Species and Breed
4 year old m/n Rottweiler, "Evo"
Presentation
Evo was diagnosed with nasal Aspergillosis in January 2010 after presenting with unilateral nasal discharge which progressed to epistaxis
Initial Diagnosis
Radiographs revealed destructive rhinitis of R sinus; subsequent MRI, rhinoscopy, and biopsy/culture revealed Aspergillosis
Initial Treatment
2 intranasal antifungal infusions as well as systemic medications over the next two years with minimal improvement noted.
Progression
Continued swelling over sinuses which eventually ruptured, resulting in chronic purulent nasal discharge, no improvement regardless of multiple medical attempts; presented for euthanasia d/t poor QOL in November 2013
Laser Treatment
186 total Joules at 2W; three times weekly for one month, then twice weekly for one month, then once weekly for one month (24 total)