Difference between revisions of "Candidiasis"
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==Signalment== | ==Signalment== | ||
| − | The disease is common in '''neonatal psittacine birds'''. ''' | + | The disease is common in '''neonatal psittacine birds'''. It occurs primarily as a result of '''immunosuppression''' and '''trauma''' to the ingluvies. Hypothermia, feeding too cold or too hot formula which results in crop-burn, poor nutrition, longterm antibiotic therapy, hypovitaminosis A and systemic illness from other causes are all predisposing causes. |
==Clinical Sings== | ==Clinical Sings== | ||
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==Diagnosis== | ==Diagnosis== | ||
| − | Diagnosis is based on '''identification of oval yeasts''' and '''hyphae''' on '''cytological smears''' taken from swabs and crop washes or aspirates. '''Wrights stain''' can be used to demonstrate the yeasts. There should be no evidence of an inflammatory response. The presence of '''hyphae''' indicates that the crop may have been penetrated and the infection '''spread systemically'''. | + | Diagnosis is based on '''identification of oval yeasts''' and '''hyphae''' on '''cytological smears''' taken from swabs and crop washes or aspirates. '''Wrights stain''' can be used to demonstrate the yeasts. There should be no evidence of an inflammatory response. The presence of '''hyphae''' indicates that the crop may have been penetrated and the infection has '''spread systemically'''. |
==Treatment== | ==Treatment== | ||
| − | 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''' | + | 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''' such as oral itraconazole (for 7 days) is recommended along with a topical antifungal such as nystatin BID or TID for 7–10 days. |
| − | + | . | |
==Prognosis== | ==Prognosis== | ||
The presence of hyphae on cytological examination suggests a severe infection and potential systemic spread, and therefore a '''poor''' prognosis. Without evidence of hyphae the prognosis is improved. | The presence of hyphae on cytological examination suggests a severe infection and potential systemic spread, and therefore a '''poor''' prognosis. Without evidence of hyphae the prognosis is improved. | ||
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[[Category:Cutaneous Mycoses]] | [[Category:Cutaneous Mycoses]] | ||
[[Category:To Do - Fungi]] | [[Category:To Do - Fungi]] | ||
| − | |||
[[Category: To Do - Siobhan Brade]] | [[Category: To Do - Siobhan Brade]] | ||
Revision as of 12:33, 29 July 2011
Introduction
- Caused by Candida spp.
- Noramally present on skin and in GI tract
- Immunocompromised animals may show symptoms
- Usually lesions on mucous membranes and at mucocutaneous junctions
- Grossly:
- Exudative, papular, pustular to ulcerative dermatitis
- Stomatitis and otitis externa may develop
- Microscopically:
- Spongiotic neutrophilic pustular inflammation
- Parakeratosis
- Ulcerations
- Superficial exudate containing organisms
Candidasis in birds
Signalment
The disease is common in neonatal psittacine birds. It occurs primarily as a result of immunosuppression and trauma to the ingluvies. Hypothermia, feeding too cold or too hot formula which results in crop-burn, poor nutrition, longterm antibiotic therapy, hypovitaminosis A and systemic illness from other causes are all predisposing causes.
Clinical Sings
The bird may present with inflammation and delayed emptying of the ingluvies.
Diagnosis
Diagnosis is based on identification of oval yeasts and hyphae on cytological smears taken from swabs and crop washes or aspirates. Wrights stain can be used to demonstrate the yeasts. There should be no evidence of an inflammatory response. The presence of hyphae indicates that the crop may have been penetrated and the infection has spread systemically.
Treatment
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 such as oral itraconazole (for 7 days) is recommended along with a topical antifungal such as nystatin BID or TID for 7–10 days. .
Prognosis
The presence of hyphae on cytological examination suggests a severe infection and potential systemic spread, and therefore a poor prognosis. Without evidence of hyphae the prognosis is improved.
References
Forbes NA & Altman RB (1998) Self-Assessment Colour Review Avian Medicine Manson Publishing Ltd
Girling, S (2004) Diseases of the digestive tract of psittacine birds In Practice 2004 26: 146-15