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Peer-reviewed veterinary case report

Candida glabrata infection causing proventriculitis in an eclectus

By Berg, Kyra J. et al.·Published in Journal of the American Veterinary Medical Association·2022·William T. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA, United States·View original on Crossref

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Original publication title: Diagnosis and treatment of Candida glabrata proventriculitis in an eclectus parrot (Eclectus roratus)

Species:
bird

Plain-English summary

An 8-year-old female eclectus parrot was brought in because she was not eating and seemed very tired for four days, along with straining to pass droppings for one day. Tests showed she had a severe infection caused by a yeast called Candida glabrata, which was affecting her digestive system. The vet treated her with fluids, medications, and special feedings, and over time, she started to improve. A year later, she had a mild relapse of the same infection, but after resuming antifungal treatment for three months, she showed no signs of illness and subsequent tests were clear of the yeast.

People also search for: eclectus parrot not eating · Candida glabrata treatment in birds · parrot digestive issues treatment

Abstract

Abstract CASE DESCRIPTION An 8-year-old sexually intact female eclectus parrot (Eclectus roratus) with a 4-day history of hyporexia and lethargy and a 1-day history of tenesmus was examined. CLINICAL FINDINGS Severe leukocytosis characterized by severe heterophilia and moderate monocytosis was present. Marked dilation of the proventriculus and ventriculus and ascites were identified by means of radiography, coelomic ultrasonography, and contrast-enhanced CT, with no clinically relevant motility noted on ultrasonography. Results of coelomic fluid analysis were consistent with pyogranulomatous effusion. Endoscopy of the upper gastrointestinal tract following proventricular and ventricular lavage showed a thick caseous plaque occupying 30% of the caudal proventricular mucosa. Abundant yeast organisms were evident during cytologic examination of a proventricular and ventricular wash sample, and fecal culture yielded Candida glabrata. TREATMENT AND OUTCOME The bird was treated with SC fluids, assisted feedings, nystatin, fluconazole, amoxicillin–clavulanic acid, enrofloxacin, gastroprotectants, maropitant, and analgesics and slowly improved during hospitalization. A marked decrease in proventricular dilation was evident on serial radiographs obtained over a 12-month period. One year after diagnosis, the bird was presented with a 1-week history of hyporexia and lethargy, and fecal culture grew C glabrata. Antifungal treatment was resumed for 3 months. The bird had no clinical signs of infection 16 months after this recurrence, and subsequent fecal cultures were negative for fungal growth. CLINICAL RELEVANCE Findings illustrate the importance of upper gastrointestinal endoscopy in diagnosing proventricular and ventricular dilation in birds and emphasize the need for long-term antifungal treatment and monitoring in birds with fungal infections.

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Original publication on Crossref: https://doi.org/10.2460/javma.20.12.0670