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·2021·William T. Pritchard Veterinary Medical Teaching Hospital, United States·View original on PubMed →
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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, and she had trouble passing stool for one day. Tests showed she had a severe infection caused by a yeast called Candida glabrata, which was affecting her stomach. The vet treated her with fluids, medications, and special feedings, and she slowly got better over the next year. However, she had a recurrence of the infection a year later, but after resuming antifungal treatment for three months, she showed no signs of illness and subsequent tests were clear of the yeast.
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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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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34968183/