 mg/dl
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Análisis bioquimicos 20/10/16
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Control 20/10
• TTO : cefalexina oral 25mg /kg/10 ds
• Enjuagues semanales con acido acético al 5 %.
Spray hidratante los días que no se baña.
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27/10/16
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Cultivo y antibiograma de piel.
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Cultivo y antibiograma
• Cultivo : Staphilococcus aureus meticilino resistente
• Antibiograma: • Ciprofloxacina• Gentamicina• Trimetoprima sulfametoxasol• Clindamicina• Eritromicina• Ampicilina • Ampicicila sulfactama• cefalotina
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Histopatología de piel 10/11
• RESULTADOS:• Se observó la epidermis con marcada hiperplasia epitelial pseudoepiteliomatosa, severa
espongiosis,• hiperparaqueratosis paraqueratósica, formación de pústulas intracorneales y exocitosis de• neutrofilos.• Dermis superficial con marcada hiperemia, infiltrados perivasculares y multifocales a difusos de• eosinofilos, linfocitos, plasmocitos y mastocitos. Marginación de leucocitos en capilares y• extravasación de eritrocitos.• Edema en la dermis, amplios focos de necrosis del colágeno y áreas de hemorragia.• OBSERVACIONES:• Dermatitis hiperplásica perivascular.• Severa hiperplasia epitelial pseudoepiteliomatosa.
• Lesiones significativas sugerentes de Atopia.
• Dra
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Tratamiento 14/11/16
• Enrrofloxacina 10 mg/12 hs /10 ds
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24/11/16
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24/11/16
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Tratamiento 29/11/16
• Protocolo con prednisolona
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Derivación a la fave
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citologia
• Revela levaduras.
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Tratamiento
• Itraconazol 300 mg / dia /30 ds
• Baños con shampoo mc donals cada 48 hs durante una semana y luego una ves por semana
• Se le retiran los corticoides y los antibióticos .
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27/12/16
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• Sigue con el mismo tratamiento y se le agrega tritohexidin spray para las lesiones en el lomo .
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19/01/17
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control
• Mejora lentamente, ya no se rasca tanto.
• Come con ganas
• Itraconazol en pulsos de 300 mg solo 3 ds por semana
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19/01/17
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14/2/17
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control
• Le empieza a crecer el pelo de a poco .
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07/3/17
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07/3/07
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07/3/17
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7/3/17
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Control fave 09/3/17
• Sigue tratamiento:
• con baños semanales con shampoo
Digluconato de Clorhexidina al 20% ......... 2,50 g Agentes de formulación c.s.p. ................. 100,00 mL
Ampollas con seramidas cada 7 ds durante 4 semanas , luego una por semana .
Itraconazol en pulsos de 300 mg solo 3 dias por semana .
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21/3/17
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21/3/17
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21/3/17
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21/3/17