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Identifying Secondary Infections in Canine Hot Spots

Canine hot spots, also known as acute moist dermatitis, are painful, inflamed areas on a dog’s skin that can develop rapidly and worsen quickly. While hot spots themselves are already problematic, they can become even more concerning when secondary infections set in. Identifying a secondary infection in a dog’s hot spot is crucial for effective treatment and quicker recovery. This in-depth guide will help you recognize the signs of infection, understand the causes, explore treatment options, and prevent future flare-ups.

What Are Canine Hot Spots?

Hot spots are localized skin infections characterized by red, moist, itchy, and inflamed skin.

 hot spots on dogs

They are usually triggered by an underlying issue such as:

  • Flea bites or insect stings

  • Allergies (food or environmental)

  • Poor grooming or matted fur

  • Skin wounds or scratches

  • Moisture is trapped against the skin

These conditions cause your dog to excessively lick, chew, or scratch an area, breaking the skin barrier and allowing bacteria to invade. This results in an oozing lesion that can grow rapidly.

Primary vs. Secondary Infections

Hot spots begin as primary skin irritations but can develop into secondary infections if not treated promptly.

  • Primary Infection: Often mild, caused by bacteria already present on the skin (e.g., Staphylococcus pseudintermedius).

  • Secondary Infection: More serious; occurs when additional pathogens (e.g., fungi, more aggressive bacteria) invade the site or the body's immune system becomes overwhelmed.

Secondary infections complicate the healing process and may require antibiotics, antifungals, or other targeted treatments.

How Do Secondary Infections Happen?

Secondary infections in hot spots can result from:

  • Delayed treatment: Waiting too long to address the hot spot.

  • Inappropriate self-treatment: Using products that irritate the skin further.

  • Persistent scratching or licking: Keeps the wound open and vulnerable.

     hot spots on dogs
  • Weakened immune system: Older dogs or those with other health conditions.

  • Moist environments: Bacteria thrive in wet, warm environments.

Signs Your Dog’s Hot Spot Is Infected

Here are the key symptoms indicating a secondary infection:

1. Pus or Discharge

  • Yellow, green, or cloudy fluid oozing from the wound

  • Foul odor accompanying the discharge

2. Severe Swelling

  • The area becomes significantly raised or feels warm to the touch

3. Crusting and Scabbing

  • Thick scabs forming, often with cracked, bleeding edges

    hot spots on dogs

4. Fever or Lethargy

  • Systemic signs like shivering, decreased energy, or reduced appetite

5. Spreading of the Lesion

  • The hot spot expands or new ones appear nearby

    hot spots on dogs

6. Pain Response

  • Your dog yelps, growls, or flinches when the area is touched

7. Change in Color

  • The wound turns darker red, purple, or black, indicating necrosis

Diagnosing an Infected Hot Spot

Veterinarians may use several methods to diagnose a secondary infection:

  • Visual inspection: Identifying characteristics like pus, crust, and odor

  • Skin cytology: Microscopic examination of cells from the wound

  • Culture and sensitivity tests: Determine the type of bacteria or fungus and the most effective treatment

  • Blood tests: Evaluate immune response or underlying conditions

Treatment Options for Infected Hot Spots

1. Cleaning the Area

  • Shaving the fur around the lesion to expose the area

  • Using antiseptic solutions like chlorhexidine or betadine

2. Topical Treatments

  • Antibiotic ointments (e.g., mupirocin)

  • Antifungal spray or creams (if yeast or fungi are involved)

    This Puainta® Quantum Silver Antifungal Spray is specifically designed to treat hot spot symptoms in dogs and cats, and help soothe red, scaly, greasy, or smelly skin. It deodorizes and helps relieve fungal and bacterial skin infections, relieves itchy skin in cats and dogs, and helps control the spread of lesions.

    antifungal spray for dogs with hot spots

  • Corticosteroids to reduce inflammation

3. Oral Medications

  • Antibiotics for bacterial infections

  • Antifungals for fungal involvement

  • Anti-inflammatory drugs for pain and swelling

4. Elizabethan Collar (E-Collar)

  • Prevents licking or scratching during recovery

5. Advanced Therapies

Home Care and Monitoring

  • Monitor the wound daily for changes in size, color, or discharge

  • Clean the area as directed by your vet

  • Administer all prescribed medications on schedule

  • Prevent your dog from licking or scratching the area

  • Keep your dog’s environment dry and clean

Preventing Hot Spots and Infections

  • Regular grooming and brushing

  • Use flea prevention consistently

  • Dry your dog thoroughly after baths or swimming

  • Address allergies and skin conditions early

  • Provide plenty of mental and physical stimulation to reduce stress-related licking

    hot spots on dogs

When to Seek Emergency Vet Care

Contact your vet immediately if:

  • The hot spot has pus, a foul odor, or dark discoloration

  • Your dog shows signs of fever or lethargy

  • The wound is rapidly growing

  • Your dog stops eating or drinking

  • You suspect an allergic reaction to medication

FAQ:

Q1: How long does it take for an infected hot spot to heal?
A: With proper treatment, healing typically takes 7-10 days. Severe or neglected infections may take longer.

Q2: Can I use Neosporin on my dog’s hot spots?
A: Neosporin is not recommended unless approved by your vet, as dogs may lick it and ingest harmful ingredients.

Q3: What happens if I leave a hot spot untreated?
A: It can worsen, spread, and develop into a painful secondary infection requiring antibiotics and vet care.

Q4: Are hot spots contagious to other dogs or humans?
A: Generally, no. However, underlying causes (e.g., fleas, mange) can be contagious.

Q5: Can I treat an infected hot spot at home?
A: Minor cases might be managed at home with vet-approved solutions, but infections often require antibiotics and professional care.

Q6: Why does my dog keep getting hot spots?
A: Chronic hot spots often stem from allergies, poor grooming, or parasites. Identifying and addressing the root cause is key.

Q7: Is it okay to bandage a dog’s hot spot?
A: Usually not, as it can trap moisture. Follow your vet’s guidance.

Conclusion

Identifying secondary infections in canine hot spots early is essential for your dog’s health and comfort. Recognizing the signs of infection—like discharge, foul smell, swelling, and behavioral changes—can help you seek timely veterinary care. With the right treatment plan and prevention strategy, your dog can heal faster and avoid recurring issues. Stay observant, stay proactive, and always consult your vet when in doubt.

By:Emily Carter,DVM

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