Ventral cervical subcutaneous species fungal granuloma in a cat

Autor: Courtney Bartels, Alejandro Alvarez-Sanchez, Bharadhwaj Ranganathan, T William O’Neill, Katy L Townsend
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Feline Medicine and Surgery Open Reports, Vol 8 (2022)
Druh dokumentu: article
ISSN: 2055-1169
20551169
DOI: 10.1177/20551169221121916
Popis: Case summary An 8-year-old domestic longhair cat was evaluated for a right ventral subcutaneous cervical mass. Serial bloodwork and contrast-enhanced cranial and thoracic CT initially lacked ethmoturbinate lysis and showed a progressive, vascularized, right ventral cervical mass involving local lymph nodes. The mass was removed surgically on two occasions. Histopathology and fungal culture were diagnostic for a recurring sclerosing fungal granuloma and pyogranulomatous and eosinophilic lymphadenitis, consistent with Aspergillus species. The cat was treated with oral itraconazole; however, owing to the owner’s non-compliance in administering the medication and disease progression, the cat was humanely euthanized 3 years after diagnosis. Relevance and novel information The development of a cervical subcutaneous fungal granuloma of Aspergillus species in a domestic longhair cat before obvious maxillary, orbital or ethmoturbinate lysis on initial diagnostics is rare and suggests an early onset of lymphatic or hematogenous spread from a suspected nidus of infection within the sinonasal cavity.
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