Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy.
Abstract: A gelding was diagnosed with dysphagia and left guttural pouch mycosis. Treatments included topical antifungal drugs, systemic voriconazole, and balloon occlusion of the internal carotid artery. Ongoing dysphagia of neurological origin necessitated extra-oral feeding through an esophagostomy tube. Complementary case management included acupuncture. Clinical remission occurred over 10 weeks. Dysphagie réversible secondaire à une mycose de la poche gutturale chez un hongre traité médicalement avec du voriconazole et chirurgicalement par l’occlusion de la carotide et l’œsophagostomie. Un hongre a été diagnostiqué avec de la dysphagie et une mycose de la poche gutturale gauche. Les traitements ont inclus des médicaments antifongiques topiques, du voriconazole systémique et l’occlusion par ballon de l’artère carotide interne. Une dysphagie non résorbée d’origine neurologique a nécessité une alimentation extra-orale par un tube d’œsophagostomie. Une gestion du cas complémentaire a inclus l’acupuncture. Une rémission clinique s’est produite pendant 10 semaines.(Traduit par Isabelle Vallières).
Publication Date: 2018-02-02 PubMed ID: 29386677PubMed Central: PMC5764215
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Summary
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The research article discusses the diagnosis and treatment of a gelding, a male horse, with dysphagia and a fungal infection in the left guttural pouch. The horse was treated with antifungal medication, systemic voriconazole, balloon occlusion surgery on the artery, and by feeding through an esophagostomy tube due to persistent difficulty swallowing of neurological origin. Additionally, acupuncture was incorporated as a supplementary treatment, resulting in clinical remission over a period of ten weeks.
Diagnosis
- The subject of the research is a gelding diagnosed with dysphagia, a condition that causes difficulty in swallowing, and left guttural pouch mycosis, a fungal infection in the guttural pouch of the horse.
- The guttural pouch is a large, air-filled sac found in some species of animals including horses, which can become infected due to various microorganisms such as fungi.
Treatment Approach
- The methods used to treat the horse included the use of topical antifungal drugs and systemic voriconazole.
- Systemic voriconazole is a prescription antifungal medication that works to stop the growth of certain types of fungi.
- This indicates that the main approach to treating the horse was through medication to combat the fungal infection.
Surgery and Additional Treatment
- Additionally, the horse underwent balloon occlusion of the internal carotid artery, which is a surgical procedure that involves inserting a balloon into the artery to block or reduce blood flow. This was presumably done to prevent the spread of the fungal infection.
- Dysphagia of neurological origin, another issue affecting the horse, required the use of an esophagostomy tube for feeding. An esophagostomy is a surgically created hole that leads to the esophagus and allows for non-oral food and medication intake.
- Acupuncture, an alternative treatment therapy using needles to stimulate specific points on the body, was also integrated into the treatment plan for supplementary case management.
Outcome
- The combination of these treatments led to clinical remission of the gelding over a period of ten weeks.
- This suggests that the multifaceted treatment approach was successful in this particular case.
Cite This Article
APA
Whitehead AE, Whitty J, Scott M, Léguillette R.
(2018).
Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy.
Can Vet J, 59(2), 165-170.
Publication
Researcher Affiliations
- Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4 (Whitehead, Scott, Léguillette); Moore Equine Veterinary Centre, 260048A Writing Creek Crescent, Rocky View, Alberta T4A 0M9 (Whitty).
- Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4 (Whitehead, Scott, Léguillette); Moore Equine Veterinary Centre, 260048A Writing Creek Crescent, Rocky View, Alberta T4A 0M9 (Whitty).
- Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4 (Whitehead, Scott, Léguillette); Moore Equine Veterinary Centre, 260048A Writing Creek Crescent, Rocky View, Alberta T4A 0M9 (Whitty).
- Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4 (Whitehead, Scott, Léguillette); Moore Equine Veterinary Centre, 260048A Writing Creek Crescent, Rocky View, Alberta T4A 0M9 (Whitty).
MeSH Terms
- Animal Structures
- Animals
- Antifungal Agents / therapeutic use
- Carotid Arteries / surgery
- Deglutition Disorders / therapy
- Deglutition Disorders / veterinary
- Esophagostomy / veterinary
- Horse Diseases / drug therapy
- Horse Diseases / surgery
- Horses
- Male
- Mycoses / drug therapy
- Mycoses / surgery
- Mycoses / veterinary
- Voriconazole / therapeutic use
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