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Presumptive Nocardia spp. infection in a dog treated with cyclosporin and ketoconazole
Journal article   Peer reviewed

Presumptive Nocardia spp. infection in a dog treated with cyclosporin and ketoconazole

A.E.H. Paul, C.S. Mansfield and M. Thompson
New Zealand Veterinary Journal, Vol.58(5), pp.265-268
2010
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Abstract

CASE HISTORY: A dog that had received 8 months of cyclosporin and ketoconazole therapy for treatment of atopic dermatitis subsequently developed severe neurological disease, that failed to respond to treatment with trimethoprim-sulphadiazine and clindamycin. HISTOPATHOLOGICAL FINDINGS: Histopathological examination of the pulmonary parenchyma and spinal cord revealed loose aggregates of Gram-positive, partially acid-fast, fine, beaded, filamentous bacteria, most consistent with Nocardia spp. DIAGNOSIS: A presumptive diagnosis was made of disseminated nocardiosis of the spinal cord and lungs. CLINICAL RELEVANCE: Nocardia spp. is an opportunistic actinomycete that may cause disseminated disease, particularly in immunocompromised animals. Cyclosporin is used in veterinary medicine to control immune-mediated and allergic disorders, with few reported adverse side effects. This case gives further evidence that involvement of the spinal cord in nocardiosis of the central nervous system (CNS) carries a poor prognosis, and opportunistic infection by Nocardia spp. may be a potential complication of immunosuppressive cyclosporin therapy in the dog.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.324 Bacterial Toxins & Diseases
1.324.1987 Actinomycosis and Nocardiosis
Web Of Science research areas
Veterinary Sciences
ESI research areas
Plant & Animal Science
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