This week’s case is a 6-year-old male-neutered miniature Dachshund presented for a chronic lung infection. Take a look and post your comments!
There is a marked diffuse bronchial pattern present. Multiple faint pleural fissure lines are noted between the lung lobes on the right side. The cardiovascular structures are within normal limits. Within the viewable abdomen, the spleen is enlarged and a single small metallic opacity is present within the gastrointestinal tract. Occasional in situ mineralized intervertebral discs are noted.
Radiographic findings are most consistent with an inflammatory, airway associated disease. Both infectious and non infectious diseases should be considered, including fungal disease. Pneumocystis carnii, severe chronic lower airway inflammatory disease, immune mediated disease. Degenerative intervertebral disc disease. Incidental GI foreign material.
- Airway cytology – Moderate septic, mixed (primarily neutrophilic) inflammation with moderate mononuclear reactivity and increased extracellular amorphous debris.
- Culture – small numbers of Actinomyces sp.
- Treatment with Baytril, Doxycycline, and nebulization
- Static lung pattern 3 months later
- Differentials infectious, inflammatory, fibrosis