Esporricose em região peniana de felino concomitante com quadro de dedtuif - relato de caso

Abstract

Sporotrichosis is a subcutaneous mycosis caused by fungi of the Sporothrix complex, and is considered an emerging zoonosis in Brazil. Transmission occurs through direct contact with contaminated organic matter, or through scratches and bites between infected animals, with a higher incidence in male cats that are not neutered and have access to the street. Feline Lower Urinary Tract Disease (FLUTD), in turn, comprises a group of conditions that affect the bladder and urethra of cats, with multifactorial etiology. Factors such as stress, sedentary lifestyle, obesity, inadequate diet and anatomical alterations are associated with the onset of the disease. The most common clinical signs include dysuria, hematuria and excessive licking of the genitals. Males are more predisposed to the obstructive form due to the anatomy of the urethra. This study aims to report a clinical case of an unneutered male cat, approximately 3 years old, with access to the streets, treated in the city of Floresta-PE for presenting signs of anorexia, hypodipsia, excessive vocalization, penile licking and vomiting. On physical examination, bladder fullness due to urethral obstruction was identified, confirming a picture compatible with Feline Lower Urinary Tract Disease (FLUTD). Fluid therapy, sedation and a hydropropulsion procedure were performed to unblock the obstruction, followed by bladder catheterization. The patient presented hematuria and significant clots, and underwent bladder lavage and catheter maintenance for 72 hours. During the anamnesis, swelling and bleeding in the genital region for weeks was reported, and an exudative peripenile lesion measuring 3 cm in diameter was observed. A sample of the lesion was collected by imprinting and cytologically analyzed, revealing yeast-like structures compatible with fungi of the Sporothrix complex, confirming the diagnosis of sporotrichosis. The affected region is an unusual place for the appearance of cysts, with clinical manifestations occurring mainly in regions such as

the face, limbs and tail. The treatment instituted included itraconazole, topical antifungal, anti- inflammatory, analgesic, antibiotics, vitamin supplementation and home care. The lack of

follow-up made it impossible to monitor the clinical evolution. This is a rare case of sporotrichosis with an isolated lesion in the penile region, which may have played a mechanical role in the urethral obstruction.