Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series

Abstract Background Rarely, Malassezia otitis presents as a painful, erosive otitis with an otic discharge containing Malassezia and neutrophils on cytology. There are no published reports of this type of suppurative Malassezia otitis (SMO). The role of Malassezia hypersensitivity in otitis is still...

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Main Authors: Tania C. Nunes Rodrigues, Sophie I. Vandenabeele
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Veterinary Research
Subjects:
Online Access:https://doi.org/10.1186/s12917-021-03066-7
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author Tania C. Nunes Rodrigues
Sophie I. Vandenabeele
author_facet Tania C. Nunes Rodrigues
Sophie I. Vandenabeele
author_sort Tania C. Nunes Rodrigues
collection DOAJ
description Abstract Background Rarely, Malassezia otitis presents as a painful, erosive otitis with an otic discharge containing Malassezia and neutrophils on cytology. There are no published reports of this type of suppurative Malassezia otitis (SMO). The role of Malassezia hypersensitivity in otitis is still unknown, and no association has been demonstrated with SMO. We compared Malassezia IgE levels, intradermal test and histology changes in SMO dogs with the more conventional Malassezia otitis (MO) presentation. Results Three dogs (case 1, case 2 and case 3) were diagnosed with SMO, one dog (case 4) was diagnosed with unilateral MO and unilateral SMO, and one dog (case 5) was diagnosed with MO. Only one case (case 4) with SMO/MO had a positive Intradermal Allergy Test (IDAT) and elevated IgE levels for Malassezia. Histopathology findings from SMO revealed: interface dermatitis (case 1 and 3), lymphocytic dermatitis (case 2) and chronic hyperplastic eosinophilic and lymphoplasmacytic dermatitis (case 4). Histopathology findings from MO showed perivascular dermatitis (case 4 and 5). All the cases were treated successfully. Conclusions SMO presents with a distinct clinical phenotype in comparison with conventional MO. No consistent aetiology could be isolated. In these clinical cases it is possible that previous treatments could have influenced the results. More research is needed to understand the possible aetiologies and the pathogenesis of SMO.
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spelling doaj.art-4187f175c99c4c678dcd2d5a70e831662022-12-21T19:22:22ZengBMCBMC Veterinary Research1746-61482021-11-011711710.1186/s12917-021-03066-7Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case seriesTania C. Nunes Rodrigues0Sophie I. Vandenabeele1Small Animal Department, Faculty of Veterinary Medicine, Ghent UniversitySmall Animal Department, Faculty of Veterinary Medicine, Ghent UniversityAbstract Background Rarely, Malassezia otitis presents as a painful, erosive otitis with an otic discharge containing Malassezia and neutrophils on cytology. There are no published reports of this type of suppurative Malassezia otitis (SMO). The role of Malassezia hypersensitivity in otitis is still unknown, and no association has been demonstrated with SMO. We compared Malassezia IgE levels, intradermal test and histology changes in SMO dogs with the more conventional Malassezia otitis (MO) presentation. Results Three dogs (case 1, case 2 and case 3) were diagnosed with SMO, one dog (case 4) was diagnosed with unilateral MO and unilateral SMO, and one dog (case 5) was diagnosed with MO. Only one case (case 4) with SMO/MO had a positive Intradermal Allergy Test (IDAT) and elevated IgE levels for Malassezia. Histopathology findings from SMO revealed: interface dermatitis (case 1 and 3), lymphocytic dermatitis (case 2) and chronic hyperplastic eosinophilic and lymphoplasmacytic dermatitis (case 4). Histopathology findings from MO showed perivascular dermatitis (case 4 and 5). All the cases were treated successfully. Conclusions SMO presents with a distinct clinical phenotype in comparison with conventional MO. No consistent aetiology could be isolated. In these clinical cases it is possible that previous treatments could have influenced the results. More research is needed to understand the possible aetiologies and the pathogenesis of SMO.https://doi.org/10.1186/s12917-021-03066-7Malasseziahypersensitivitysuppurativeotitisinflammationcanine
spellingShingle Tania C. Nunes Rodrigues
Sophie I. Vandenabeele
Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
BMC Veterinary Research
Malassezia
hypersensitivity
suppurative
otitis
inflammation
canine
title Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
title_full Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
title_fullStr Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
title_full_unstemmed Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
title_short Pilot study of dogs with suppurative and non-suppurative Malassezia otitis: A case series
title_sort pilot study of dogs with suppurative and non suppurative malassezia otitis a case series
topic Malassezia
hypersensitivity
suppurative
otitis
inflammation
canine
url https://doi.org/10.1186/s12917-021-03066-7
work_keys_str_mv AT taniacnunesrodrigues pilotstudyofdogswithsuppurativeandnonsuppurativemalasseziaotitisacaseseries
AT sophieivandenabeele pilotstudyofdogswithsuppurativeandnonsuppurativemalasseziaotitisacaseseries