Gutteral Pouch Mycosis

Does anyone have any experience with this? I’d never heard of it until my horse had a nose bleed and ended up with a trip to New Bolton tonight :woman_facepalming:t3:

Apparently we caught it VERY early and the doc at Penn is very optimistic. He had no reservations about doing the coil surgery to repair/reinforce the affected arteries and then doing a laser treatment to kill the fungus. Apparently there is a good prognosis for a healthy/normal life after and the recovery seems manageable. We are going forward with the surgery scheduled for tomorrow at 10 AM.

I appreciate any of your experiences and jingles!

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The only reference I’ve heard to it is from Dr. Lacher’s podcast: https://podcasts.apple.com/us/podcast/the-wacky-weird-guttural-pouch/id1396643434?i=1000547937698

Jingles for your horse!

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Sending jingles!!

ETA: so glad you caught it early! I had my horse scoped after nosebleeds in 2021, but it wasn’t gutteral pouch mycosis, it was EIPH. Wish I had wisdom, but only have jingles.

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Glad you caught it early as it can be fatal. The infection damages tissue in a highly vascular area and if artery and veins are affected they can fail, somewhat like esophageal varices in humans.
I was at a lesson barn where one of the boarder horses bled out but the consensus was that with proper early vet care it could have been avoided, many jingles for you and your boy!

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Jingles!
Out of curiosity, what are the early symptoms?

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My BO’s horse has this as well as the surgery and she made a full recovery! Wishing your horse has the same.

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No experience with this, but lots of jingles for your horse!

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Ours was unilateral nasal discharge for a couple weeks which we treated as a sinus infection using Excede. The discharge was a light yellow-ish color and not smelly or bloody so we didn’t think too much of it, especially since it dissipated as time passed. Otherwise horse totally normal - eating, drinking and seemed to be very much himself.

Then yesterday we had a sudden onset steady nose bleed out of just the one nostril (the same one as before) and called the vet. Horse otherwise normal - eating, drinking and seemed to be in good spirits. They scoped to confirm and sent us to New Bolton.

The vet mentioned that other symptoms include difficulty swallowing and drinking, which happens when the fungus attacks the nerves in the Gutteral pouch. Fortunately we did not have that.

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I’m glad you caught it early! I know of three horses who died from it.
The first was an older pony, they decided to euthanize once they realized what it was.

The second was a 10 year old mare who belonged to a university student friend of mine. The mare was on outdoor board and it all came to a head during exams. Someone had noticed a little blood near a nostril and they figured it was a small cut or something. A few days later another boarder noticed blood on her legs, on the blankets of other horses, etc. They brought her in, I happened to be there and checked her vitals. Her gums were nearly white so the BO called the vet while I called the owner. They loaded her and got her to the clinic ASAP. Unfortunately the nearest surgeon was several hours away and the scope wasn’t very encouraging. The odds for surgery working were very low.

The third horse was a 12yo gelding. His owner was away in the military so he hadn’t been ridden in weeks. The staff didn’t notice any blood on him or in his stall. He was turned out at night since it was summer. By morning he had blood pouring out his nose. The vet came and immediately euthanized.

Sorry, this probably doesn’t make you feel better. But I have my fingers crossed. I don’t think the vets would give you false hope.

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Update: he is through surgery and recovering! Apparently he did very well and things went smoothly.

Also - in case it helps anyone, here is a picture of how I found him before calling the vet going to the clinic. I think it could’ve been easily dismissed as “just a nosebleed.”

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Glad the surgery went smoothly! Hope he recovers well!

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I’m glad his surgery went well! I hope he has an easy recovery and goes back to an uneventful quiet retirement. (I mean it, dude.)

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Poor sweetie!! Many hugs and prayers for all to be well.

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That’s a great update! Hoping he recovers well!

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Glad the surgery went well!

It’s a nasty, nasty fungus. But if you catch it early enough and do the surgery, the prognosis is good.

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I do have experience with gutteral pouch mycosis but the symptoms were different. In my mare’s case the fungal plaques attached to the nerves running through the pouch vs the carotid artery. First symptoms were quidding of her hay. We missed this initially. I found quids of hay in her stall and thought someone had put the old lesson horse in her stall, as that had happened in the past. She always coughed a few times when we first picked up a trot under saddle. Around the same time as the quids of hay, her coughing was more persistent and continued throughout the ride. One day she coughed food particles out her nose. Endoscopy showed a major fungal plaque on the nerve that controls much of her head. She had paralysis of her epiglottis, upper trachea and soft palate. She couldn’t eat anything as she just couldn’t swallow and at risk for inhalation pneumonia. 2x daily flushing/antibotics didn’t slow the progress at all. After 4 days in ICU, it was just getting worse. The only thing keeping her alive was tube feeding. This was torture for a horse that had anxiety in a stall. The board certified internist thought it ‘might’ get better with weeks/months of treatment. Nerve damage is very tough to cure. I had to make that tough decision to let her go.

Jingles for your boy.

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How is he doing?

He’s doing really well. He’s on stall rest until Friday when his staples can come out, which he is not at all pleased about. We do lots of walking and “teaching” lessons to entertain him.

He does have a serious incision and kind of resembles Frankenhorse. It’s warming up here so I decided a hair cut was badly needed. He actually seemed to enjoy it.

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That’s great news! Thanks for the update!

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I am glad to provide a positive update to the archive! Most of what I read on the forum was not so promising :fearful:

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