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Published on: November 17, 2018
Long-Term Treatment and Survival in Three Apparently Immunocompetent Dogs with Disseminated Fungal Infection Caused
Marlene Townsell1, Alfred M Legendre1, David A Bemis1
1From VCA Advanced Veterinary Care Center, Lawndale, California (M.T.); The University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee (A.M.L., D.A.B.); Auburn University College of Veterinary Medicine, Auburn, Alabama (E.B.); and CARE Veterinary Center, Frederick, Maryland (S.P.).
Abstract:
Disseminated fungal infections cause morbidity and mortality in dogs. The prognosis varies depending on the infecting agent. Phialosimplex caninus is a recently recognized type of hyalohyphomyces. Knowledge regarding the clinical course of P caninus infection in dogs is limited to two previous case reports. The clinical features, diagnostic findings, responses to medical therapy, and long-term outcomes of three dogs with disseminated P caninus are presented in this study. All dogs had improved quality of life once itraconazole administration, with or without terbinafine, was instituted. Long-term disease remission was maintained even after discontinuation of antifungal therapy in a single dog.
Insights
Disseminated fungal infections in dogs can be serious. This study shows that Phialosimplex caninus infections improved with antifungal drugs like itraconazole, with some dogs achieving long-term remission.
Area of Science:
- Veterinary Mycology
- Canine Infectious Diseases
Background:
- Disseminated fungal infections pose a significant threat to canine health, with varying prognoses based on the causative agent.
- Phialosimplex caninus, a recently identified hyalohyphomyces, has limited documented clinical information regarding its course in dogs.
Observation:
- This study details the clinical presentation, diagnostic data, therapeutic responses, and outcomes for three dogs diagnosed with disseminated P. caninus.
- The dogs presented with clinical signs consistent with systemic fungal disease.
Findings:
- Treatment with itraconazole, optionally combined with terbinafine, led to improved quality of life in all affected dogs.
- One dog achieved long-term remission of the P. caninus infection even after antifungal therapy was discontinued.
Implications:
- Antifungal therapy, particularly with itraconazole, appears effective for managing disseminated P. caninus infections in dogs.
- Further research into P. caninus is warranted to better understand its pathogenesis and optimize treatment strategies for improved long-term outcomes in canine patients.
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