Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog

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Hauptverfasser: Sarah Langton, Richard Burchell
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Veröffentlicht: Wiley 2024
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author Sarah Langton
Richard Burchell
author_facet Sarah Langton
Richard Burchell
Sarah Langton
Richard Burchell
collection Wiley Open Access
contents Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog Sarah Langton Richard Burchell Veterinary Record Case Reports Abstract A 1‐year‐old, male, neutered German shepherd dog was presented for a chronic atraumatic non‐healing fracture of the right accessory carpal bone, stranguria and polyuria/polydipsia. Biochemistry and urinalysis showed azotaemia. Ultrasound and computed tomography of the abdomen both demonstrated bilateral renal infarcts with pyelectasia, bilateral ureteral dilation and bladder distension. Cystoscopy of the bladder identified a fungal ball obstructing the pelvic urethral sphincter, which was adhered to the bladder mucosa in the region of the ureterovesicular junction. The obstruction was traversed endoscopically, but could not be removed transurethrally. The combination of elevated serum galactomannan titres (6.4) and Aspergillus terreus cultured from urine, confirmed a diagnosis of disseminated aspergillosis. The dog was euthanased due to poor quality of life, guarded prognosis and lengthy timeframe before an expected medical response. This is the first case report describing Aspergillus fungal balls in a dog causing partial urethral and bilateral ureteral obstruction, identified using cystoscopy. 10.1002/vrc2.921 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/vrc2.921
format Artículo Open Access
id wiley_oa_10_1002_vrc2_921
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2024
publisher Wiley
record_format wiley_oa
spellingShingle Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog
Sarah Langton
Richard Burchell
Veterinary Record Case Reports
Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog Sarah Langton Richard Burchell Veterinary Record Case Reports Abstract A 1‐year‐old, male, neutered German shepherd dog was presented for a chronic atraumatic non‐healing fracture of the right accessory carpal bone, stranguria and polyuria/polydipsia. Biochemistry and urinalysis showed azotaemia. Ultrasound and computed tomography of the abdomen both demonstrated bilateral renal infarcts with pyelectasia, bilateral ureteral dilation and bladder distension. Cystoscopy of the bladder identified a fungal ball obstructing the pelvic urethral sphincter, which was adhered to the bladder mucosa in the region of the ureterovesicular junction. The obstruction was traversed endoscopically, but could not be removed transurethrally. The combination of elevated serum galactomannan titres (6.4) and Aspergillus terreus cultured from urine, confirmed a diagnosis of disseminated aspergillosis. The dog was euthanased due to poor quality of life, guarded prognosis and lengthy timeframe before an expected medical response. This is the first case report describing Aspergillus fungal balls in a dog causing partial urethral and bilateral ureteral obstruction, identified using cystoscopy. 10.1002/vrc2.921 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog
topic Veterinary Record Case Reports
url https://bvajournals.onlinelibrary.wiley.com/doi/10.1002/vrc2.921