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Fungal pericarditis and endocarditis secondary to porcupine quill migration in a dog.
- Source :
-
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology [J Vet Cardiol] 2014 Dec; Vol. 16 (4), pp. 283-90. Date of Electronic Publication: 2014 Oct 31. - Publication Year :
- 2014
-
Abstract
- A dog evaluated for acute onset of neurologic clinical signs was discovered to have a porcupine quill traversing the left atrium with fungal endocarditis. The dog had been quilled by a porcupine one month prior to presentation and had had several quills removed from the thoracic inlet and left dorsal shoulder areas. A new murmur was identified during the initial examination. Echocardiographic changes consistent with mitral valve endocarditis were identified, in addition to a linear, hyperechoic structure in the left atrium. A thoracic CT identified a possible mediastinal migrating foreign body tract. The foreign body was surgically removed and confirmed as a porcupine quill. Routine aerobic cultures of blood and pericardial samples resulted in growth of presumptive candidal organisms. PCR amplification and sequencing of samples from pericardial cultures identified the presence of a fungal organism, Lodderomyces elongisporus. The neurologic signs were attributed to a left-sided central vestibular lesion presumed secondary to an embolic event from infective endocarditis. After 3 months of antimicrobial and antifungal therapy the valvular changes had markedly improved and the clinical signs resolved. To the authors' knowledge, this is the first description of fungal endocarditis secondary to an intracardiac foreign body in a dog.<br /> (Published by Elsevier B.V.)
- Subjects :
- Animals
Antifungal Agents therapeutic use
Dog Diseases etiology
Dog Diseases therapy
Dogs
Endocarditis etiology
Endocarditis microbiology
Endocarditis therapy
Foreign Bodies complications
Foreign Bodies therapy
Male
Mycoses etiology
Mycoses microbiology
Pericarditis therapy
Dog Diseases pathology
Endocarditis veterinary
Fluconazole therapeutic use
Foreign Bodies veterinary
Mycoses veterinary
Pericarditis veterinary
Subjects
Details
- Language :
- English
- ISSN :
- 1875-0834
- Volume :
- 16
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 25465340
- Full Text :
- https://doi.org/10.1016/j.jvc.2014.09.003