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

2. 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

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

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

5. PYODERMA
ERYTHEMA, PUSTULES

6. Pyoderma
EPIDERMAL COLLARETTES

7. Deep Pyoderma

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

9. 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

10. CASE #9

11. Superficial Pyoderma: “Hot Spot”

12. 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

13. 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

14. CASE #10

15. 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

16. 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

17. Skin Fold Pyoderma Vaginal Folds

18. Skin Fold Pyoderma Lip Folds

19. CASE #11

20. 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

21. 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