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Journal of the American Animal Hospital Association 45:239-244 (2009)
© 2009 American Animal Hospital Association


Case Report

Patellar Blastomycosis in a Dog

Abimbola Oshin, DVM, MS, MRCVS, Diplomate ACVS, Diplomate ECVS, Dominique Griffon, DVM, MS, PhD, Diplomate ACVS, Diplomate ECVS, Karin Lemberger, DVM, Diplomate ACVP, James Naughton, DVM, MS, Diplomate ACVR and Anne Barger, DVM, MS, Diplomate ACVP

From the Department of Small Animal Surgery (Oshin), Affiliated Veterinary Specialists, 1668 Mallory Lane, Brentwood, Tennessee 37027; the Department of Veterinary Clinical Medicine (Griffon) and the Veterinary Diagnostic Laboratory (Barger), College of Veterinary Medicine, University of Illinois at Urbana-Champaign, 1008 West Hazelwood Drive, Urbana, Illinois 61802; Laboratoire Vet Diagnostics (Lemberger), 60 Avenue Rockefeller, Lyon, 69008 France; and the Department of Veterinary Clinical Sciences (Naughton), School of Veterinary Medicine, Purdue University, 625 Harrison Street, West Lafayette, Indiana 47906.

A 4-year-old, spayed female, mixed-breed dog was presented for evaluation of chronic left hind-limb lameness. Lytic lesions were observed in the left patella on radiographs of the stifle. A biopsy of the patella led to a histopathological diagnosis of blastomycosis. Surgical debridement followed by a 90-day course of itraconazole and physical rehabilitation resolved the clinical signs and stopped the progression of radiographic lesions. Blastomycosis should be considered as a differential diagnosis for stifle joint lameness with lytic lesions in the patella.







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