Secondary Infections- Malassezia Dermatitis and Bacterial Pyoderma Flashcards

1
Q

What organism is most commonly involved in bacterial pyoderma in the dog

A

Staphylococcus pseudointermedius**

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2
Q

What is the most common yeast involved in otitis externa and dermatitis in the dog

A

M. sympodialis and M. globosa

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3
Q

What is the proper duration of antibiotic therapy for canine superficial bacterial pyoderma

A

Continue tx 7-10 days beyond resolution of CS

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4
Q

What is the most reliable way to diagnose Malassezia dermatitis

A

Cytology

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5
Q

What two conditions are typically secondary to an underlying disorder?

A

Bacterial pyoderma and Malassezia dermatitis

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6
Q

What are the topical tx?

A

lime sulfur, Enilconazole, or Miconazole/Chlorohexidine shampoo – twice weekly

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7
Q

What is an opportunistic, unipolar budding, normal commensal org that has symbiotic relationship with staphylococcal orgs

A

Malassezia pachydermatis

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8
Q

Malassezia CS in cats

A
  • Otitis externa – black, waxy discharge
  • Chin acne
  • Pododermatitis
  • Generalized scary erythematous dermatitis
  • Allergic dermatitis

but usually nooooooo clinical signs
• Check for FeLV and FIV

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9
Q

Malassezia CS in dogs

A
  • Pruritus
  • Erythema
  • Scale/crust
  • Dirty, greasy haircoat
  • Seborrheic odor
  • Oily or dry dermatitis
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10
Q

More ____ have CS with malassezia than ____

A

more dogs have CS than cats

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11
Q

Predisposing factors to Malassezia dermatitis

A

Keratinization disorders, inflammatory dz, allergic dermatitis, metabolic dz, usually have some underlying disorder

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12
Q

What are reasons to culture?

A

Cytology reveals mixed inf (rods, cocci), recurrent bacterial inf, poorly responsible bacterial inf, new lesion development while on abx, patient has hx of drug intolerance/reactions

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13
Q

Systemic therapy rules of thumb:

A

Minimum of 21 days
7-10 days beyond clinical cure
topical therapy is adjunctive
if deep- minimum of 6 weeks, 2 weeks beyond resolution of CS

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14
Q

High number of M. pachydermatis isolated from where in dogs?

A

Oral mucosa

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15
Q

Low numbers of M. pachydermatis isolated from where in dogs?

A

Skin

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16
Q

M. pachydermatis is isolated less frequently in dogs or cats?

A

Cats

17
Q

Characteristics of Malassezia that cause disease:

A

Lipase and lipoxygenase 🡪 liberate FAs for nutrients and alter sebum
Proteinase, chondroitin-sulphatase, phospholipase, hyaluronidase 🡪 facilitate keratin invasion

18
Q

What are the two main predisposing factors for Malassezia dermatitis??

A

Allergic dermatitis (atopy or food allergy) and metabolic diseases (Like Cushing’s)

19
Q

Where is regional dermatitis from M. dermatitis?

A

Ventral neck, axillary area, inguinal area, lower lip folds, interdigital areas, paronychia (inf. of nail bed), perianal region, ventral tail fold

20
Q

___ ____ are usually secondary to other issues/underlying issues

A

Bacterial pyoderma

21
Q

Diagnosis of bacterial pyoderma-

A

CS/appearance of lesions, cytology and response to tx

22
Q

What abx choice has efficacy against staph pseudointermedius?

A

3rd gen cephalosporins

23
Q

Used of ___ tier abx is strongly discouraged to prevent resistance

A

3rd tier