College of Veterinary Medicine, Cornell University, Ithaca, NY, 14853, USA.
Janet L. Swanson Wildlife Hospital, Cornell University, Ithaca, NY, 14853, USA.
Vet Dermatol. 2021 Apr;32(2):188-e48. doi: 10.1111/vde.12911. Epub 2020 Nov 13.
Lodderomyces elongisporus is a yeast with a worldwide distribution that has been reported as a cause of infection in immunocompromised humans and in a dog that had been quilled by a porcupine.
The objective of this report is to describe the clinical presentation, diagnosis and treatment of dermatitis caused by L. elongisporus in a North American porcupine (Erethizon dorsatum).
One wild adult male North American porcupine from New York state, USA.
The porcupine was presented for alopecia and scaling dermatitis over the caudal dorsum. Diagnostic testing included cytological evaluation, trichogram, bacterial and fungal culture, and histopathological examination of skin biopsies.
Histopathological findings from skin specimens demonstrated mild eosinophilic perivascular-to-interstitial dermatitis with superficial dermal fibrosis, mild epidermal hyperplasia with moderate-to-marked intracorneal and intrafollicular yeast. Fungal culture with matrix-assisted laser desorption/ionization confirmed L. elongisporus as the cause of the dermatitis. The porcupine was treated with a six week course of oral itraconazole with clinical resolution.
Infection with L. elongisporus should be included as a differential diagnosis for North American porcupines exhibiting signs of dermatitis including scaling and alopecia. This case report may be relevant for the diagnosis and treatment of porcupines with dermatitis and for animals or humans that have been quilled by a porcupine.
长形 elongisporus 是一种分布广泛的酵母,已被报道为免疫功能低下的人类和被豪猪刺伤的狗感染的原因。
本报告的目的是描述一只北美的豪猪(Erethizon dorsatum)感染 elongisporus 酵母引起的皮炎的临床表现、诊断和治疗。
一只来自美国纽约州的野生成年雄性北美豪猪。
这只豪猪因尾部背侧脱发和鳞片性皮炎就诊。诊断测试包括细胞学评估、毛发分析、细菌和真菌培养以及皮肤活检的组织病理学检查。
皮肤标本的组织病理学发现显示轻度嗜酸性血管周围-间质性皮炎,伴有浅表真皮纤维化,轻度表皮增生,中度至明显的角质内和滤泡内酵母。基质辅助激光解吸/电离的真菌培养证实 elongisporus 是皮炎的原因。豪猪接受了六周的口服伊曲康唑治疗,临床症状得到缓解。
对于表现出皮炎症状(包括鳞片和脱发)的北美豪猪,应将 elongisporus 感染纳入鉴别诊断。本病例报告可能与诊断和治疗患有皮炎的豪猪以及被豪猪刺伤的动物或人类有关。