Trempala Cheryl L, Herold Lee V
DoveLewis Emergency Animal Hospital, Portland, OR 97209.
J Vet Emerg Crit Care (San Antonio). 2013 Nov-Dec;23(6):624-30. doi: 10.1111/vec.12118.
To describe a case of pulmonary aspergillosis in a previously healthy dog that manifested as a spontaneous pneumothorax.
A 3-year-old neutered male mixed-breed dog was presented with inappetence and respiratory distress. Thoracic radiography revealed a right-sided pneumothorax. Following stabilization, thoracic computed tomography found 1 large and many small pulmonary blebs in the right caudal lung lobe. The dog underwent a right lateral thoracotomy, identifying numerous emphysematous regions in the right middle lung lobe, and a right middle lung lobectomy was performed. Histopathologic examination of the resected lung lobe revealed severe, diffuse bronchopneumonia with necrotizing pleuritis and the presence of fungal organisms strongly suggestive of Aspergillus sp. Surgical removal of the affected lung lobe and continued medical treatment with itraconazole resolved the dog's clinical signs.
This report describes the successful surgical and medical management of Aspergillus bronchopneumonia in a dog presenting with spontaneous pneumothorax.
描述一例既往健康的犬发生肺曲霉病并表现为自发性气胸的病例。
一只3岁去势雄性混血犬出现食欲不振和呼吸窘迫。胸部X线检查显示右侧气胸。病情稳定后,胸部计算机断层扫描发现右尾叶有1个大的和许多小的肺大疱。该犬接受了右侧开胸手术,术中发现右中叶有多个气肿区域,遂进行了右中叶肺叶切除术。对切除的肺叶进行组织病理学检查,结果显示严重弥漫性支气管肺炎伴坏死性胸膜炎,并有强烈提示曲霉菌属的真菌生物体存在。手术切除受影响的肺叶并继续用伊曲康唑进行药物治疗,解决了该犬的临床症状。
本报告描述了一只患有自发性气胸的犬曲霉菌性支气管肺炎的成功手术和药物治疗。