Presentation
Presented with fever of unknown origin and gagging. Had an exploratory laparotomy at the referring veterinarian with no obstruction found.
Patient Data
There is increased opacity at the heart base with deviation of the principal bronchi, representing enlarged hilar lymph nodes. There is a mild bronchial pattern with several doughnuts visible and thickened bronchial walls in the periphery.
Free gas is visible within the abdomen due to recent surgery.
On recheck radiographs, the hilar lymphadenopathy has resolved. The bronchial pattern is also improved.
Case Discussion
On bloodwork there was neutrophilia. Infectious respiratory disease was suspected, and titers were run for coccidiodomycosis, aspergillus, and cryptococcus. The coccidioidal titers were positive. The dog was treated with itraconozole and the hilar lymphadenopathy improved over two months.
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