The dimorphic fungi Coccidioides immitis and Coccidioides posadasii are the causative agents of coccidioidomycosis. Dogs and cats residing in and visiting endemic areas are at risk of exposure to infectious arthrospores. The primary infection is pulmonary and frequently results in chronic cough. Disseminated disease is common and causes cutaneous, osseous, cardiac, ocular, nervous system, or other organ disease. Radiographic changes include a variable degree of interstitial pulmonary infiltration, hilar lymphadenopathy, and osseous lesions. Serological titers support the diagnosis, but definitive diagnosis relies on identification of Coccidioides in cytological or tissue samples. Coccidioidomycosis should be considered in any dog or cat that has been potentially exposed during the previous 3 years and is presented with chronic illness, respiratory signs, lameness, lymphadenopathy, nonhealing cutaneous lesions, or neurological, ocular, or cardiac abnormalities.
Normal dog swallowing dynamics were analyzed and correlated with specific structures. There were oropharyngeal, esophageal, and gastroesophageal phases. The oropharyngeal phase was characterized by food prehension and bolus formation (oral stage), reflex pharyngeal peristalsis (pharyngeal stage), and reflex cricopharyngeal sphincter relaxation (cricopharyngeal stage). The esophageal phase was characterized by primary peristalsis initiated by the oropharyngeal phase and secondary peristalsis which occurred in response to mechanical stimuli from a bolus in the esophagus. There was a post‐peristalsis refractory period during which new peristalsis would not occur. Repeated rapid swallowing would, therefore, result in accumulation of ingesta in the esophagus. The gastroesophageal phase occurred when a bolus passed through the gastroesophageal junction, an area which serves as a lower esophageal sphincter. Gastroesophageal reflux was observed as a normal, infrequent event followed by rapid esophageal clearance. Low doses of tranquilizers had no significant influence on swallowing function. The differences observed between sternal and lateral recumbent postures related only to the rate of food consumption which, in turn, influenced esophageal motor response and inhibited gastroesophageal closure. These differences did not adversely affect the autonomous phases of swallowing.
A 2-week-old Morgan filly examined because of lameness of 5 days' duration was found, on the basis of clinical and radiographic findings, to have septic physitis of the distal end of the radius. The foal was treated by means of intraosseous regional perfusion with penicillin and amikacin and systemic administration of antimicrobials. Intraosseous regional perfusion was performed 3 times. The foal was anesthetized for the first episode of intraosseous regional perfusion, but was only sedated for the subsequent 2 episodes. Antimicrobials were administered systemically for 22 days. Foals with septic physitis are typically considered to have a guarded to poor prognosis for recovery; however, this treatment regimen resulted in relatively fast and uncomplicated resolution of the infection in this foal.
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