Farfel is a 4 Yr Neutered Male Domestic Medium Hair presenting for crusted sores and abscesses
Curtis Plowgian, DVM, DACVD
Animal Dermatology Clinic, Indianapolis Indiana
Problems began about 3-4 months ago as a non-healing wound/scab on one paw. Farfel is indoor/outdoor, so his was owner not sure where he might have injured it. After 6-8 weeks of the wound not healing, the owner took Farfel to his primary veterinarian for treatment, who started him on oral antibiotics, which didn’t help at all. After that, Farfel started getting Convenia and depomedrol injections, which also didn’t help. About 2 weeks prior to presentation, he developed 2 new sores on his abdomen and his neck. The condition was not pruritic. Aside from the skin, the owner hadn’t noticed any other symptoms; Farfel was eating, drinking, urinating and defecating normally, and his energy and appetite were normal, but he was lethargic at first when the neck and abdominal lesions first appeared. The primary veterinarian cultured Farfel’s wounds, which yielded no growth of bacteria. Owner then went to a second primary vet for a second opinion, who submitted a second culture (pending), FIV test (negative), and CBC/Chem (WNL except decreased CREA and liver values and increase neutrophils and monocytes). Owner has another indoor/outdoor cat and a pug who are both unaffected, no people in the house affected. Both cats are on monthly topical flea prevention, owner unsure of the brand.
There were large purulent wounds on the dorsal left forelimb, the ventral chest, and the ventral abdomen. Rest of exam was within normal limits.
Cytology (wounds): TNTC pyogranulomatous inflammation with numerous blastomyces yeasts (see below).
Blastomycosis (r/o localized vs disseminated)
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