Many dogs with ringworm infections experience circular lesions of hair loss and scaling. Some dogs also experience redness, ulcerative skin lesions, and itching, but the signs and severity of these signs are highly variable. Infection can be spread diffusely over a dog’s body, or can be isolated to smaller, localized areas, such as the head.
Diagnostic testing is needed to make a definitive diagnosis for a ringworm infection. During a physical exam, a Wood’s lamp test may be performed if ringworm is suspected. A Wood’s lamp test may cause some hairs to fluoresce an apple green color, however, this test is far from definitive, as many species of dermatophytes will not fluoresce, or glow under a Wood’s lamp. Hairs can be examined with special stains microscopically for the presence of fungal spores. The most definitive method to diagnose ringworm infections is through a fungal culture, where carefully collected hair samples are incubated in a lab for a period of 10 – 21 days. PCR testing may be recommended by your veterinarian for initial diagnosis as results can often be received within a few business days. Unfortunately, there are limitations to PCR testing such as fewer species of fungal spores will stimulate a positive result compared to a fungal culture and a PCR test may not distinguish a harmless fungal spore from one causing infection. ,Your veterinarian may decide biopsy samples are necessary for diagnosis if concurrent skin issues are present or in severe cases.
While cost of veterinary care can range for a number of reasons, small, localized lesions may cost less than $100 to treat, however more serious or long term cases may cost as much as $500+ to resolve.
Complete recovery from a ringworm infection typically takes 1 – 3 months, though complicated cases may take longer to achieve resolution.
Ideally, fungal cultures should be performed weekly to determine if a ringworm infection is resolving, but this is sometimes cost-prohibitive. Two negative fungal culture results should be obtained to consider an infection resolved. Young puppies’ body temperatures should be closely monitored if dips or shampoos are being used since they are prone to hypothermia (low body temperature). If itraconazole or ketoconazole are used for treatment, blood testing to monitor for changes in the liver enzymes are necessary.
In a multi-animal household, it is best to separate ringworm-infected animals from those not infected. Routine cleaning and disinfecting during treatment (as described above) is crucial to preventing reinfection and the spread of ringworm to other pets or people in the household. People should wear disposable gloves, practice good hand washing hygiene, and change clothing after exposure to an animal infected with ringworm.
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