ATTITUDE IS EVERYTHING “A bad attitude is like a flat tire, you can’t get too far until you change it.”

Pyoderma *** PYODERMA Definition: Bacterial infection of skin, superficial or deep; Primary or secondary Pyoderma occurs when: skin surface broken chronic exposure to moisture Circulation impaired Immunosuppressed May be superficial or deep

Pyoderma Organisms associated with pyoderma Superficial pyoderma- Staph intermedius, Pasteurella multocida Deep pyodermas – gram-negative organisms E. coli, proteus sp, pseudomonas sp

Pyoderma *** Physical Exam may show: papules pustules crusts epidermal collarettes circular erythematous or hyperpigmented spots alopecia scaling lichenification abscess, cellulitis, etc..

PYODERMA ERYTHEMA, PUSTULES

Pyoderma EPIDERMAL COLLARETTES

Deep Pyoderma

Deep Pyodermas More difficult to treat than superficial pyodermas due to chronic nature Patients are often resistant to treatment or immunosuppressed

Deep Pyodermas Diagnosis Treatment: Thorough cleaning clinical signs may include fever, and deep draining wounds Treatment: Thorough cleaning Systemic Antibioics (clavamox, baytril, cephalexin) Client Info Causative organism often drug resistant Treatment may be prolonged and expensive in large breed dogs Some animals will never fully recovery

CASE #9

Superficial Pyoderma: “Hot Spot”

Superfical Pyoderma *** Acute Moist Dermatitis, Superficial pyotraumatic dermatitis (“Hot Spots”) Clinical Signs: red, moist, painful areas Common in thick coated dogs Usually in hot moist summer months Hair loss, very pruritic Develops very fast

Superficial Pyoderma *** Diagnosis: clinical signs Treatment: Clip hair around lesion Cleanse skin with medicated shampoo Topical Antibiotics/steroid creams or sprays (ex: Betagen Spray) Treat underlying disease (fleas, allergies) Systemic steroids, Antibiotics Client Info Gentle cleansing BID E-collar may be necessary

CASE #10

Skin Fold Pyoderma (Intertrigo) Occurs in breeds with abundant skin Facial folds, vulvar folds, tail folds Folds trap moisture, heat and bacteria Diagnosis: clinical signs - affected area moist, red, ulcerated

Skin Fold Pyoderma Treatment: Relieve symptoms by cleaning and drying lesion Surgical correction of skin fold may be only permanent solution Weight loss in obese patients may help Oral Antibiotics, or antibiotic containing wipes Antibacterial and/or benzoyl peroxide shampoos Client Info Require long term medical management Keep area dry and clean Keep hair/folds away from eyes

Skin Fold Pyoderma Vaginal Folds

Skin Fold Pyoderma Lip Folds

CASE #11

Acne Common in young short-haired dog breeds and cats Clinical Signs: can be chronic Clinical Signs: Chin swollen and painful to touch, dark spots => black heads (comedones) Diagnosis: clinical signs, r/o bite wounds, abscesses

ACNE Treatment: Client Info: clip hair on chin clean daily with human acne product (helps with follicular flushing) systemic antibiotics Topical antibiotic cream or spray Client Info: Daily cleaning of chin is required Use only ceramic or stainless steel bowls – NO PLASTIC Thought to be an allergy to the plastic