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Case Reports
. 2018 Feb;59(2):165-170.

Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy

Ashley E Whitehead  1 , Justin Whitty  1 , Mike Scott  1 , Renaud Léguillette  1
Affiliations
Case Reports

Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy

Ashley E Whitehead et al. Can Vet J. 2018 Feb.

Abstract
in English, French

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.

Dysphagie réversible secondaire à une mycose de la poche gutturale chez un hongre traité médicalement avec du voriconazole et chirurgicalement par l’occlusion de la carotide et l’œsophagostomie. Un hongre a été diagnostiqué avec de la dysphagie et une mycose de la poche gutturale gauche. Les traitements ont inclus des médicaments antifongiques topiques, du voriconazole systémique et l’occlusion par ballon de l’artère carotide interne. Une dysphagie non résorbée d’origine neurologique a nécessité une alimentation extra-orale par un tube d’œsophagostomie. Une gestion du cas complémentaire a inclus l’acupuncture. Une rémission clinique s’est produite pendant 10 semaines.(Traduit par Isabelle Vallières).

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Figures

Figure 1
Figure 1
Five days after surgery. The esophagostomy was left open to heal around the tube by second intention (white arrow). Note the loss of saliva through the esophagostomy site. The end of the Fogarty biliary balloon probe can be identified in the subcutaneous tissue dorsal to the incision (black arrow).
Figure 2
Figure 2
Extra-oral feeding was accomplished by use of a bilge pump setup that allowed delivery of a viscous slurry of complete feed pellets. A single individual could easily carry out the feeding.
Figure 3
Figure 3
Appearance of the healing esophagostomy site A — 5 d after surgery; B — 3 wk after removal of the esophageal tube; C — 4 wk after removal; D — 7 wk after removal of the esophageal tube.
See this image and copyright information in PMC

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