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Topic:Fungal

Fungal infections in horses encompass a variety of conditions caused by different fungal species that can affect the skin, respiratory system, and other body systems. These infections can range from superficial skin infections, such as ringworm, to more serious systemic infections like aspergillosis. The presence of fungi in the equine environment and their interactions with the horse's immune system can influence the development and severity of these infections. Diagnosis often involves identifying the specific fungal organism through laboratory testing, while treatment may include antifungal medications and supportive care. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnosis, and treatment of fungal infections in horses.
Alogomyces tanneri gen. et sp. nov., a chytrid in Lobulomycetales from horse manure.
Mycologia    August 9, 2011   Volume 104, Issue 1 157-163 doi: 10.3852/11-043
Simmons DR, Letcher PM, Powell MJ, Longcore JE.The order Lobulomycetales contains chytrids from soil, freshwater and marine habitats; environmental DNA sampling has indicated that representatives of this order might be found in deep ocean localities. We describe Alogomyces tanneri as the first lobulomycetalean chytrid isolated from horse manure; A. tanneri is also the first species in the order to possess a rumposome in its zoospore. This species widens the range of habitats, ultrastructural variation and thallus morphology for Lobulomycetales.
The effect of environment on interferon-gamma production in neonatal foals.
Veterinary immunology and immunopathology    June 28, 2011   Volume 143, Issue 1-2 170-175 doi: 10.1016/j.vetimm.2011.06.030
Sun L, Adams AA, Page AE, Betancourt A, Horohov DW.While interferon-gamma (IFNγ) plays an important role in protection against viral and intracellular bacterial infections, its production in neonates is deficient. Exposure to environmental antigens can promote the maturation of the immune system of neonatal humans and mice. We hypothesize that exposure to high level of microbial components would increase the production of IFNγ in neonatal foals. To test this hypothesis, one group of foals was placed into stalls three times a week for 8 weeks. A second group of foals remained on pasture. Air samples were collected from the barn and pasture fo...
Presence and distribution of fungi and bacteria in the reproductive tract of healthy stallions.
Theriogenology    May 6, 2011   Volume 76, Issue 3 464-470 doi: 10.1016/j.theriogenology.2011.02.023
Rota A, Calicchio E, Nardoni S, Fratini F, Ebani VV, Sgorbini M, Panzani D, Camillo F, Mancianti F.A saprophytic bacterial flora is present on the penis and the distal part of the urethra of stallions. Little is known about the fungal flora of their reproductive tract. As micro organisms play an important role in mares fertility, the aim of the study was to describe the distribution of fungi and bacteria in the normal genital apparatus of stallions. The microbic flora of the reproductive tract of 11 healthy, fertile stallions was evaluated, collecting samples from 5 different locations: urethral fossa, penis/internal lamina of the prepuce, urethra pre- and post-ejaculation, and semen. For f...
Conjunctival bacterial and fungal flora in healthy horses in the UK.
Veterinary ophthalmology    April 28, 2011   Volume 14, Issue 3 195-199 doi: 10.1111/j.1463-5224.2010.00867.x
Johns IC, Baxter K, Booler H, Hicks C, Menzies-Gow N.To describe the bacterial and fungal flora of the normal conjunctiva of horses in the UK; to determine the effect of horse age, sex, geographic location, and housing on this flora; and to determine the most appropriate antimicrobial drug(s) for prophylactic treatment of corneal ulcers. Methods: A total of 60 adult healthy horses were studied. Methods: Swabs of the conjunctiva were obtained from 60 horses housed in two locations within the UK. Specimens were cultured for aerobic bacteria and fungi, and sensitivity against six ophthalmic antimicrobials assessed. The effect of age, sex, location ...
Mortierella wolfii keratomycosis in a horse.
Veterinary ophthalmology    April 19, 2011   Volume 14, Issue 4 267-270 doi: 10.1111/j.1463-5224.2011.00891.x
Wada S, Ode H, Hobo S, Niwa H, Katayama Y, Takatori K.To describe a case of superficial keratomycosis caused by Mortierella wolfii (M. wolfii) in a horse. Methods: A thoroughbred filly was presented with painful right eye of 2 days' duration. A superficial corneal ulcer was observed ventrally together with multifocal punctuate opacities axially. Samples were collected by swabbing and scraping the ulcerated lesion and submitted for microbiologic and cytologic examination. Results: Microscopic evaluation of debrided corneal tissue revealed the presence of nonseptate fungal hyphae, and culture of a corneal swab yielded fungal growth. Medical treat...
Expression of Toll-like receptors 2, 3, 4, 6, 9, and MD-2 in the normal equine cornea, limbus, and conjunctiva.
Veterinary ophthalmology    March 4, 2011   Volume 14, Issue 2 80-85 doi: 10.1111/j.1463-5224.2010.00844.x
Gornik K, Moore P, Figueiredo M, Vandenplas M.Human corneal cells have detectable levels of TLRs 1-10. TLRs 2 and 4 are the major corneal receptors, recognizing the PAMPs associated with fungal invasion in humans. The conjunctiva and limbus contain TLRs 2, 4, and 9. Our purpose was to determine the expression of TLRs 2, 3, 4, 6, 9, and MD-2 in the normal equine cornea, conjunctiva, and limbus. Methods: Corneal, limbal, and conjunctival tissues were collected from seven euthanized horses having no evidence of ocular disease. RNA extraction with DNase-1 digestion was performed followed by RT-PCR to determine expression of TLRs 2, 3, 4, 6, 9...
Subconjunctival mycetoma caused by Scedosporium apiospermum infection in a horse.
Veterinary clinical pathology    February 3, 2011   Volume 40, Issue 1 84-88 doi: 10.1111/j.1939-165X.2011.00285.x
Berzina I, Trumble NS, Novicki T, Sharkey LC.An 11-year-old American Saddlebred gelding was presented for evaluation of a nonpainful subconjunctival mass involving the lateral canthus of the left eye. Other findings included a central corneal scar and a small central cataract of the lens in the left eye. Fine-needle aspiration of the mass was performed and cytologic examination revealed marked pyogranulomatous inflammation with intralesional fungal hyphae, consistent with mycetoma. The fungal structures were elongated and characterized by nonstaining walls; several bulbous yeast-like structures were also observed. The mycetoma was surgic...
In vivo confocal microscopy of equine fungal keratitis.
Veterinary ophthalmology    January 5, 2011   Volume 14, Issue 1 1-9 doi: 10.1111/j.1463-5224.2010.00822.x
Ledbetter EC, Irby NL, Kim SG.To describe in vivo corneal confocal microscopy of horses with fungal keratitis and correlate findings with clinical, histopathological, and microbiological evaluations of clinical cases and an ex vivo experimental equine fungal keratitis model. Methods: A total of 12 horses with naturally-acquired fungal keratitis and ex vivo equine corneas experimentally infected with clinical fungal isolates. Methods: Horses with naturally-acquired fungal keratitis were examined with a modified Heidelberg Retina Tomograph II and Rostock Cornea Module. Confocal microscopy images of clinical isolates of Asper...
Identification of Pythium insidiosum by nested PCR in cutaneous lesions of Brazilian horses and rabbits.
Current microbiology    December 25, 2010   Volume 62, Issue 4 1225-1229 doi: 10.1007/s00284-010-9781-4
Botton SA, Pereira DI, Costa MM, Azevedo MI, Argenta JS, Jesus FP, Alves SH, Santurio JM.Pythium insidiosum is a fungus-like organism present in subtropical and tropical areas, such as Brazil, known to infect humans and various animal species. P. insidiosum is the etiological agent of pythiosis, an emerging and granulomatous disease characterized mainly by cutaneous and subcutaneous lesions in horses, the principal species affected. Accurate diagnosis of pythiosis and identification of its causal agent by microbiological and serological tests can be often difficult and inconclusive principally for horses and humans. The aim of this study was to evaluate the application of the prev...
Cutaneous fungal granulomas due to Alternaria spp. infection in a horse in New Zealand.
New Zealand veterinary journal    December 15, 2010   Volume 58, Issue 6 319-320 doi: 10.1080/00480169.2010.69765
Dicken M, Munday JS, Archer RM, Mayhew IG, Pandey SK.Equine cutaneous fungal granulomas have been previously referred to in New Zealand (Fairley 1998), and are described in the veterinary literature from around the world, including North America and Australia (Pascoe and Summers 1981; Genovese et al. 2001; Valentine et al. 2006), but no peer-reviewed reports appear published in the literature in New Zealand. Described here is a case of multiple cutaneous fungal granulomas caused by Alternaria spp. in a horse in New Zealand.
Geotrichum candidum as etiological agent of horse dermatomycosis.
Veterinary microbiology    October 23, 2010   Volume 148, Issue 2-4 368-371 doi: 10.1016/j.vetmic.2010.09.025
Figueredo LA, Cafarchia C, Otranto D.Fungi of the genus Geotrichum are commonly found in the environment and, in some circumstances, they may cause diseases in humans and animals. Although these fungi have been isolated from skin lesions of some animal species, their pathogenic role in horses remains uncertain. With the aim to investigate the role of Geotrichum candidum as etiological agent of dermatomycoses, a retrospective study of 64 horses presenting skin lesions and suspected to have fungal infections was carried out. For each animal, anamnestic data were recorded and fungal culture were performed using hair. Out of 64 cases...
Experimental induction of recurrent airway obstruction with inhaled fungal spores, lipopolysaccharide, and silica microspheres in horses.
American journal of veterinary research    June 2, 2010   Volume 71, Issue 6 682-689 doi: 10.2460/ajvr.71.6.682
Beeler-Marfisi J, Clark ME, Wen X, Sears W, Huber L, Ackerley C, Viel L, Bienzle D.To evaluate experimental induction of recurrent airway obstruction (RAO) with inhaled fungal spores, lipopolysaccharide, and silica microspheres in horses. Methods: 7 horses with and 3 horses without a history of RAO. Methods: RAO-susceptible horses ranged in age from 17 to approximately 30 years, and control horses ranged in age from 7 to approximately 15 years. Pure mold cultures were derived from repeated culture of hay and identified via gene amplification and sequencing. Pulmonary function testing and bronchoalveolar lavage were performed before and after nebulization with a suspension of...
Immunohistochemical study of matrix metalloproteinases-2 and -9, macrophage inflammatory protein-2 and tissue inhibitors of matrix metalloproteinases-1 and -2 in normal, purulonecrotic and fungal infected equine corneas.
Veterinary ophthalmology    May 8, 2010   Volume 13, Issue 2 81-90 doi: 10.1111/j.1463-5224.2009.00757.x
Boveland SD, Moore PA, Mysore J, Krunkosky TM, Dietrich UM, Jarrett C, Paige Carmichael K.Determine the effects of matrix metalloproteinases (MMPs)-2, -9, macrophage inflammatory protein-2 (MIP-2), tissue inhibitors of matrix metalloproteinase (TIMP)-1 and -2 by immunohistochemical expression in fungal affected and purulonecrotic corneas. Methods: Paraffin-embedded equine corneal samples; normal (n = 9), fungal affected (FA; n = 26), and purulonecrotic without fungi (PN; n = 41) were evaluated immunohistochemically for MMP-2, -9, MIP-2, TIMP-1 and -2. The number of immunoreactive inflammatory cells was counted and statistics analyzed. Western blot was performed to detect MMP-2, MMP...
In vitro predatory activity of nematophagous fungi and after passing through gastrointestinal tract of equine on infective larvae of Strongyloides westeri.
Parasitology research    April 6, 2010   Volume 107, Issue 1 103-108 doi: 10.1007/s00436-010-1841-y
Araujo JM, Araújo JV, Braga FR, Carvalho RO.Three isolates of predator fungi Duddingtonia flagrans (AC001), Monacrosporium thaumasium (NF34), and Arthrobotrys robusta (I-31) were assessed in in vitro test regarding the capacity of prey infective larvae (L(3)) Strongyloides westeri. Compared to control, without fungus, there was a significant decrease (P 0.01) in vitro test. Linear regression coefficients of treated and control groups were -0.21 for control, -0.32 for D. flagrans, -0.34 for M. thaumasium, and -0.22 for A. robusta. In the following, isolates AC001 and NF34 were assessed in vivo regarding the capacity of supporting the pa...
Scanning electron microscopy and fungal culture of hoof horn from horses suffering from onychomycosis.
Veterinary dermatology    December 23, 2009   Volume 21, Issue 4 335-340 doi: 10.1111/j.1365-3164.2009.00864.x
Apprich V, Spergser J, Rosengarten R, Hinterhofer C, Stanek C.Horn samples were taken from the hooves of eight horses with clinical signs of equine onychomycosis in at least one hoof capsule. None of the horses had a documented mycological history. The predominant alterations of the horn capsules were sand cracks, white line disease, brittleness (especially around the nail holes), parakeratosis and bruising. The horn samples were stored in sterile tubes for transportation and transferred onto Sabouraud Dextrose Agar and dermatophyte test agar for mycological examination within 6 h. Fungal cultures were incubated for 30 days at room temperature. Funga...
The repertoire of equine intestinal alpha-defensins.
BMC genomics    December 23, 2009   Volume 10 631 doi: 10.1186/1471-2164-10-631
Bruhn O, Paul S, Tetens J, Thaller G.Defensins represent an important class of antimicrobial peptides. These effector molecules of the innate immune system act as endogenous antibiotics to protect the organism against infections with pathogenic microorganisms. Mammalian defensins are classified into three distinct sub-families (alpha-, beta- and theta-defensins) according to their specific intramolecular disulfide-bond pattern. The peptides exhibit an antimicrobial activity against a broad spectrum of microorganisms including bacteria and fungi. Alpha-Defensins are primarily synthesised in neutrophils and intestinal Paneth cells....
Viability of the nematophagous fungus Pochonia chlamydosporia after passage through the gastrointestinal tract of horses.
Veterinary parasitology    December 2, 2009   Volume 168, Issue 3-4 264-268 doi: 10.1016/j.vetpar.2009.11.020
Braga FR, Araújo JV, Silva AR, Carvalho RO, Araujo JM, Ferreira SR, Carvalho GR.The predatory capacity of the nematophagous fungus Pochonia chlamydosporia (isolate VC4) embedded in sodium alginate pellets after passage through the gastrointestinal tract of horses was assessed in vitro against Oxyuris equi eggs. Twelve previously dewormed crossbred mares, average weight of 362.5kg (+/-21) were used in the experiment. Each animal of the treated group received an oral dose (100g) of sodium alginate pellets containing P. chlamydosporia mycelial mass. The control group received pellets without fungus. Faecal samples from fungus-treated and control groups were collected at inte...
Eumycetoma caused by Madurella mycetomatis in a mare.
Medical mycology    November 6, 2009   Volume 48, Issue 4 639-642 doi: 10.3109/13693780903393905
Elad D, Blum S, Kol A, Ederi N, David D.A case of equine eumycotic mycetoma caused by Madurella mycetomatis is described. This is the first report of M. mycetomatis as the etiologic agent of human or animal infections in Israel. The definitive identification of the isolate was established by molecular methods. In addition the mold was cultured on various media through which we found that its growth rate was significantly augmented on incubation on trypticase soy agar, more so if horse serum was added to this medium. Sixteen previously published cases defined by the authors as mycetoma in horses are briefly reviewed. Among these, onl...
Iris abscesses with and without intralenticular fungal invasion in the horse.
Veterinary ophthalmology    September 16, 2009   Volume 12, Issue 5 306-312 doi: 10.1111/j.1463-5224.2009.00718.x
Brooks DE, Taylor DP, Plummer CE, Quinn R, Kallberg ME, Sheppard B, Barrie KP, Blackwood SE, Nunnery CM, Ben-Shlomo G, Clark CJ, Woodworth AA.To describe clinical and histologic findings in horses with iris abscesses. Design Retrospective medical records study. Methods: Medical records of horses that had iris abscesses at the University of Florida Veterinary Medical Center, Peterson & Smith Equine Hospital, and Veterinary Eye Specialists of London, Ontario, from 2005 to 2008 were reviewed. Methods: Data collected from the medical records included signalment, clinical and histologic descriptions of ocular lesions, therapy, complications, and visual outcomes. Results: The medical records of two Quarterhorses, one pony, one warmblood, ...
In vitro susceptibility patterns of Aspergillus and Fusarium species isolated from equine ulcerative keratomycosis cases in the midwestern and southern United States with inclusion of the new antifungal agent voriconazole.
Veterinary ophthalmology    September 16, 2009   Volume 12, Issue 5 318-324 doi: 10.1111/j.1463-5224.2009.00721.x
Pearce JW, Giuliano EA, Moore CP.To evaluate and compare the in vitro susceptibility of Aspergillus and Fusarium spp. isolated from horses with ulcerative keratomycosis, address regional differences in equine keratomycosis isolates, and provide susceptibility data to update prior studies. Methods: Fourteen horses with ulcerative keratomycosis. Methods: Banked fungal isolates from equine corneal ulcers (eight Aspergillus spp. and six Fusarium spp.) were identified at The University of Texas Health Science Center at San Antonio. In vitro minimum inhibitory concentration and susceptibility to natamycin, fluconazole, itraconazole...
Multimodal treatment of recurrent sinonasal cryptococcal granulomas in a horse.
Journal of the American Veterinary Medical Association    September 16, 2009   Volume 235, Issue 6 723-730 doi: 10.2460/javma.235.6.723
Stewart AJ, Salazar T, Waldridge BM, Schumacher J, Welles EG, Hanson RR, Sartin EA, Lenz SD, Holland M, Beard DM.A 7-year-old 509-kg (1,120-lb) Tennessee Walking Horse mare was evaluated because of bilateral mucosanguinous nasal discharge, intermittent right-sided epistaxis, and worsening dyspnea of 9 months' duration. Results: Multiple masses in the nasopharynx were detected via endoscopic and radiographic examinations. Cytologic and histologic examinations of biopsy specimens of 1 mass revealed round yeasts with thick nonstaining capsules and occasional narrow-based budding that resembled cryptococcal organisms. Results: Oral administration of fluconazole and organic ethylenediamine dihydriodide and in...
Clinical and subclinical endometritis in the mare: both threats to fertility.
Reproduction in domestic animals = Zuchthygiene    August 13, 2009   Volume 44 Suppl 3 10-22 doi: 10.1111/j.1439-0531.2009.01485.x
LeBlanc MM, Causey RC.Endometritis, a major cause of mare infertility arising from failure to remove bacteria, spermatozoa and inflammatory exudate post-breeding, is often undiagnosed. Defects in genital anatomy, myometrial contractions, lymphatic drainage, mucociliary clearance, cervical function, plus vascular degeneration and inflamm-ageing underlie susceptibility to endometritis. Diagnosis is made through detecting uterine fluid, vaginitis, vaginal discharge, short inter-oestrous intervals, inflammatory uterine cytology and positive uterine culture. However, these signs may be absent in subclinical cases. Hyper...
Sporotrichosis: a retrospective evaluation of 23 cases seen in northern California (1987-2007).
Veterinary dermatology    August 8, 2009   Volume 20, Issue 4 249-259 doi: 10.1111/j.1365-3164.2009.00763.x
Crothers SL, White SD, Ihrke PJ, Affolter VK.Sporotrichosis is an uncommon to rare cutaneous and subcutaneous mycosis of animals and humans caused by the dimorphic fungus Sporothrix schenckii. Twenty-three mammalian cases of sporotrichosis examined between 1987 and 2007 at the University of California, Davis - Veterinary Medical Teaching Hospital, were retrospectively evaluated with regard to the historical, clinical, diagnostic and treatment findings. Cats were the most common species affected (n = 14). In addition, sporotrichosis was diagnosed in four dogs, four horses and a donkey. Six of 23 cases were diagnosed with the localized cut...
Biological control of horse cyathostomin (Nematoda: Cyathostominae) using the nematophagous fungus Duddingtonia flagrans in tropical southeastern Brazil.
Veterinary parasitology    May 15, 2009   Volume 163, Issue 4 335-340 doi: 10.1016/j.vetpar.2009.05.003
Braga FR, Araújo JV, Silva AR, Araujo JM, Carvalho RO, Tavela AO, Campos AK, Carvalho GR.The viability of a fungal formulation using the nematode-trapping fungus Duddingtonia flagrans was assessed for the biological control of horse cyathostomin. Two groups (fungus-treated and control without fungus treatment), consisting of eight crossbred mares (3-18 years of age) were fed on Cynodon sp. pasture naturally infected with equine cyathostome larvae. Each animal of the treated group received oral doses of sodium alginate mycelial pellets (1g/(10 kg live weight week)), during 6 months. Significant reduction (p<0.01) in the number of eggs per gram of feces and coprocultures was foun...
Antifungal activity of tea tree oil from Melaleuca alternifolia against Trichophyton equinum: an in vivo assay.
Phytomedicine : international journal of phytotherapy and phytopharmacology    April 28, 2009   Volume 16, Issue 11 1056-1058 doi: 10.1016/j.phymed.2009.03.013
Pisseri F, Bertoli A, Nardoni S, Pinto L, Pistelli L, Guidi G, Mancianti F.Dermatophytes are a group of keratinophilic and keratinolytic molds, some of which are responsible for ringworm. Among them Trichophyton equinum, which mostly infects equids, can cause extensive outbreaks in stud farms. The conventional treatment of equine trichophytosis is topic, based upon medicated shampoos to reduce the spread of infection among the animals. Nevertheless the popularity of phytotherapy is at an all-time peak, and the interest for natural alternatives or complements to conventional drug therapy is challenging both in human and veterinary field. Among herbal remedia Tea Tree ...
Expression of toll-like receptor 2 mRNA in bronchial epithelial cells is not induced in RAO-affected horses.
Equine veterinary journal    March 24, 2009   Volume 41, Issue 1 76-81 doi: 10.2746/042516408x347592
Berndt A, Derksen FJ, Venta PJ, Karmaus W, Ewart S, Yuzbasiyan-Gurkan V, Robinson NE.Airway inflammation in recurrent airway obstruction (RAO) is triggered by housing affected horses in stables.It has been suggested that RAO is an allergic condition, but innate immune mechanisms are also involved. Fungal products activate innate immune mechanisms through toll-like receptor 2 (TLR2). In human airway epithelium, TLR2 activation leads to interleukin (IL)-8 production. This pathway is negatively regulated by the zinc finger protein A20. This study was performed to enhance understanding of innate immune mechanisms in RAO. Objective: TLR2 and IL-8 mRNA are elevated in RAO during sta...
A mass spectrometric study on meloxicam metabolism in horses and the fungus Cunninghamella elegans, and the relevance of this microbial system as a model of drug metabolism in the horse.
Journal of mass spectrometry : JMS    March 18, 2009   Volume 44, Issue 7 1026-1037 doi: 10.1002/jms.1575
Tevell Aberg A, Olsson C, Bondesson U, Hedeland M.This paper describes a study where the metabolism of the non-steroidal anti-inflammatory drug meloxicam was investigated in six horses and in the filamentous fungus Cunninghamella elegans. The metabolites identified were compared between the species, and then the fungus was used to produce larger amounts of the metabolites for future use as reference material. C. elegans proved to be a good model of phase I meloxicam metabolism in horses since all four metabolites found were the same in both species. Apart from the two main metabolites, 5'-hydroxymethylmeloxicam and 5'-carboxymeloxicam, a seco...
Successful treatment of a sinonasal cryptococcal granuloma in a horse.
Journal of the American Veterinary Medical Association    February 19, 2009   Volume 234, Issue 4 509-513 doi: 10.2460/javma.234.4.509
Cruz VC, Sommardahl CS, Chapman EA, Fry MM, Schumacher J.A 12-year-old 500-kg (1,100-lb) American Quarter Horse mare was evaluated because of chronic mucopurulent, bloody discharge from the left nostril, inspiratory dyspnea, and respiratory noise. Results: The horse had severe inspiratory dyspnea and stertorous respiration with no airflow from the left nostril. A temporary tracheostomy was performed. Endoscopy revealed a tan mass protruding from the left middle nasal meatus into the left common nasal meatus; it extended caudally into the nasopharynx and around the caudal edge of the nasal septum into the right nasal cavity. Radiographically, a soft ...
Cutaneous fungal granuloma in a horse.
Veterinary dermatology    January 21, 2009   Volume 20, Issue 2 131-134 doi: 10.1111/j.1365-3164.2008.00719.x
Schwarz B, Burford J, Knottenbelt D.This case report describes a 4-year-old-horse with two cutaneous masses on the right crest of the neck. Biopsy revealed chronic nodular pyogranulomatous dermatitis and panniculitis. Giemsa and periodic acid-Schiff stains showed focal spherical, yeast-like organisms. A diagnosis of cutaneous fungal granuloma was made. The size of the masses decreased after oral treatment with fluconazole for 10 days combined with potassium iodide for 30 days, and the remaining masses were excised by laser. Lesions did not recur at the site. Fungal granuloma should be considered as a differential diagnosis in ho...
Equine special edition of veterinary ophthalmology.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 1 doi: 10.1111/j.1463-5224.2008.00648.x
Gilger BC.No abstract available
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