This 4 year old FS Doberman Pinscher dog presented with acute onset nasal discharge. Previous diagnosis of EOS meningitis 2 weeks ag.
Physical exam: purulent blateral nasal discharge
CBC/Chem: wnl
This 4 year old FS Doberman Pinscher dog presented with acute onset nasal discharge. Previous diagnosis of EOS meningitis 2 weeks ag.
Physical exam: purulent blateral nasal discharge
CBC/Chem: wnl
CT of the head, plain – The computed tomography reveals a moderate and mild amount of uniformly soft
tissue attenuating material in the dependent portion of the left and right nasal cavity
respectively. Part of the material is demarcated by a meniscus sign (horizontal viscous
fluid gas interface).
Mild thickening of the synovial lining and foci of mild turbinate destruction are noted
within the left nasal cavity. The overall findings are more severe on the left side.
As far as the anatomy is included there is no evidence of a mass lesion, bony lysis
and/or a foreign body.
A mild amount of soft tissue attenuating material is noted medially within the right
external ear canal next to the entrance into the tympanic bulla. The tympanic bulla
itself is within normal limits.
The findings are more pronounced on the left side. There is
no evidence of sinusitis.
Potential underlying causes include bacterial rhinitis and viral rhinitis with bacterial superinfection. Even though typical findings are lacking here emerging fungal rhinitis
or superinfection cannot be ruled out entirely.
Rhinoscopy with sampling to obtain bacterial and fungal cultures & histopathology is
advised for further definition and to adjust the therapeutic management appropriately.
There is mild right-sided Otitis externa. Consider ostoscopic examination with
sampling for further definition.
