Rare Generalized Form of Fungal Dermatitis in a Horse: Case Report.
Abstract: A rare case of spp. dermatitis in a horse is presented. After unrelated, previous surgery and antibiotic treatment, a saddle horse showed well-circumscribed areas of non-pruritic alopecia. Suspecting allergic skin disease, the horse was treated with corticosteroids. The skin lesion spread, and a second veterinarian was consulted. At clinical examination, the horse was lethargic, pyretic and hair was shedding/easily epilated over the head, neck, shoulders, and legs and the hind legs were swollen. Blood analysis revealed mild leucocytosis and hyperglobulinemia. Hair, skin scraping, and skin biopsy ruled out parasites and bacteria; cytology identified yeast-like structures with hyphae or pseudohyphae. was isolated on culture. Treatment consisted of stable disinfection, topical application of an antifungal solution, vitamins C and E supplementation and allowing the horse to graze in sunlight for at least 6 h/day. At 3-weeks follow-up, the horse had gained weight, alopecia was decreased, and all other clinical parameters were normal. Antifungal treatment was continued twice a week for three months. This study suggests may cause skin lesions in horses after long-term use of corticosteroids or antibiotics. To avoid unnecessary and prolonged suffering in cases of dermatitis, veterinarians should be promptly consulted, appropriate diagnostic procedures conducted, so that a definitive diagnosis can be reached, and an appropriate treatment regimen implemented.
Publication Date: 2020-05-17 PubMed ID: 32429596PubMed Central: PMC7278430DOI: 10.3390/ani10050871Google Scholar: Lookup
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Summary
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This study reports on a rare case of dermatitis in a horse, caused by a fungal species, after the horse underwent unrelated surgery and was given antibiotic treatment. Despite initial treatment for an allergic skin condition, the disease spread. After additional testing, the veterinarians identified yeast-like structures causing the condition and implemented an antifungal treatment, which led to an improvement in the horse’s condition.
Initial Presentation and Diagnosis
- The affected horse initially showed signs of non-pruritic alopecia (non-itchy hair loss) in well-defined areas after having undergone unrelated surgery and getting an antibiotic treatment. The initial diagnosis was an allergic skin disease, leading to a treatment of corticosteroids.
- However, the condition worsened eventually. The scalp lesions spread and the horse showed additional symptoms like lethargy, increased body temperature, hair shedding or easy epilation from the head, neck, shoulders and legs, and swollen hind legs.
- A blood analysis was performed, which revealed mild leucocytosis (an increase in the number of white blood cells) and hyperglobulinemia (an increase in the levels of globulins, a type of protein in the blood).
Secondary Consultation and Treatment
- A secondary consultation was sought and additional diagnostic procedures were performed including hair, skin scraping, and skin biopsy, which ruled out parasites and bacteria as the cause.
- Cytology, the study of cells, identified yeast-like structures with hyphae or pseudohyphae. The fungal species in question, identified as , was isolated on culture.
- Treatment involved disinfecting the stable where the horse was kept, applying an antifungal solution topically, supplementing the horse with vitamins C and E, and letting the horse graze in sunlight for at least six hours per day.
- After three weeks of this regime, the horse had gained weight, the alopecia had decreased, and all other clinical parameters had returned to normal. The antifungal treatment was continued twice a week for three months subsequently.
Study Implications
- This study suggests that may cause skin lesions in horses after long-term use of corticosteroids or antibiotics. This emphasizes the need for healthcare providers to consider fungal causes in cases of dermatitis, especially when occurring after treatments involving corticosteroids or antibiotics.
- By documenting this case, the authors note the potential for unnecessary and prolonged suffering in cases of dermatitis, and the importance of swift consultation with veterinarians. It’s emphasized that appropriate diagnostic procedures must be conducted so that a definitive diagnosis can be reached and an appropriate treatment regimen implemented.
Cite This Article
APA
Padalino B, Sandy JR, Barrasso R, Trotta A, Bozzo G, Cafarchia C.
(2020).
Rare Generalized Form of Fungal Dermatitis in a Horse: Case Report.
Animals (Basel), 10(5), 871.
https://doi.org/10.3390/ani10050871 Publication
Researcher Affiliations
- Department of Agricultural and Food Sciences, University of Bologna, Viale Giuseppe Fanin 46, 40127 Bologna, Italy.
- Veterinary Diagnostic Laboratory, City University of Hong Kong, 83 Tat Chee Avenue, Kowloon, Hong Kong.
- Department of Veterinary Medicine, University of Bari, Strada Provinciale per Casamassima km 3, 70010 Valenzano (BA), Italy.
- Department of Veterinary Medicine, University of Bari, Strada Provinciale per Casamassima km 3, 70010 Valenzano (BA), Italy.
- Department of Veterinary Medicine, University of Bari, Strada Provinciale per Casamassima km 3, 70010 Valenzano (BA), Italy.
- Department of Veterinary Medicine, University of Bari, Strada Provinciale per Casamassima km 3, 70010 Valenzano (BA), Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 28 references
- Scott DW, Miller WH. Bacterial skin diseases. In: Scott D.W., Miller W.H., editors. Equine Dermatology. 2nd ed. Elsevier Saunders; St Louis, MO, USA: 2011. pp. 130–170.
- Lloyd DH, Littlewood JD, Craig JM, Thomsett LR. Practical Equine Dermatology. 1st ed. Wiley-Blackwell; Oxford, UK: 2003.
- Ainsworth GC, Austwick PKC. Fungal Disease of Domestic Animals. Commonwealth Agricultural Bureau. 2nd ed. Farnham Royal; London, UK: 1973.
- De Hoog GS, Guarro J, Gene J, Figueras MJ. Atlas of Clinical Fungi. Centraal Bureau Voor Schimmel Cultures. Centraalbureau voor Schimmelcultures (CBS); Utrecht, The Netherland: 2000; p. 1126.
- Cafarchia C, Figueredo LA, Otranto D. Fungal diseases of horses.. Vet Microbiol 2013 Nov 29;167(1-2):215-34.
- Figueredo LA, Cafarchia C, Otranto D. Geotrichum candidum as etiological agent of horse dermatomycosis.. Vet Microbiol 2011 Mar 24;148(2-4):368-71.
- Faravelli G, Conturba B, Mantelli F, Costanti E. Equine onychomycosis in Northen Italy: A research identifying the aetiological agents. Ippologia 2004;15:33–44.
- Kuwano A, Tanaka K, Kawabata M, Ooi Y, Takahashi T, Yoshihara T, Reilly JD. A survey of white line disease in Japanese racehorses.. Equine Vet J 1999 Nov;31(6):515-8.
- Keller M, Krehon S, Stanek C, Rosengarten R. Keratinopathogenic mould fungi and dermatophytes in healthy and diseased hooves of horses.. Vet Rec 2000 Nov 25;147(22):619-22.
- Riond B, Wenger-Riggenbach B, Hofmann-Lehmann R, Lutz H. Serum protein concentrations from clinically healthy horses determined by agarose gel electrophoresis.. Vet Clin Pathol 2009 Mar;38(1):73-7.
- De Hoog GS, Guarro J. Atlas of Clinical Fungi. Centraal Bureau Voor Schimmel Cultures. Centraalbureau voor Schimmelcultures (CBS); Utrecht, The Netherlands: 1995; p. 720.
- D'Hue Z, Perkins SM, Billings SD. GMS is superior to PAS for diagnosis of onychomycosis.. J Cutan Pathol 2008 Aug;35(8):745-7.
- Weiss DJ, Wardrop KJ. Shalm’s Veterinary Hematology. 6th ed. Wiley Blackwell; Ames, IA, USA: 2010; p. 1206.
- Dietz O., Huskamp B. Handbuch Pferdepraxis. 3rd ed. Enke; Stuttgart, Germany: 1999. pp. 623–650.
- Sidhu RK, Singh KB, Jand SK, Joshi DV. Cutaneous geotrichosis in a dog and its handler—A case report. Indian J. Anim. Health 1993;32:75.
- Reppas GP, Snoeck TD. Cutaneous geotrichosis in a dog.. Aust Vet J 1999 Sep;77(9):567-9.
- Spanoghe L, Devos A, Viaene N. Cutaneous geotrichosis in the red flamingo (Phoenicopterus ruber).. Sabouraudia 1976 Mar;14(1):37-42.
- Padalino B, Loy J, Hawson L, Randle H. Effects of a light-colored cotton rug use on horse thermoregulation and behavior indicators of stress. J. Vet. Behav. 2019;29:134–139.
- Azarpeykan S, Dittmer KE, Gee EK, Marshall JC, Wallace J, Elder P, Acke E, Thompson KG. Influence of blanketing and season on vitamin D and parathyroid hormone, calcium, phosphorus, and magnesium concentrations in horses in New Zealand.. Domest Anim Endocrinol 2016 Jul;56:75-84.
- Pottier I, Gente S, Vernoux JP, Guéguen M. Safety assessment of dairy microorganisms: Geotrichum candidum.. Int J Food Microbiol 2008 Sep 1;126(3):327-32.
- Miceli MH, Díaz JA, Lee SA. Emerging opportunistic yeast infections.. Lancet Infect Dis 2011 Feb;11(2):142-51.
- Dolensek EP, Napolitano RL, Kazimiroff J. Gastrointestinal geotrichosis in six adult gorillas.. J Am Vet Med Assoc 1977 Nov 1;171(9):975-6.
- Chahota R, Katoch R, Mahajan A, Verma S. Clinical bovine mastitis caused by Geotrichum candidum. Vet. Arhiv. 2001;171:197–201.
- Henrich TJ, Marty FM, Milner DA Jr, Thorner AR. Disseminated Geotrichum candidum infection in a patient with relapsed acute myelogenous leukemia following allogeneic stem cell transplantation and review of the literature.. Transpl Infect Dis 2009 Oct;11(5):458-62.
- Myint T, Dykhuizen MJ, McDonald CH, Ribes JA. Post operative fungal endopthalmitis due to Geotrichum candidum.. Med Mycol Case Rep 2015 Dec;10:4-6.
- Koneman E.W. In: Koneman’s Color Atlas and Textbook of Diagnostic Microbiology. 6th ed. Koneman E.W., editor. Lippincott Williams & Wilkins (LWW); Philadelphia, PA, USA: 2006.
- Rajak RC, Parwekar S, Malviya H, Hasija SK. Keratin degradation by fungi isolated from gelatin factory in Jabalpur. Mycopathologia 1991;114:83–87.
- Fekete SG, Kellems RO. Interrelationship of feeding with immunity and parasitic infection: A review. Vet. Med. 2007;52:131–143.
Citations
This article has been cited 1 times.- Kamilari E, Stanton C, Reen FJ, Ross RP. Uncovering the Biotechnological Importance of Geotrichum candidum.. Foods 2023 Mar 7;12(6).
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