Guttural pouch mycosis in horses: a retrospective study of 28 cases.

Dobesova, O
·
Schwarz, B
·
Velde, K
·
Jahn, P
·
Zert, Z
·
Bezdekova, B

Abstract: The medical records of 28 horses with guttural pouch mycosis were reviewed. The most commonly observed clinical signs were nasal discharge, epistaxis, dysphagia and/or cough. All 28 horses had the disease unilaterally, however, in five of them, it had spread into the contralateral pouch via the mesial septum. Three horses were treated medically, 11 horses underwent surgery and seven horses were treated both medically and surgically. Fifty percent of horses (14/28) were euthanased or died, fifty percent of horses (14/28) survived. There was no significant correlation between treatment method (medical, surgical, combination) and survival rate. The most common reason for euthanasia was dysphagia due to pharyngeal dysfunction. There was a highly significant correlation between the presence of dysphagia and non-survival (p=0.008).

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Publication Date: 2012-10-31 PubMed ID: 23118043DOI: 10.1136/vr.100700Google Scholar: Lookup

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Journal Article
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study reviews medical cases of 28 horses with guttural pouch mycosis, focusing on common symptoms, treatment methods, and survival rates. It revealed a 50% survival rate, regardless of treatment method, with the common cause of euthanasia being dysphagia due to pharyngeal dysfunction.

Objective of the Study

The main aim of this study was to analyze the medical records of 28 horses diagnosed with guttural pouch mycosis, an uncommon but often fatal disease in horses.
The study looked at different aspects including the prevalent clinical symptoms, treatments applied, and the subsequent survival rates post-treatment.

Clinical Observations

According to the study, the most common symptoms observed in the horses were nasal discharge, nosebleeds (epistaxis), difficulty swallowing (dysphagia), and/or cough.
The disease was found to affect one side of the animal (unilateral) in all cases. Nevertheless, in five out of the 28 cases, the disease had spread to the other side (contralateral) through the mesial septum, a thin wall separating the two guttural pouches.

Treatments and Outcomes

The treatments for the 28 horses varied, 11 underwent surgery, three were treated using medical methods, and seven cases had a combination of both procedures.
Unfortunately, regardless of the treatment method, half of the horses (14 out of 28) either were euthanized or died. The remaining half survived.
Interestingly, the study found no significant correlation between the treatment method applied (whether medical, surgical, or a combination of both) and the survival rates.
The report highlighted the primary cause for euthanizing the horses was dysphagia, resulting from a pharyngeal dysfunction. This was a consequence of guttural pouch mycosis leading to difficulties in swallowing.
Additionally, the study found a strong association between the presence of dysphagia and non-survival, thus underlining the severity of this symptom in the prognosis of the disease (p=0.008).

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APA

Dobesova O, Schwarz B, Velde K, Jahn P, Zert Z, Bezdekova B. (2012). Guttural pouch mycosis in horses: a retrospective study of 28 cases. Vet Rec, 171(22), 561. https://doi.org/10.1136/vr.100700

Publication

The Veterinary record

ISSN: 2042-7670

NlmUniqueID: 0031164

Country: England

Language: English

Volume: 171

Issue: 22

Pages: 561

Researcher Affiliations

Dobesova, O

Equine Clinic, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic. oli.dobesova@seznam.cz

Schwarz, B

Velde, K

Jahn, P

Zert, Z

Bezdekova, B

MeSH Terms

Animals
Antifungal Agents / therapeutic use
Combined Modality Therapy / veterinary
Deglutition Disorders / etiology
Deglutition Disorders / mortality
Deglutition Disorders / veterinary
Female
Horse Diseases / microbiology
Horse Diseases / pathology
Horse Diseases / therapy
Horses
Male
Mycoses / complications
Mycoses / pathology
Mycoses / therapy
Mycoses / veterinary
Otorhinolaryngologic Diseases / complications
Otorhinolaryngologic Diseases / pathology
Otorhinolaryngologic Diseases / therapy
Otorhinolaryngologic Diseases / veterinary
Retrospective Studies
Survival Analysis
Treatment Outcome

Citations

This article has been cited 10 times.

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