Mascarenhas Mariana Bezerra, Botelho Cristiane Bazaga, Manier Bruna Sampaio Martins Land, Costa Thiago Souza, Fernandes Julio Israel
Promove Veterinary Clinic, Botafogo, Rio de Janeiro, Brazil.
Veterinary Science Postgraduate Program, Rural Federal University of Rio de Janeiro, Seropédica, Brazil.
JFMS Open Rep. 2019 Mar 29;5(1):2055116919840810. doi: 10.1177/2055116919840810. eCollection 2019 Jan-Jun.
It is described a case of a 10-month-old female mixed-breed cat with left ear discharge of approximately 6 days' duration prior to the admission. Secretions were collected from both ears using a sterile swab for cytological and mycological analysis. A pyogranulomatous inflammatory infiltrate (predominantly characterized by the presence of neutrophils and macrophages) with the presence of cocci, rods and many yeast-like structures were seen on cytological analysis; the fungal culture confirmed the presence of the complex. Upon diagnosis of fungal otitis due to the complex, treatment with oral itraconazole was administered. After 4 weeks of treatment, no complex colonies were isolated, and clinical recovery had occurred.
Although rare, clinicians must be aware of atypical presentations of sporotrichosis, as in this case of external otitis. This is of clinical relevance because this infection has been reported in several countries and is defined as a zoonotic disease.
描述了一例10个月大的混种母猫，入院前左耳有大约6天的分泌物。使用无菌拭子从双耳采集分泌物进行细胞学和真菌学分析。细胞学分析可见脓性肉芽肿性炎症浸润（主要特征为存在中性粒细胞和巨噬细胞），伴有球菌、杆菌和许多酵母样结构；真菌培养证实存在该复合体。诊断为该复合体引起的真菌性中耳炎后，给予口服伊曲康唑治疗。治疗4周后，未分离出该复合体菌落，临床已康复。
尽管罕见，但临床医生必须意识到孢子丝菌病的非典型表现，如此例外耳道炎。这具有临床相关性，因为该感染已在多个国家报道，并被定义为人畜共患病。
