Dermatomycosis associated with Nannizziopsis sp. is documented in lizards, terrestrial and aquatic snakes, and crocodiles. 6 Hyphomycete fungi of the family Nannizziopsiaceae isolated from bearded dragons include N. chlamydospora, N. draconii, N. barbata, N. guarroi, and N. vriesii. 1-7,9 Clinical signs include swellings, subcutaneous masses, and skin lesions. [1][2][3][4][5]9 Antifungal treatments were not always successful in resolving the skin lesions, or skin lesions recrudesce, resulting in the animals being euthanized and, at postmortem, systemic fungal infections were occasionally identified.2,4,5 Three central bearded dragons (syn. inland bearded dragon; Pogona vitticeps) from the same owner were privately held as companion animals. Two bearded dragons were male and 1 was female and all were 6 years of age. They were habituated in 2 terrariums (2.2 m 2 and 1.2 m 2 , photoperiod 10-12 h, ultraviolet source, temperature 23-40°C, cage substrate sand), fed insects twice a week, vegetables and fruit daily, and supplemented with a calcium and vitamin powder once a week. Males were housed separately, and alternately paired with the female bearded dragon. The 3 lizards were presented to the clinic because of chronic skin problems. One male bearded dragon (case 1) had crusty skin lesions on the lower mandible and a subcutaneous mass near the left shoulder; the second male bearded dragon (case 2) also had crusty, erosive, and ulcerative skin lesions on the lower mandible; and the female bearded dragon (case 3) had a subcutaneous mass near the left shoulder (Fig. 1). A routine fecal examination revealed Isospora amphiboluri and flagellates, resulting in the treatment of all 3 bearded dragons with toltrazuril (10 mg/kg orally) a and metronidazole (40 mg/kg orally) b twice within a 2-week interval. The subcutaneous masses were surgically excised in cases 1 and 3, and histological examination of the masses revealed necrotizing and granulomatous dermatitis and panniculitis associated with fungal hyphae. Case 1 was treated with itraconazole (5 mg/kg, orally every 48 h) c for 4 months and topical iodine solution, d and skin lesions improved; however, 6 months later, the skin lesions recurred. The condition of cases 1 and 2 deteriorated, and they were euthanized.Postmortem examination revealed granulomatous masses in liver, heart, and lungs in both cases. Case 1 additionally had granulomatous masses with intralesional fungal hyphae in kidneys, tongue, and intestine, as well as in the celomic serosa near the surgical scar at the left shoulder. Large numbers of fungal hyphae could also be seen inside blood vessels of numerous organs. Case 2 additionally had multifocal chronic deep granulomatous dermatitis with necrosis and ulceration 636422V DIXXX10.1177/1040638716636422Dermatomycosis in 3 bearded dragonsSchmidt-Ukaj et al.
research-article2016Small Animal Internal Medicine, Department for Companion Animals and Horses (Schmidt-Ukaj), Institute of Microbiology (Loncaric, Spergser) and Institute of Pathology and Forensic V...