A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis

ABSTRACT A 12‐year‐old terrier was referred for investigation of a 4‐month history of coughing, sneezing and nasal discharge. Clinical findings were consistent with sinonasal Aspergillus fumigatus infection with evidence of intracranial extension on computed tomography. Endoscopic debridement follow...

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Main Authors: Sarah E. Cox, Giulia Cattaneo, Oliver Russell, Ombeline McGregor, Andre Kortum
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.70188
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author Sarah E. Cox
Giulia Cattaneo
Oliver Russell
Ombeline McGregor
Andre Kortum
author_facet Sarah E. Cox
Giulia Cattaneo
Oliver Russell
Ombeline McGregor
Andre Kortum
author_sort Sarah E. Cox
collection DOAJ
description ABSTRACT A 12‐year‐old terrier was referred for investigation of a 4‐month history of coughing, sneezing and nasal discharge. Clinical findings were consistent with sinonasal Aspergillus fumigatus infection with evidence of intracranial extension on computed tomography. Endoscopic debridement followed by topical clotrimazole and systemic antifungal therapy resulted in clinical improvement. Magnetic resonance imaging after 4 weeks showed reduced intracranial disease but demonstrated evidence of temporal myositis. Repeated debridement and topical treatment were performed at 4 and 8 weeks in conjunction with long‐term voriconazole therapy. Further interventions were declined; the dog remains clinically well after 4 months with unilateral nasal discharge. As in human patients, invasive subtypes of sinonasal aspergillosis may also occur in dogs and be associated with poorer response to treatment.
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spelling doaj-art-7e2e29b8ca9d4f19bb808b436c522a3c2025-08-20T02:40:41ZengWileyVeterinary Medicine and Science2053-10952025-01-01111n/an/a10.1002/vms3.70188A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal MyositisSarah E. Cox0Giulia Cattaneo1Oliver Russell2Ombeline McGregor3Andre Kortum4Department of Veterinary Medicine University of Cambridge Cambridge UKDepartment of Veterinary Medicine University of Cambridge Cambridge UKDepartment of Veterinary Medicine University of Cambridge Cambridge UKDepartment of Veterinary Medicine University of Cambridge Cambridge UKDepartment of Veterinary Medicine University of Cambridge Cambridge UKABSTRACT A 12‐year‐old terrier was referred for investigation of a 4‐month history of coughing, sneezing and nasal discharge. Clinical findings were consistent with sinonasal Aspergillus fumigatus infection with evidence of intracranial extension on computed tomography. Endoscopic debridement followed by topical clotrimazole and systemic antifungal therapy resulted in clinical improvement. Magnetic resonance imaging after 4 weeks showed reduced intracranial disease but demonstrated evidence of temporal myositis. Repeated debridement and topical treatment were performed at 4 and 8 weeks in conjunction with long‐term voriconazole therapy. Further interventions were declined; the dog remains clinically well after 4 months with unilateral nasal discharge. As in human patients, invasive subtypes of sinonasal aspergillosis may also occur in dogs and be associated with poorer response to treatment.https://doi.org/10.1002/vms3.70188computed tomographyfungalmagnetic resonance imaging
spellingShingle Sarah E. Cox
Giulia Cattaneo
Oliver Russell
Ombeline McGregor
Andre Kortum
A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
Veterinary Medicine and Science
computed tomography
fungal
magnetic resonance imaging
title A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
title_full A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
title_fullStr A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
title_full_unstemmed A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
title_short A Case of Canine Sinonasal Aspergillus fumigatus Infection Associated With Intracranial Extension and Temporal Myositis
title_sort case of canine sinonasal aspergillus fumigatus infection associated with intracranial extension and temporal myositis
topic computed tomography
fungal
magnetic resonance imaging
url https://doi.org/10.1002/vms3.70188
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