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a Case Report in Nepal » alliedtherapy.org

Malasseziasis in Dog: a Case Report in Nepal

Case History:

Wesley, a 7-year-old maleGermon Shephord , was presented because of a nine-month history of hair loss and thickened, greasy skin. The dog was moderately pruritic, but the owner could not recall if pruritus had preceded or followed the appearance of the skin lesions. The dog seemed healthy otherwise. A vinegar and water solution had been used topically as well as selenium sulfide shampoo with minimal improvement. Prednisone was dispensed six months before presentation but did not seem to help. The owner had tried different brands of dog food but with no improvement.

Physical examination:

Physical examination revealed severe alopecia, hyperpigmentation, and lichenification of the ventral chest and. The legs and ventral neck were also affected. The hair was greasy and epilated easily. The outer ear canals were thickened and contained a brown discharge. The peripheral lymph nodes were moderately enlarged. Wesley's abdomen seemed distended, and the liver was palpably enlarged but non-painful. His testes were symmetrical but small and soft.

Differential diagnoses

Lichenification can be seen with many chronic infectious (bacterial, demodectic mange, fungal), allergic (fleas, food, atopy), or seborrheic skin disorders, but lichenification of the ventral neck, chest, and axillary areas is particularly characteristic of yeast dermatitis (Malassezia pachydermatitis). Lichenification is also seen in West Highland white terriers affected with epidermal dysplasia, but this was less likely in Wesley's case since epidermal dysplasia is a heritable keratinization defect in which signs usually begin between 6 and 12 months of age.

Because of the physical examination findings of abdominal distention, hepatomegaly, and small testicles, we suspected that an underlying endocrine disease (hyperadrenocorticism, hypothyroidism) may also be present.

Diagnostic tests

Cytologic examination of skin imprints showed many yeast, as well as many cocci. Skin scrapings were negative for mites. Cytologic examination of otic discharge revealed many bacteria (rods and cocci) as well as yeast. Bacterial culture of the ears grew Staphylococcus aureus and B-hemolytic Streptococcus, Corynebacterium, and Malassezia species. All bacteria were sensitive to several antibiotics, including enrofloxacin and cephalothin, but were resistant to gentamicin.

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How Technology Is Affecting Our Lives

Today's world is full of pieces of technology that we take for granted, the microchip has genuinely revolutionised the way in which we live and do organization. The world we see would not be recognisable to people of a couple of generations ago and nowhere is this truism greater than in the world of computing. Hence it is important to remain up to date with technology news whilst a lot of may possibly think that this sort of news is purely for geeks it is clear that all of us need to have at least a passing interest in news of technological developments.

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A Catholic contribution in Egypt

For better or worse, Egypt is now a bellwether of the struggle for the soul of global Islam. While a great deal is up in the air, one point seems crystal clear: If the post-Mubarak choice comes down to Islamic militants on one side and Western-style secular liberals on the other -- what we might call the "Facebook crowd" -- then the militants are going to win, and they're going to win huge.

As in other Islamic societies, the vast majority of Egyptians are not radicals, but they are practicing, believing Muslims, who would not feel represented by a regime which doesn't take their faith seriously and doesn't recognize Islam as a core pillar of social organization.

What Egypt therefore needs is something akin to an Islamic version of the old Christian Democrats in Europe -- a political movement led by serious Muslims, perceived as such by the Muslim street, who are also committed to democracy and the rule of law.

It's possible that the Muslim Brotherhood could evolve in that direction. That was the thrust of their Feb. 10 opinion piece in The New York Times, calling for "a democratic, civil state that draws on universal measures of freedom and justice ... which are inherently compatible with and reinforce Islamic tenets." If not, some new force will have to arise, led by Egyptian versions of Konrad Adenauer and Robert Schuman.

Building a coalition of "Muslim Democrats" is, of course, something the Egyptians have to do themselves. External interference, especially from the West, will likely be counter-productive. Egypt is gripped by a spirit of national pride at the moment, with people painting their faces the color of the national flag and celebratory concerts being staged across the country. Egyptians feel they've done just fine handling things on their own, and they aren't in the mood to be hectored by outside forces -- especially, perhaps, by countries they perceive as having propped up the Mubarak regime.

Nonetheless, there are three compelling reasons to believe that Christianity, and the Catholic church in particular, could play an important supporting role in the Egyptian drama.

I was in Vancouver earlier this week, keynoting a conference of Catholic educators. I also spoke at a luncheon hosted by Archbishop Michael Miller for some priests and other personnel of the archdiocese, which gave me the opportunity to work out these ideas. I'm grateful for their interest and feedback.

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Benedict's vision for Christian/Muslim relations

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God's Design Beats Man's. Again.

This 7th grader took a look at the world and saw something that scientists and engineers in solar energy hadn't yet. Read the article, it's fascinating and amazing what this 13 year old's mind discovered. Here's a snippet or two:

[W]hen I went on a winter hiking trip in the Catskill Mountains in New York, I noticed something strange about the shape of the tree branches. I thought trees were a mess of tangled branches, but I saw a pattern in the way the tree branches grew. I took photos of the branches on different types of trees, and the pattern became clearer.

The branches seemed to have a spiral pattern that reached up into the sky. I had a hunch that the trees had a secret to tell about this shape.

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