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Published on: January 26, 2019
Cladophialophora encephalitis in an alpaca
Jamie J Balducci1, Renee M Barber1, Brittany J McHale1
1Department of Large Animal Medicine (Balducci, Ryan), Department of Small Animal Medicine (Barber), Department of Pathology (McHale, Stanton), College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602, USA.
A 4-year-old alpaca showed sudden neurological symptoms like head tilt and eye issues. Doctors used CT scans to find a brain mass. After the alpaca died, tests showed the mass was a fungal infection called phaeohyphomycotic meningoencephalitis caused by Cladophialophora bantiana. This case shows that CT scans can help diagnose brain issues in alpacas. Fungal infections should be considered in camelids with brain symptoms, especially if they don't respond to usual treatments.
Area of Science:
- Veterinary neurology
- Fungal pathogenesis in veterinary medicine
- Diagnostic imaging in camelids
Background:
Neurological disorders in camelids are rare and often difficult to diagnose. Traditional clinical signs may not always point to a specific cause. Established knowledge includes the role of imaging in detecting intracranial lesions. However, fungal infections in camelids remain poorly understood. No prior work had resolved the diagnostic value of CT in alpaca CNS disease. This gap motivated the need for more detailed case studies. The clinical presentation of fungal meningoencephalitis is not well characterized in camelids. This paper contributes to the limited literature on CNS fungal infections in alpacas.
Purpose Of The Study:
The aim was to document a case of CNS fungal infection in an alpaca using diagnostic imaging. The specific problem was the lack of documented cases of phaeohyphomycosis in camelids. The motivation was to expand the differential diagnosis for neurological signs in alpacas. The authors sought to confirm the utility of CT in diagnosing intracranial masses. They also aimed to highlight the importance of postmortem confirmation in such cases. The study sought to provide a diagnostic framework for similar cases. The authors wanted to emphasize the role of advanced imaging in camelid neurology. This case adds to the growing understanding of fungal infections in camelids.
Main Methods:
The study used clinical evaluation and postmortem examination. Cranial nerve assessment identified neurological deficits. Computed tomography was used to detect intracranial lesions. Histopathology confirmed the presence of fungal organisms. Polymerase chain reaction sequencing identified the fungal species. The diagnostic process included both imaging and molecular techniques. Postmortem findings were compared with clinical and imaging data. The methods combined clinical, imaging, and laboratory approaches.
Main Results:
Computed tomography revealed an intracranial mass in the alpaca. Postmortem examination confirmed the presence of a fungal infection. Histopathology showed fungal hyphae in the meninges and brain tissue. Sequencing identified the causative agent as Cladophialophora bantiana. The clinical signs were consistent with CNS involvement. The fungal infection was confirmed as phaeohyphomycotic meningoencephalitis. The diagnostic imaging provided critical evidence before postmortem confirmation. The findings suggest the value of CT in diagnosing CNS fungal infections.
Conclusions:
The authors propose that CT is a useful tool in diagnosing intracranial masses in alpacas. The case suggests that fungal infections should be considered in camelid CNS disease. The findings support the use of advanced imaging in neurological cases. Postmortem confirmation was essential in this case. The study does not claim that fungal infections are common in camelids. The authors suggest that imaging can guide further diagnostic steps. The results do not imply that all CNS signs are fungal in origin. The study highlights the importance of considering rare diagnoses in veterinary practice.
Frequently Asked Questions
The study confirms a diagnosis of phaeohyphomycotic meningoencephalitis in an alpaca using CT and postmortem analysis.
Computed tomography and histopathology with PCR sequencing were used to identify the fungal infection.
CT was used to detect intracranial lesions and guide further diagnostic steps in the alpaca with neurological signs.
Postmortem examination confirmed the presence of fungal hyphae and identified the causative agent as Cladophialophora bantiana.
The alpaca exhibited recumbency, left head tilt, and cranial nerve deficits including mydriasis and absent menace response.
The authors suggest that intracranial fungal infection should be considered in camelids with CNS signs, especially if they do not respond to initial therapies.

