Cutaneous pythiosis in two dogs from Wisconsin, USA

Vet Dermatol. 2014 Feb;25(1):52-e21. doi: 10.1111/vde.12101. Epub 2013 Dec 28.

Abstract

Background: Pythium insidiosum is an oomycete that causes cutaneous lesions or infiltrative gastrointestinal disease in dogs, cats, humans, horses and other mammals, primarily in tropical and subtropical climates.

Hypothesis/objectives: We report the clinicopathological findings associated with cutaneous pythiosis in two dogs from a Northern temperate climate zone.

Animals: A 3-year-old intact male Chesapeake Bay retriever was presented with an ulcerated soft-tissue swelling over the left eye. A 4-year-old spayed female German shepherd dog was presented with a soft-tissue swelling overlying the right hock. Both dogs lived in northern latitudes (between 43 and 45°N) and neither had travelled outside of Wisconsin or Michigan's upper peninsula, USA.

Methods: Histopathological examination and culture of affected tissues on specialized media, serology for anti-P. insidiosum antibodies, P. insidiosum-specific PCR and ribosomal RNA gene sequencing were carried out.

Results: Histopathological examination revealed pyogranulomatous and eosinophilic inflammation associated with wide, poorly septate hyphae.

Conclusions and clinical importance: Even clinicians who practice in temperate climates should consider pythiosis as a differential diagnosis for young to middle-aged adult dogs presented with ulcerated cutaneous nodules or infiltrative gastrointestinal disease.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / therapeutic use
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / therapeutic use
  • Dog Diseases / diagnosis
  • Dog Diseases / epidemiology
  • Dog Diseases / microbiology*
  • Dog Diseases / pathology
  • Dogs
  • Female
  • Immunotherapy / veterinary
  • Itraconazole / administration & dosage
  • Itraconazole / therapeutic use
  • Male
  • Molecular Sequence Data
  • Naphthalenes / administration & dosage
  • Naphthalenes / therapeutic use
  • Prednisone / therapeutic use
  • Pythiosis / diagnosis
  • Pythiosis / epidemiology
  • Pythiosis / pathology
  • Pythiosis / veterinary*
  • Pythium / genetics
  • Pythium / isolation & purification*
  • RNA, Ribosomal / genetics
  • Terbinafine
  • Wisconsin / epidemiology

Substances

  • Anti-Inflammatory Agents
  • Antifungal Agents
  • Naphthalenes
  • RNA, Ribosomal
  • Itraconazole
  • Terbinafine
  • Prednisone

Associated data

  • GENBANK/KF318041