Download - 1 b)Pioderma Profundo
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Infecciones bacterianas profundas
• Piodermas profundos– Lesiones hasta dermis– Tejido subcutáneo– Enfermedad sistémica– Dejan cicatrices– No espontáneo
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Pioderma profundo
• Signos clínicos:– Edema– Focos de drenaje múltiples – Eritema, erosiones, ulceración, adherencias de
pelo– Hiperpigmentacion variable,cicatrices,alopecia
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Pioderma profundo
• Linfadenopatia periférica• Leucocitosis, neutrofilia• Edema de extremidades
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Diagnostico.
• Costras y fistulas de piel• Exudado presente• Citología cutánea• Biopsia• Cultivo con antibiograma
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Pioderma profundo
• Manejo– Antibióticos sistémicos y Tópicos• Amoxacilina clavulanato• Cefalexina • Oxacilina• Enrofloxacin• Orbifloxacin
– Inmunomoduladores– Depilación, baños, drenajes
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Foliculitis profundaFurunculosis y celulitis
• Patogénesis– Predisposición de raza– Factores predisponentes– Curso crónico– Respuesta incompleta a tratamientos– Prurito y dolor variable
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Foliculitis profundaFurunculosis y celulitis
• Signos clínicos– Pústulas generalmente foliculares– Nódulos dérmicos – Placas edematosas– Erosión, costras, múltiples drenajes– Alopecia– Hiperpigmentación y liquenificación (FOTO)
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Foliculitis profundaFurunculosis y celulitis
• Diagnostico– Análisis de costras– Citología cutánea– Biopsia– Cultivo con antibiograma
• Manejo– Antibióticos– Shampoo– Inmunoestimulantes
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Pioderma del hocico
• Secundario al acne, comedon o trauma• Perros pelo corto• Animales jóvenes (5-12 meses)• Prurito medio• Lesiones distribuidas en cara y labios• Pápulas, folículos edematosos, comedones,
nódulos dermales
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Pioderma del hocico
• Diagnostico– Distribución de la lesión– Historia– Diferencial de demodex
• Manejo– Antibióticos tópicos y sistémicos– Limpieza (peroxido de benzoilo, clorhexidina
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Pioderma nasal
• Secundaria: penphigos, demodicosis, dermatofitosis
• Lesiones dolorosas, erosivas, ulcerativas• Automultinacion• Alopecia variable• Manejo con antibióticos y limpieza
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Pioderma interdigitalPododermatitis
• Enfermedad multifactorial, frustrante • Etiología – Principal Estafilococo– Ocasional Pseudomona
• Predisponen– Cuerpos extraños– Injurias– Neoplasias– Demodex (la mas común)
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Pioderma interdigitalPododermatitis
• Predisponen– Dermatitis alérgica (atopias, contacto, alimento)– Traumas– Dermatofilosis– Endocrinas– Micosis subcutáneas
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Pioderma interdigitalPododermatitis
• Razas predispuestas– Basset hound– Boxer– Bull terrier– Dalmatas– Bull dog– Pastor alemán– Labrador – Gran Danés– Weimaraner
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Pioderma interdigitalPododermatitis
• Signos clínicos– Limitado a ventral y dorsal de los pies– Edema eritema pústulas– Hemorragias bullosas– Tractos y drenajes múltiples– Celulitis y alopecias– Linfadenopatia regional
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Pioderma interdigitalPododermatitis
• Diagnostico– Citología cutánea– Biopsias– Cultivo– Pruebas de alergia– Pruebas endocrinas– Historia y hallazgos clínicos– Manejo
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Pioderma de los callos
• Puntos de mayor presión• Puntos de alopecia, hiperqueratosis• Infección bacteriana secundaria• Reacción piogranulomatosa• Predisponen traumas y lesiones crónicas
(enfermedades artríticas, displasia, osteoartritis, obesidad)
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Pioderma de los callos
• Razas predispuestas– Doberman– Gran danés– San Bernardo
• Signos clínicos: piodermas localizados en codos, rodillas, región pubica y esternón
• Edema, exudado, múltiples nódulos profundos, eritema, tractos fistulosos, ulceras, pirexia y anorexia
• (FOTO)
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Pioderma de los callos
• Diagnostico– Cultivos, citologías, biopsias
• Manejo idéntico
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Pioderma del pastor alemán
• Gen autosomico resesivo • Enfermedad idiopatica• Anormalidades en linfocitos T y B• Relacionado con atopias, alergia alimenticia,
alergia a pulgas, hipotiroidismo
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Pioderma del pastor alemán
• Signos clínicos– Edad y sexo– Enfermedad crónica– Pobre respuesta a la terapia– Prurito y dolor moderado– Tronco y lateral de extremidades– Pápulas, pústulas, foliculitis
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Pioderma del pastor alemán
• Signos clínicos– Furúnculos y tractos fistulosos– Ulceras y costras– Celulitis, hiperpigmentacion, alopecia– Linfadenopatias generalizadas– Pirexia y anorexia
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Pioderma del pastor alemán
• Diagnostico– Diferencial demodicosis, micosis– Biopsias– Cultivo con antibiograma– Neotrofilia, linfocitosis o linfopenia– Química normal– Aumento de las globulinas– Test de alergenos
![Page 137: 1 b)Pioderma Profundo](https://reader030.vdocumento.com/reader030/viewer/2022012910/5571f21749795947648c2182/html5/thumbnails/137.jpg)
Pioderma del pastor alemán
• Manejo – Antibióticos sistémicos (cefalexina, enrofloxacina)– Shampoo antiseborreico (peroxido, clorhexidina)– Control de pulgas– Cambio de alimentos– Inmunoestimulantes
![Page 138: 1 b)Pioderma Profundo](https://reader030.vdocumento.com/reader030/viewer/2022012910/5571f21749795947648c2182/html5/thumbnails/138.jpg)
Foliculitis piotraumatica profunda
• Secundaria a pioderma superficial y alergias• Predisposición hereditaria (sospecha)• Golden Retriever y San Bernardo• Perros jóvenes• Prurito y dolor moderado• Trauma autoinfringido
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Foliculitis piotraumatica profunda
• Cara y cuello• Muy recidivante• Mala respuesta a terapia local• Lesión ulcerada y exudativa• Pústulas y eritemas cercanos• Edema dérmico y engrosamiento de piel
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Foliculitis piotraumatica profunda
• Diagnostico– Afecciones predisponentes– Dermatitis superficial– Demodicosis– Neoplasia cutánea– Reacción a drogas
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Foliculitis piotraumatica profunda
• Diagnostico– Vasculitis localizada– Malazezia localizada– Cultivo, citología, biopsia– Distribución y características de lesiones
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Foliculitis piotraumatica profunda
• Manejo– Limpieza– Baños– Antibióticos sistémicos– Control de alergias
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Tuberculosis cutánea
• Mycobacterium tuberculosis y bovis• Aumenta el riesgo con humanos• Respiratorio y digestivo• Perdida de peso, anorexia, fiebre,
linfadenopatia• En piel: ulceras, nódulos abscesos
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Tuberculosis cutánea
• Patrón papulonodular• Diagnostico– Radiografía torácica, biopsia y cultivo– Riesgo de salud publica
• Manejo: eutanasia
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Granuloma cutáneo bacterialBotriomicosis
• Estafilococo, pseudomona, proteus, estreptococo, actinobacillus
• Respuesta orgánica granuloma• Origen mordedura, trauma penetrante,
terapia previa• Nódulo firme, solitario, tracto fistuloso,
exudado caseoso
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Granuloma cutáneo bacterialBotriomicosis
• Patrón papulonodular• Diagnostico – Cultivo, citología, biopsia
• Manejo– Cirugía– Antibióticos
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Actinomicosis
• Nocardia y actinomyces• Granuloma postinfeccion• Abscesos de evolución crónica• Miembros y pies• Tractos fistulosos, celulitis, ulceras, linfadenopatias
(nocardia)• Abscesos subcutáneos en cabeza cuello y tronco
(actinomyces)• Patrón papulonodular
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Actinomicosis
• Diagnostico– Citología– Cultivo con antibiograma
• Manejo – Nocardia• Ampicilina• Eritromicina• Cefalosporina• Sulfa
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Actinomicosis
• Manejo – Actinomyces• Penicilina altas dosis
– Tratamiento hasta por cuatro meses– Pronostico reservado
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Piodermas transitorios
• Cuerpos extraños• Parásitos externos• Traumas• Sustancias químicas• Complicaciones quirúrgicas• Accidentes automovilísticos• Peleas
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Caso clínico• Especie: Canina Nombre: Lola• Raza: Labrador Edad: 1año 3meses• Sexo: Hembra• Consulta Diciembre del 2001• Anamnesis: evolución un año, lesiones sostenidas, prurito
intenso• Tratamientos anteriores: Penicilinas, Ivermectinas,
ketoconazole, Imaverol, baños, control de pulgas, corticoides, Vitaminas, Cambios de concentrados
• Tratamiento actual: Baypamum, Cefalexina, Clorhexin
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