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Peer-reviewed veterinary case report

Dermatitis, cellulitis, and osteomyelitis caused byin a horse with pituitary pars intermedia dysfunction.

Journal:
Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc
Year:
2024
Authors:
Waitt Wolker, Laura H et al.
Affiliation:
College of Veterinary Medicine Animal Health Institute · United States
Species:
horse

Plain-English summary

A 12-year-old Quarter Horse gelding was diagnosed with a serious fungal infection that caused skin inflammation (dermatitis), swelling and infection of the skin (cellulitis), and bone infection (osteomyelitis). This condition was linked to a hormonal disorder called pituitary pars intermedia dysfunction, and despite trying various treatments, including antifungal medications and anti-inflammatory drugs for a whole year, the horse did not improve. The infection was very aggressive and did not spread to other parts of the body, but it was clear that surgery to remove the affected areas should be considered early on in similar cases if possible. Unfortunately, the treatments did not work in this case.

Abstract

Clinical and histologic examination of a 12-y-old client-owned Quarter Horse gelding with pituitary pars intermedia dysfunction revealed dermatitis, cellulitis, and osteomyelitis caused by, confirmed by a PCR assay. This novel presentation of a fungal disease in a horse was characterized by aggressive local invasion and failure to respond to all medical therapy attempted over a 1-y period. Treatments included systemic and topical antifungals, anti-inflammatories, and use of cellular matrices. Surgical excision was not attempted but should be strongly considered early in the disease process in similar cases if clean margins can be achieved. Postmortem findings were of locally aggressive disease with no dissemination.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/38462742/