Learn about the veterinary topic of Guttural Pouch Disease in Horses. Find specific details on this topic Guttural Pouch Mycosis. Guttural pouch mycosis, horse. Guttural pouch empyema. Trostle SS(1), Rantanen NW, Nilsson SL, Oman DD, Cranney GC. Author information: (1)San Luis Rey Equine Hospital, Holly Ln . J Am Vet Med Assoc. Dec 1;(11) Empyema of the guttural pouch (auditory tube diverticulum) in horses: 91 cases (). Judy CE(1).

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Horses with suspect guttural pouch empyema should be handled with appropriate biosecurity precautions because it is frequently a sequela to infection of the retropharyngeal lymph nodes with strangles. Furthermore, the foal lived in a herd that was not vaccinated against strangles and was exposed gguttural an environment heavily populated by Streptococcus equi subspecies equi during an outbreak of the disease.

The guttural pouches are ventral empyemz the cranium and atlas and dorsolateral to the pharynx and extend rostrally to the level of the pharyngeal orifice of the eustachian tube and caudally to the level of the atlantoaxial joint.

This article has been peer reviewed but is awaiting expert review. This can confirm the origin of infection and guide any antibiotic therapy. Indications for systemic antimicrobials in guttural pouch empyema include protection of the lower airways from contaminated drainage from the pouch, especially during lavage; prevention gjttural treatment of aspiration pneumonia; and treatment of lymph node abscesses.

The fluid is then submitted for culture as already described. The other clinical findings, such as depression, anorexia, tachycardia, tachypnea, congested mucous membranes, prolonged capillary refill time and pyrexia are commonly associated with respiratory tract infections WILSON, A guttural pouch wash can be obtained by using sterile technique and advancing a sterile polyethylene tube through the biopsy channel of a previously sterilized endoscope into the guttural pouch.

Many important structures are anatomically related to the guttural pouch and must be considered when treating guttural pouch disease either medically or surgically. A fine screen is used without a grid to help minimize exposure time and dose while maximizing detail. These structures are large air filled sacs, positioned on epyema side of the neck, below the ear of the horse. We advise against blind placement of the Chamber’s catheter and recommend that placement be confirmed by endoscopic visualization.

They are lined with a thin membrane, which separates them from nerves and the jugular artery.


What is your diagnosis? Guttural pouch empyema.

Navigation menu Personal tools This infection causes the membranes of the pouch to become thickened and fill with pus. Clinical signs of guttural pouch disorders are associated with other structures in the area. Once inside the guttural pouch, the biopsy instrument can be retracted into the biopsy channel. Streptococcus equi subspecies guttueal are pathogenic for equids and an important cause of upper respiratory tract disease.

This process should be repeated in the opposite nasal passage to view the opposite guttural pouch. Diagnosis of Guttural Pouch Empyema in Horses. The epithelium is pseudostratified and ciliated and contains goblet cells; mucous glands and lymph nodules are also present.

Diagnosis and treatment of diseases of the guttural pouch Part 1.

Unfortunately, standard Foley catheters empeyma not be long enough to reach the guttural pouch in large horses. Although diseases of the guttural pouches are relatively rare, it is important to be able to accurately diagnose and treat them to avoid sequelae, such as dysphagia or even fatal hemorrhage, as can occur with mycotic infections.

A variety of diagnostic imaging techniques are available for investigating cases of suspected guttural pouch disease. As equine distemper is a common precursor to this condition the same diagnostic examinations may be performed to confirm the presence of S. Guttural pouch diseases in the horse. Equine guttural pouches auditory tube diverticula are unique because of their size—Equine guttural pouches are the largest of several species examined in one study.

The most commonly used antibiotic is penicillin, which may be given via intravenous or intramuscular injection. However for the present case, this etiology was excluded because the owners did not report evidences of timpany during the onset of clinical signs. Diagnosing guttural pouch disorders and managing guttural vuttural empyema in adult horses. Other clinical signs usually include cough, fever, anorexia, respiratory noise, depression, dyspnea, and dysphagia.

However, recent research has shown that in adult animals who receive prompt care, recovery may be expected.

What is your diagnosis? Guttural pouch empyema.

Endoscopic findings include purulent exudate on the floor of the guttural pouch, mucosal hyperplasia, thickening and discoloration of the cartilage flap at the pharyngeal orifice, 13 pharyngeal edema or narrowing, pharyngeal lymphoid hyperplasia, pharyngeal asymmetry, and chondroids 11 FIGURE 5. History and clinical signs suggested GP empyema and due to the severe bilateral distention leading to dyspnea, an emergency surgical drainage was recommended.

The guttural pouches are structures that are unique to few species of animals. Horses with strangles may have retropharyngeal lymph node enlargement noted on the floor of the guttural pouch i. Retrospective analysis of 50 cases of guttural pouch tympany in foals. As the purulent material accumulates, the GP distends – forming a palpable, fluctuating visible swelling behind the jaw. Dysphagia associated with guttural pouch empyema and dorsal displacement of the soft palate.


Once in the guttural pouch, the tubing is advanced, and up to 50 ml of sterile saline can be instilled into the guttural pouch and subsequently aspirated using the endoscope to visualize the fluid.

A routine examination includes opposite lateral radiographs of the guttural pouch region. Your veterinarian will perform a full head to tail examination on your horse, and discuss their clinical history, symptoms and recent behavior with you. Twenty percent of horses with guttural pouch empyema have complications and may require more sophisticated and invasive procedures.

Alternatively, a retention catheter can be made using an 8- or Fr polypropylene male dog urinary catheter 17 or polyethylene tubing 18 FIGURE 6or a commercially available guttural pouch catheter can be used. Necropsy was immediately performed and revealed the fullness of right and left GP by mucopurulent exudate, no signs of retropharyngeal abscesses, presence of mucous accumulation in the trachea and diffuse pulmonary congestion in the lungs suggesting pneumonia.

The following measures should be taken:. Due to their placement, trauma to these structures can cause severe consequences, affecting swallowing, respiration, facial control and head position. Alternatively, a Chamber’s catheter can be placed nasally, advanced into the nasopharynx, and viewed by the endoscope, which is passed into the opposite nostril.

The use of fluoroscopy and angiography provides a road map of the vasculature when using arterial coil embolization for treating guttural pouch mycosis. The pouches can be drained by catheter or surgically. In these cases, abscesses may form, however, your veterinarian may be able to lance these to encourage draining and flush the pouch to remove as much exudate as possible.

Swabs should be taken from the guttural pouch and cultured. Guttural pouch empyema is characterized by the unilateral or bilateral accumulation of mucopurulent exudate in the guttural pouches.