Document Detail

The mystery of fungal infection in the guttural pouches.
MedLine Citation:
PMID:  15158209     Owner:  NLM     Status:  MEDLINE    
Advances in the understanding of guttural pouch physiology and novel therapeutic approaches to mycotic infections in the horse are reviewed. It is suggested that the guttural pouches may contribute to the regulation of arterial blood temperature, cooling the circulation to the brain to below body temperature. Aspergillus spp. is the major organism found in a guttural pouch affected with mycosis but it is unclear why this agent becomes aggressive. Conventional therapy aims to prevent fatal haemorrhage and to treat any neurological lesions but it is desirable to try to prevent the disease. A technique consisting of inserting a transarterial coil into the internal carotid, external carotid and maxillary arteries in normal and affected horses has been reported to be rapid, safe and effective in occluding the arteries and in inducing regression of the mycotic lesions without adjunctive medical treatment. When faced with acute and uncontrollable epistaxis in the field, the most effective means to reduce haemorrhage is probably the occlusion of both common carotid arteries. However, how such arterial occlusions can result in the successful management of guttural pouch mycosis without antifungal medication remains a mystery.
O M Lepage; M-F Perron; J-L Cadoré
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Veterinary journal (London, England : 1997)     Volume:  168     ISSN:  1090-0233     ISO Abbreviation:  Vet. J.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-05-25     Completed Date:  2004-07-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9706281     Medline TA:  Vet J     Country:  England    
Other Details:
Languages:  eng     Pagination:  60-4     Citation Subset:  IM    
Département Hippique, Ecole Nationale Vétérinaire de Lyon, B.P.83, F-69280 Marcy l'Etoile, France.
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MeSH Terms
Aspergillosis / therapy,  veterinary*
Carotid Artery, Common
Ear Diseases / therapy,  veterinary*
Embolization, Therapeutic / methods,  veterinary
Epistaxis / therapy,  veterinary
Eustachian Tube*
Horse Diseases / therapy*
Respiratory Tract Infections / therapy,  veterinary*
Comment In:
Vet J. 2004 Jul;168(1):1-2   [PMID:  15158200 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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