Ventral cervical subcutaneous species fungal granuloma in a cat

Case summary An 8-year-old domestic longhair cat was evaluated for a right ventral subcutaneous cervical mass. Serial bloodwork and contrast-enhanced cranial and thoracic CT initially lacked ethmoturbinate lysis and showed a progressive, vascularized, right ventral cervical mass involving local lymp...

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Main Authors: Courtney Bartels, Alejandro Alvarez-Sanchez, Bharadhwaj Ranganathan, T William O’Neill, Katy L Townsend
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169221121916
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author Courtney Bartels
Alejandro Alvarez-Sanchez
Bharadhwaj Ranganathan
T William O’Neill
Katy L Townsend
author_facet Courtney Bartels
Alejandro Alvarez-Sanchez
Bharadhwaj Ranganathan
T William O’Neill
Katy L Townsend
author_sort Courtney Bartels
collection DOAJ
description Case summary An 8-year-old domestic longhair cat was evaluated for a right ventral subcutaneous cervical mass. Serial bloodwork and contrast-enhanced cranial and thoracic CT initially lacked ethmoturbinate lysis and showed a progressive, vascularized, right ventral cervical mass involving local lymph nodes. The mass was removed surgically on two occasions. Histopathology and fungal culture were diagnostic for a recurring sclerosing fungal granuloma and pyogranulomatous and eosinophilic lymphadenitis, consistent with Aspergillus species. The cat was treated with oral itraconazole; however, owing to the owner’s non-compliance in administering the medication and disease progression, the cat was humanely euthanized 3 years after diagnosis. Relevance and novel information The development of a cervical subcutaneous fungal granuloma of Aspergillus species in a domestic longhair cat before obvious maxillary, orbital or ethmoturbinate lysis on initial diagnostics is rare and suggests an early onset of lymphatic or hematogenous spread from a suspected nidus of infection within the sinonasal cavity.
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spelling doaj.art-31b9483e991d47b391b615ccee78621b2022-12-22T03:14:35ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692022-09-01810.1177/20551169221121916Ventral cervical subcutaneous species fungal granuloma in a catCourtney Bartels0Alejandro Alvarez-Sanchez1Bharadhwaj Ranganathan2T William O’Neill3Katy L Townsend4Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, MI, USADepartment of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Small Animal Clinical Sciences, Michigan State University, East Lansing, MI, USADigital Pathology, Charles River Laboratories, Ashland, OH, USADepartment of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR, USACase summary An 8-year-old domestic longhair cat was evaluated for a right ventral subcutaneous cervical mass. Serial bloodwork and contrast-enhanced cranial and thoracic CT initially lacked ethmoturbinate lysis and showed a progressive, vascularized, right ventral cervical mass involving local lymph nodes. The mass was removed surgically on two occasions. Histopathology and fungal culture were diagnostic for a recurring sclerosing fungal granuloma and pyogranulomatous and eosinophilic lymphadenitis, consistent with Aspergillus species. The cat was treated with oral itraconazole; however, owing to the owner’s non-compliance in administering the medication and disease progression, the cat was humanely euthanized 3 years after diagnosis. Relevance and novel information The development of a cervical subcutaneous fungal granuloma of Aspergillus species in a domestic longhair cat before obvious maxillary, orbital or ethmoturbinate lysis on initial diagnostics is rare and suggests an early onset of lymphatic or hematogenous spread from a suspected nidus of infection within the sinonasal cavity.https://doi.org/10.1177/20551169221121916
spellingShingle Courtney Bartels
Alejandro Alvarez-Sanchez
Bharadhwaj Ranganathan
T William O’Neill
Katy L Townsend
Ventral cervical subcutaneous species fungal granuloma in a cat
Journal of Feline Medicine and Surgery Open Reports
title Ventral cervical subcutaneous species fungal granuloma in a cat
title_full Ventral cervical subcutaneous species fungal granuloma in a cat
title_fullStr Ventral cervical subcutaneous species fungal granuloma in a cat
title_full_unstemmed Ventral cervical subcutaneous species fungal granuloma in a cat
title_short Ventral cervical subcutaneous species fungal granuloma in a cat
title_sort ventral cervical subcutaneous species fungal granuloma in a cat
url https://doi.org/10.1177/20551169221121916
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AT bharadhwajranganathan ventralcervicalsubcutaneousspeciesfungalgranulomainacat
AT twilliamoneill ventralcervicalsubcutaneousspeciesfungalgranulomainacat
AT katyltownsend ventralcervicalsubcutaneousspeciesfungalgranulomainacat