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What is your diagnosis?


New IVSA officers

IOO Ragnhild Solberg

New/old secretary

CEO Boris Gadžov

ITO Charlote Meire

What’s Your Diagnosis?

Two 1 1 year-old intact male guinea pigs “Ben and “Bill” are presented with flaky skin. The owner has not observed the animals to be itchy but one bites you when you touch the flaky area. There is no reported change in faeces, urine, appetite, or thirst. Upon clinical examination, both guinea pigs appeared BAR, and HR was N. Eyes look clear and bright, and the ears appear normal. However, upon closer inspection, a large number of yellow spots are seen adhering to “Bill’s” inner thighs (see picture). When you run your fingers through his coat over the spine, several tiny insects appear then dart out of sight.

  1. What condition does this suggest and what can you do to confirm it?
  2. Can the children who own “Ben” and “Bill” be affected?
  3. How do treat the animals?
  4. What is the prognosis?

Sympathetic itch caused Affected area of guinea pig

Guinea pig to bite your arm. medial left leg surface.

Answer:

The yellow attachments on “Bill’s” thighs are nits—the eggs of lice. To confirm the diagnosis, gently press a piece of clear adhesive tape to the nits and hair, peel it off, and place on a microscope slide. You see eggs are glued to the hair, so they are obviously not dirt specks, and the adult lice are clearly identifiable at the 10x, and 40x level (see photo). These are chewing lice, as evidenced by their wide head, and you are therefore able to diagnose pediculosis. It bit you because of a sympathetic puritic reaction when manipulating its itchy skin. Although louse infestation is predominantly a winter condition, it can occur at other times of the year. As lice are species-specific, there is no need to worry about the children acquiring head lice from their beloved pets. To treat “Ben” and “Bill,” administer 0.05ml DectomaxTM (doramectin) per os (see picture). Repeat in 2 weeks with Frontline Spray in a warm, well-ventilated area, being sure to prevent chill, as this product has isopropyl alcohol which evaporates quickly. The cage should be thoroughly cleaned. Be sure to advise the owner that these products are licensed for use in other animals, but not guinea pigs, and that this is an off-label use. Another choice for better accuracy of dosing (although still off label) is StrongholdTM (selamectin) 15 mg. for small cats.

The prognosis is excellent.


10x / 0.25 DIN

40x / 0.65 DIN

Administering medication

 

     
   
©International Veterinary Students Journal 2003.

 

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