Diagnosis is made through endoscopy, nasal swab for bacterial culture and clinical signs and symptoms.
Treatment includes systemic antibiotics, lavage and flush of the guttural pouch with
&
antibiotics and the surgical drainage of the guttural pouch.
Prognosis is good if there is no involvement of the nerves or arteries associated with the guttural pouch.
Guttural Pouch Mycosis
Guttural pouch mycosis describes the
infection of the guttural pouch.
The infective agent is most commonly Aspergillus spp . which enters the guttural pouch and grows on the mucous membrane of the guttural pouch. of the mucous membrane. The fungal bloom puts pressure on the nerves and arteries that are associated with the guttural pouch, and may eventually erode these structures causing Horner’s syndrome, laryngeal hemiplasia, dysphagia and haemorrhage. The fungi grow out of the roof of the guttural pouch causing the inflammation & The mechanisms of transmission of guttural pouch mycosis are unknown but may occur through the inhalation of fungal spores form the environment. The clinical presentation of guttural pouch mycosis includes spontaneous and severe epistaxis, paresis or paralysis of the cranial nerves, Horner’s syndrome, dysphagia, laryngeal hemiplasia, dorsal displacement of the soft palate and due to haemorrhage from the carotid arteries.
Diagnosis is made through endoscopy and swab for culture.
Treatment includes the lavage and flush of the guttural pouch with antifungal solution and the surgical removal of the fungal mass. Prognosis is guarded to poor as many animals remain asymptomatic until sudden death due to haemorrhage occurs.
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