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'''A three-week-old, hand-fed Moluccan cockatoo chick (''Cacatua moluccensis'') was presented with a three-day history of delayed emptying of the ingluvies. The chick weighed 186g. An aspirate of the ingluvies was performed for cytological evaluation.'''
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<FlashCard questions="3">
|q1= What cytodiagnosis do you make?
|a1= The Wright’s-stained smear reveals many oval yeast and hyphae.

There is no apparent inflammatory response. The yeast and hyphae are compatible with a severe yeast infection, most likely candidiasis, involving the ingluvies.
|l1= Candidiasis
|q2= What therapy would you recommend for this condition?
|a2= An antifungal drug is indicated for the treatment of candidiasis. The presence of hyphae is suggestive of invasion of the mucosa by the yeast and the potential for a systemic infection.

Therefore, a systemic antifungal – e.g. itraconazole PO for 7 days – should be used along with a local or topical antifungal, e.g. nystatin BID or TID for 7–10 days.
|l2= Candidiasis
|q3= What predisposing conditions lead to the development of this condition in hand-fed chicks?
|a3= Immunosuppressive conditions and trauma to the ingluvies lead to the development of candidiasis.

Predisposing factors include hypothermia, feeding a formula that is too cold or too hot, poor nutrition, antibiotic therapy and systemic illness from other causes.
|l3= Candidiasis
</FlashCard>

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