C09991647 / invoice 10000
Species:CANINE
Breed:Hungarian Vizsla
Age (years):1
Diagnosis or signs:treatment
Consult notes
05/03/2026 Consult nurse: TC Reason for presentation: Suture removal and discussion of histopathology results. History for today: Sutures removed from left face. Histopathology results reviewed. Histopathology of haired skin (left face) showed marked, subacute, neutrophilic dermatitis with neutrophilic folliculitis, furunculosis, and ulceration. Results favour bacterial folliculitis as the inciting cause of presumed secondary (self) trauma and furunculosis. No other skin lesions noted. Occasional redness under armpits, which appears chafed, particularly after getting wet. Previous medical/surgical concerns: 23/02/2026 - Left face skin biopsies. 11/08/2024 - Acute caudal myopathy. Lip growth. Current medications: Nil Diet: Not discussed. Examination: Demeanour: BAR Eyes: Clear Ears: NAD Nose and Throat: No abnormalities detected Mouth/teeth/gums/dental grade: Pink and moist Resp rate: Lung fields clear Heart rate: Regular, nil murmurs, pulses strong and synchronous Abdominal palpation: Comfortable and relaxed Urogenital: No abnormalities detected Musculoskeletal: Ambulating well but not thoroughly examined BCS: Not assessed Coat/skin: Small area of inflammation on left face. Occasional redness in axillary folds. No other lesions noted. Palpate lymph nodes: Within normal limits Assessment: Bacterial folliculitis and furunculosis. Treatment: Cephalexin tablets for 2 weeks. Prednisolone tablets for 3 weeks (1 tablet daily for 5 days, then 0.5 tablet daily for 1.5 weeks). Topical steroid cream (DermAid) for axillary redness. Next vaccination due: Not discussed. Discussion: Histopathology results confirm bacterial folliculitis. Recommended 2 weeks of antibiotics (cephalexin) and 3 weeks of anti-inflammatories (prednisolone). If not fully resolved after 2 weeks of antibiotics, can dispense another week without a revisit. For axillary redness, advised to clean the area and apply a topical steroid cream (e.g., DermAid). Owner to send photos for review next week instead of a physical revisit. Plan: Continue with prescribed medications. Monitor skin for resolution. Send photos for review next week. Next revisit: As needed.
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 15:59:23
Hi Carrie I will copy Winnie's results so Malcolm can have his say! But my interpretation is that she has an underlying infection in her hair follicles which is causing her patchy loss of hair. I recommend she has a course of at least 14 days antibiotics. However we can wait and see what your dad says if you like!! When we get the ok, I can dispense antibiotics.... Cheers Manty Pathology report: MICROSCOPIC Review of 4 sections of haired skin. In the section with greatest change there is moderate irregular epidermal hyperplasia with rete formation and compact parakeratosis, bordering focal ulceration with marked intracorneal to surface neutrophilic exudation. Underlying superficial dermis is oedematous and mildly fibrosed, with moderate neutrophilic to mixed interstitial inflammation. Regional follicles show moderate keratosis, intra-follicular neutrophilic folliculitis, and follicular rupture with marked neutrophilic inflammation (furunculosis). Changes are mild and the remaining 3 sections-mild orthokeratotic hyperkeratosis and mild follicular keratosis, with mild plasmacytic- lymphocytic, perivascular, superficial dermatitis. Inflammatory targeting of follicles or adnexal structures is not apparent. DIAGNOSIS Haired skin (left face): Marked, subacute, neutrophilic dermatitis, with neutrophilic folliculitis, furunculosis, and ulceration COMMENT/S Sections confirm a suppurative dermatitis (pyoderma), with demonstrated neutrophilic folliculitis and furunculosis. Results favour bacterial folliculitis as an inciting cause of presumed secondary (self) trauma and furunculosis, with results of additional staining for microorganisms to follow. Beyond the inflammatory focus changes are mild and aetiologically non-specific (including underlying hypersensitivity). They could represent spillover from the inflammatory focus, noting there is mild follicular keratosis in these areas. Reported by: Dr. Scott Lindsay Validated by: Dr. Scott Lindsay; 26/02/2026 Veterinary Anatomic Pathologist, MVSc PhD MANZCVS DACVP Workdays: Tuesday-Thursday (02) 9005 7468 SUPPLEMENTARY REPORT Additional staining Gram: A significant number of gram-positive cocci are detected within the ruptured follicle. PAS: Fungal/ yeast elements are not detected. Comment: Additional staining supports bacterial involvement in the furunculosis.
2026-02-24T00:00:00Z 11:42:31
Staff member making call : AH Which family member spoken with: Carrie Recall reason: GA and biopsy of skin on face Patient Report: Demeanour - BAR eating - y drinking - y urine - y faeces - y any problems with medicating? meloxicam 1 tablet SID - no issues with giving wound/s healing OK ? little swollen, little bit blood. appointment made for revisit ? booked.
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-23 | C09939829 | DERMATITIS |
| 2026-02-05 | C09863270 | DERMATITIS |
| 2026-01-15 | C09762433 | DERMATITIS |
| 2025-06-02 | C8787427 | DESEXING |
| 2025-04-02 | C8534846 | INTOXICATION (POISONING) - RODENTICIDE |
| 2025-03-30 | C8539717 | INTOXICATION (POISONING) - RODENTICIDE |
| 2025-03-06 | C8419042 | CLAW INJURY (TRAUMATIC) |
| 2025-03-01 | C8419039 | FRACTURE OF PELVIC LIMB - PHALANX |
| 2025-02-21 | C8406223 | URINARY TRACT INFECTION (UTI) |
| 2025-02-12 | C8327111 | URINARY TRACT INFECTION (UTI) |
| 2025-01-21 | C8272655 | URINARY TRACT INFECTION (UTI) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_corticosteroids | 28.25 | 2026-03-05 | — |
| 20000 | tstarc_antibiotics_-_cephalexin | 109.80 | 2026-03-05 | — |
UPM+
- DG00592DERMATITISDSTP_skin_-_dermatitis
Variant (sleepy_king)
DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.980
Threshold: 0.25
Above: ✓
Correct?