Peer-reviewed veterinary case report
Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy.
- Journal:
- The Canadian veterinary journal = La revue veterinaire canadienne
- Year:
- 2018
- Authors:
- Whitehead, Ashley E et al.
- Affiliation:
- Department of Veterinary Clinical and Diagnostic Sciences · Canada
- Species:
- horse
Plain-English summary
A male horse (a gelding) was having trouble swallowing, which was caused by a fungal infection in a part of his throat called the guttural pouch. To treat this, he received antifungal medications, including voriconazole, and underwent a procedure to block blood flow to a nearby artery. Because he still couldn't swallow properly, he needed to be fed through a special tube placed in his neck. Along with these treatments, he also received acupuncture. After about 10 weeks, he showed significant improvement and was able to eat normally again.
Abstract
A gelding was diagnosed with dysphagia and left guttural pouch mycosis. Treatments included topical antifungal drugs, systemic voriconazole, and balloon occlusion of the internal carotid artery. Ongoing dysphagia of neurological origin necessitated extra-oral feeding through an esophagostomy tube. Complementary case management included acupuncture. Clinical remission occurred over 10 weeks.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/29386677/