Equine Clinic, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic.
Vet Rec. 2012 Dec 1;171(22):561. doi: 10.1136/vr.100700. Epub 2012 Oct 31.
The medical records of 28 horses with guttural pouch mycosis were reviewed. The most commonly observed clinical signs were nasal discharge, epistaxis, dysphagia and/or cough. All 28 horses had the disease unilaterally, however, in five of them, it had spread into the contralateral pouch via the mesial septum. Three horses were treated medically, 11 horses underwent surgery and seven horses were treated both medically and surgically. Fifty percent of horses (14/28) were euthanased or died, fifty percent of horses (14/28) survived. There was no significant correlation between treatment method (medical, surgical, combination) and survival rate. The most common reason for euthanasia was dysphagia due to pharyngeal dysfunction. There was a highly significant correlation between the presence of dysphagia and non-survival (p=0.008).
回顾了 28 例咽囊真菌病马的病历。最常见的临床症状是鼻腔分泌物、鼻出血、吞咽困难和/或咳嗽。28 匹马均为单侧发病，但其中 5 例通过中隔向对侧咽囊扩散。3 匹马接受了药物治疗，11 匹马接受了手术治疗，7 匹马同时接受了药物和手术治疗。50%（14/28）的马被安乐死或死亡，50%（14/28）的马存活。治疗方法（药物、手术、联合）与存活率之间无显著相关性。安乐死的最常见原因是咽功能障碍导致的吞咽困难。存在吞咽困难与非存活高度相关（p=0.008）。
