Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog

A 5-year-old spayed female German shepherd dog was admitted with a history of generalized stiffness. Neurologic examination revealed mild paraparesis with multifocal spinal pain. Spinal radiographs and magnetic resonance imaging revealed diskospondylitis at L6-7 and multiple sites throughout the tho...

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Main Authors: Emiko Van Wie, Annie V. Chen, Stephanie A. Thomovsky, Russell L. Tucker
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Veterinary Medicine
Online Access:http://dx.doi.org/10.1155/2013/907276
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author Emiko Van Wie
Annie V. Chen
Stephanie A. Thomovsky
Russell L. Tucker
author_facet Emiko Van Wie
Annie V. Chen
Stephanie A. Thomovsky
Russell L. Tucker
author_sort Emiko Van Wie
collection DOAJ
description A 5-year-old spayed female German shepherd dog was admitted with a history of generalized stiffness. Neurologic examination revealed mild paraparesis with multifocal spinal pain. Spinal radiographs and magnetic resonance imaging revealed diskospondylitis at L6-7 and multiple sites throughout the thoracolumbar spine. Biopsy of the intervertebral disk at L6-7 revealed a positive culture for Aspergillus species, and the dog was placed on itraconazole indefinitely. Clinical signs were significantly improved after two weeks of itraconazole. The dog was reevaluated 8 years later for unrelated reasons. No spinal pain was detected. Spinal radiographs revealed a fused L6-7 disk space and collapsed and sclerotic disk spaces at multiple sites. Itraconazole was tolerated by the dog with normal yearly liver enzyme values. To our knowledge, this is the first reported case of successful long-term use of itraconazole for the treatment of Aspergillus diskospondylitis in a dog.
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spelling doaj-art-1b6c9ce801f44fc28fccfc767c4be73f2025-08-20T03:54:23ZengWileyCase Reports in Veterinary Medicine2090-70012090-701X2013-01-01201310.1155/2013/907276907276Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a DogEmiko Van Wie0Annie V. Chen1Stephanie A. Thomovsky2Russell L. Tucker3Texas A&M University College of Veterinary Medicine, 422 Raymond Stotzer Parkway, College Station, TX 77843, USAWashington State University College of Veterinary Medicine, P.O. Box 647010, Pullman, WA 99164, USAWashington State University College of Veterinary Medicine, P.O. Box 647010, Pullman, WA 99164, USAWashington State University College of Veterinary Medicine, P.O. Box 647010, Pullman, WA 99164, USAA 5-year-old spayed female German shepherd dog was admitted with a history of generalized stiffness. Neurologic examination revealed mild paraparesis with multifocal spinal pain. Spinal radiographs and magnetic resonance imaging revealed diskospondylitis at L6-7 and multiple sites throughout the thoracolumbar spine. Biopsy of the intervertebral disk at L6-7 revealed a positive culture for Aspergillus species, and the dog was placed on itraconazole indefinitely. Clinical signs were significantly improved after two weeks of itraconazole. The dog was reevaluated 8 years later for unrelated reasons. No spinal pain was detected. Spinal radiographs revealed a fused L6-7 disk space and collapsed and sclerotic disk spaces at multiple sites. Itraconazole was tolerated by the dog with normal yearly liver enzyme values. To our knowledge, this is the first reported case of successful long-term use of itraconazole for the treatment of Aspergillus diskospondylitis in a dog.http://dx.doi.org/10.1155/2013/907276
spellingShingle Emiko Van Wie
Annie V. Chen
Stephanie A. Thomovsky
Russell L. Tucker
Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
Case Reports in Veterinary Medicine
title Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
title_full Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
title_fullStr Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
title_full_unstemmed Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
title_short Successful Long-Term Use of Itraconazole for the Treatment of Aspergillus Diskospondylitis in a Dog
title_sort successful long term use of itraconazole for the treatment of aspergillus diskospondylitis in a dog
url http://dx.doi.org/10.1155/2013/907276
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AT stephanieathomovsky successfullongtermuseofitraconazoleforthetreatmentofaspergillusdiskospondylitisinadog
AT russellltucker successfullongtermuseofitraconazoleforthetreatmentofaspergillusdiskospondylitisinadog