Presentation: A 3-6 year old intact male pothound canine, rescued with unknown history, was presented at AcaseAweek Clinic for castration. The only abnormality he had was unilateral mucous ocular and nasal discharge from the left side. While at the clinic, patient’s condition worsened over a weekend time. The ocular discharge became mucopurelent and the nasal discharge became bloody. His overall demeanor declined as his condition worsened.
Physical exam was performed, and besides the obvious nasal and ocular discharge he was physically sound. Nose was painful on palpation.
CRT: <2
Weight: 19.8 kg
Temp: 100.8°F
HR: 131bpm
RR: 22rpm
Auscultation revealed abnormal bilateral lung sounds.
The patient was tested for both ehrlichia and heartworm, testing positive for ehrlichia.
Blood chemistry and CBC values fell within normal limits except for Hct (30.5%), HGB (10.6g/dl), EOS (3.1 x 10), GLOB (6.3g/dL), and TP (9.0g/dL).
Under general anesthesia, radiographs were taken as shown below:
What are the radiographic findings?
What is your tentative diagnosis?
Give list of differentials for your tentative diagnosis.
How will you treat and manage this case?
Solution to this case |
There seem some soft tissue in nasal cavity, bony details as not as clear. It may be some tumor, and endoscopy can be performed to further check and if tumor surgery and chemo are good options.