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Romero CH, Tuomi P, Burek-Huntington KA, Gill VA. Novel lambdapapillomavirus in northern sea otters Enhydra lutris kenyoni, associated with oral hyperplastic nodules. Dis Aquat Organ 2024; 157:73-80. [PMID: 38421009 DOI: 10.3354/dao03771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
A novel papillomavirus (PV) associated with hyperplastic nodules scattered over the muco-cutaneous border of the oral cavity of a dead, wild, subadult northern sea otter Enhydra lutris kenyoni (NSO) in 2004 in Homer, Alaska, USA, was genetically characterized. Primers for the amplification of 2 large overlapping DNA fragments that contained the complete genome of the NSO PV were designed. Sanger methodology generated sequences from which new specific primers were designed for the primer-walking approach. The NSO PV genome consists of 8085 nucleotides and contains an early region composed of E6, E7, E1, and E2 open reading frames (ORFs), an E4 ORF (contained within E2) lacking an in-frame proximal ATG start codon, an unusually long (907 nucleotide) stretch lacking any ORFs, a late region that contains the capsid genes L2 and L1, and a non-coding regulatory region (ncRR). This NSO PV has been tentatively named Enhydra lutris kenyoni PV2 (ElkPV2). Pairwise and multiple sequence alignments of the complete L1 ORF nucleotides and concatenated E1-E2-L1 amino acid sequences showed that the NSO PV is a novel PV, phylogenetically most closely related to southern sea otter PV1. The carboxy end of the E6 oncoprotein does not contain the PDZ-binding motif with a strong correlation with oncogenicity, suggesting a low-risk PV, which is in agreement with histopathological findings. However, the ElkPV2 E7 oncoprotein does contain the retinoblastoma (pRb) binding domain LXCXE (LQCYE in ElkPV2), associated with oncogenicity in some high-risk PVs. Further studies on the prevalence and clinical significance of ElkPV2 infections in NSO are needed.
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Affiliation(s)
- Carlos H Romero
- Department of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida 32608, USA
| | - Pam Tuomi
- Alaska Sealife Center, Veterinary Sciences, Seward, Alaska 99664, USA
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Burek-Huntington KA, Shelden KEW, Guilfoyle C, Thewissen JGM, Migura M, Armien AG, Romero CH. Congenital defects and herpesvirus infection in beluga whale Delphinapterus leucas calves from the Critically Endangered Cook Inlet population. Dis Aquat Organ 2022; 151:29-35. [PMID: 36106714 DOI: 10.3354/dao03690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Cook Inlet beluga whales (CIBs) Delphinapterus leucas are Critically Endangered and genetically distinct from other beluga populations in Alaska. CIBs are exposed to numerous natural and anthropogenic sources of mortality and morbidity. This study describes congenital defects observed in 2 CIB calves. The first case, an aborted fetus, was characterized by lack of a peduncle and flukes, anorectal and genitourinary dysgenesis, and probable biliary dysplasia. The second case, a male calf, had a perineal groove defect and suspected secondary peritonitis; it also had a systemic herpesvirus infection. Further studies are needed to determine if such defects are due to genetic mutation, infectious diseases, nutritional imbalances, or contaminant exposure.
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Rodrigues TCS, Nielsen O, Popov VL, Burek-Huntington KA, Rotstein D, Subramaniam K, Waltzek TB. Characterization of an alphavirus isolated from a stranded harbor porpoise (Phocoena phocoena) from Alaska. Virus Res 2020; 291:198187. [PMID: 33075445 DOI: 10.1016/j.virusres.2020.198187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 08/25/2020] [Accepted: 10/05/2020] [Indexed: 10/23/2022]
Abstract
The family Togaviridae comprises several significant human and veterinary mosquito-borne pathogens. Two togaviruses (genus Alphavirus) have been previously identified in association with marine mammals, the southern elephant seal virus (SESV) and Eastern equine encephalitis virus (EEEV) from a fatal captive harbor seal infection. Herein we report the ultrastructural and phylogenomic characterization of a novel marine togavirus, the first isolated from a cetacean, an Alaskan harbor porpoise (Phocoena phocoena) displaying ulcerative dermatitis. A skin sample was processed for virus isolation on Vero.DogSLAMtag cells and cytopathic effects (CPE) were observed on primary isolation approximately 20 days post-infection. Transmission electron microscopy of the infected Vero.DogSLAMtag cells revealed typical alphavirus particles budding from both plasma and vacuolar membranes of infected cells. A next-generation sequencing approach was used to determine the near complete genome of the Alaskan harbor porpoise alphavirus (AHPV). Phylogenetic analysis supported the AHPV as the sister species to the SESV, forming a marine mammal alphavirus clade separate from the recognized alphavirus antigenic complexes. Genetic comparison of the protein coding sequence of the AHPV to other alphaviruses demonstrated amino acid identities ranging from 42.1-67.1%, with the highest identity to the SESV. Based on its genetic divergence, we propose the AHPV represents a novel alphavirus species, pending formal proposal to and ratification by the International Committee on Taxonomy of Viruses. The ecological and genetic characteristics of the AHPV and the SESV also suggest they represent a novel antigenic complex within the genus Alphavirus, which we propose to be named the Marine Mammal Virus Complex. The role of the AHPV in the associated harbor porpoise cutaneous pathology, if any, remains unclear. Further research is needed to determine AHPV's route(s) of transmission and potential vectors, host range, prevalence, and pathogenicity in cetaceans including harbour porpoises.
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Affiliation(s)
- Thaís C S Rodrigues
- Department of Infectious Diseases and Immunology, University of Florida, 2187 Mowry Road, 32611, Gainesville, FL, USA
| | - Ole Nielsen
- Department of Fisheries and Oceans Canada, 501 University Crescent, Winnipeg, MB, R3T 2N6 Canada.
| | - Vsevolod L Popov
- Department of Pathology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0609 USA
| | | | | | - Kuttichantran Subramaniam
- Department of Infectious Diseases and Immunology, University of Florida, 2187 Mowry Road, 32611, Gainesville, FL, USA
| | - Thomas B Waltzek
- Department of Infectious Diseases and Immunology, University of Florida, 2187 Mowry Road, 32611, Gainesville, FL, USA
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Keogh MJ, Taras B, Beckmen KB, Burek-Huntington KA, Ylitalo GM, Fadely BS, Rea LD, Pitcher KW. Organochlorine contaminant concentrations in blubber of young Steller sea lion (Eumetopias jubatus) are influenced by region, age, sex, and lipid stores. Sci Total Environ 2020; 698:134183. [PMID: 31494417 DOI: 10.1016/j.scitotenv.2019.134183] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Revised: 08/27/2019] [Accepted: 08/28/2019] [Indexed: 06/10/2023]
Abstract
Contaminant exposure is particularly important for species and populations of conservation concern, such as the Steller sea lion (Eumetopias jubatus). We used blubber samples (n = 120) to determine organochlorine concentrations, including polychlorinated biphenyls (PCBs) and dichloro-diphenyl-trichloroethane (DDTs), and blood samples (n = 107) to estimate total body lipids based on the hydrogen isotope dilution method. We assessed the influence of age, sex, condition, and geographic area on contaminant concentrations in blubber and contaminant body load. The concentration of ΣPCBs was highest in pups (<6 months) from the Aleutian Islands, and the concentrations in males were higher than females in all regions. The ΣPCBs and ΣDDTs concentrations and loads decreased with increasing mass in pups, however, there were no regional or sex differences in contaminant load. Within each of the five age classes, the concentrations of ΣPCBs and ΣDDTs decreased with increasing mass, but overall these OCs increased with age. Further, accounting for the lipid content, a potential proxy for energy balance, in the animal load reduced or removed the regional and sex effects present in age models for contaminants. We propose, that adjusting OCs concentration by the lipid content of the blubber sample alone may not fully account for the variability in OC concentrations associated with differences in condition or energy states between young Steller sea lions.
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Affiliation(s)
- Mandy J Keogh
- Division of Wildlife Conservation, Alaska Department of Fish and Game, P.O. Box 110024, Douglas, AK 99811-0024, United States of America.
| | - Brian Taras
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States of America
| | - Kimberlee B Beckmen
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States of America
| | - Kathleen A Burek-Huntington
- Alaska Veterinary Pathology Services, 23834 The Clearing Drive, Eagle River, AK 99577, United States of America
| | - Gina M Ylitalo
- Environmental and Fisheries Sciences Division, Northwest Fisheries Science Center, National Marine Fisheries Service, National Oceanic and Atmospheric Administration, 2725 Montlake Blvd. East, Seattle, WA 98112, United States of America
| | - Brian S Fadely
- Marine Mammal Laboratory, Alaska Fisheries Science Center, National Marine Fisheries Service, National Oceanic and Atmospheric Administration, 7600 Sand Point Way NE, Seattle, WA 98115, United States of America
| | - Lorrie D Rea
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States of America; Institute of Northern Engineering, University of Alaska Fairbanks, 1764 Tanana Loop, ELIF Suite 240, Fairbanks, AK 99775, United States of America
| | - Kenneth W Pitcher
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States of America
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Poirier MC, Lair S, Michaud R, Hernández-Ramon EE, Divi KV, Dwyer JE, Ester CD, Si NN, Ali M, Loseto LL, Raverty SA, St. Leger JA, van Bonn WG, Colegrove K, Burek-Huntington KA, Suydam R, Stimmelmayr R, Wise JP, Wise SS, Beauchamp G, Martineau D. Intestinal polycyclic aromatic hydrocarbon-DNA adducts in a population of beluga whales with high levels of gastrointestinal cancers. Environ Mol Mutagen 2019; 60:29-41. [PMID: 30307653 PMCID: PMC6320268 DOI: 10.1002/em.22251] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 06/29/2018] [Accepted: 08/29/2018] [Indexed: 05/14/2023]
Abstract
Carcinogenic polycyclic aromatic hydrocarbons (PAHs) were disposed directly into the Saguenay River of the St. Lawrence Estuary (SLE) by local aluminum smelters (Quebec, Canada) for 50 years (1926-1976). PAHs in the river sediments are likely etiologically related to gastrointestinal epithelial cancers observed in 7% of 156 mature (>19-year old) adult beluga found dead along the shorelines. Because DNA adduct formation provides a critical link between exposure and cancer induction, and because PAH-DNA adducts are chemically stable, we hypothesized that SLE beluga intestine would contain PAH-DNA adducts. Using an antiserum specific for DNA modified with several carcinogenic PAHs, we stained sections of paraffin-embedded intestine from 51 SLE beluga (0-63 years), 4 Cook Inlet (CI) Alaska beluga (0-26 years), and 20 beluga (0-46 years) living in Arctic areas (Eastern Beaufort Sea, Eastern Chukchi Sea, Point Lay Alaska) and aquaria, all with low PAH contamination. Stained sections showed nuclear light-to-dark pink color indicating the presence of PAH-DNA adducts concentrated in intestinal crypt epithelial lining cells. Scoring of whole tissue sections revealed higher values for the 51 SLE beluga, compared with the 20 Arctic and aquarium beluga (P = 0.003). The H-scoring system, applied to coded individual photomicrographs, confirmed that SLE beluga and CI beluga had levels of intestinal PAH-DNA adducts significantly higher than Arctic and aquarium beluga (P = 0.003 and 0.02, respectively). Furthermore, high levels of intestinal PAH-DNA adducts in four SLE beluga with gastrointestinal cancers, considered as a group, support a link of causality between PAH exposure and intestinal cancer in SLE beluga. Environ. Mol. Mutagen. 60:29-41, 2019. Published 2018. This article is a U.S. Government work and is in the public domain in the USA.
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Affiliation(s)
- Miriam C. Poirier
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Stéphane Lair
- Canadian Wildlife Health Cooperative, Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, St. Hyacinthe, PQ, J2S2M2, Canada
| | - Robert Michaud
- Groupe de Recherche et d’Education de Mammifères Marins (GREMM), Tadoussac, PQ, GOT2A0, Canada
| | - Elena E. Hernández-Ramon
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Kathyayini V. Divi
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Jennifer E. Dwyer
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Corbin D. Ester
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Nancy N. Si
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Mehnaz Ali
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892-4255, U.S.A
| | - Lisa L. Loseto
- Fisheries and Oceans Canada, Freshwater Institute, Winnipeg, MB, R3T 2N6, Canada
| | - Stephen A. Raverty
- Marine Mammal Research Unit, University of British Columbia, Animal Health Center, Abbotsford, BC, V3G 2M3, Canada
| | | | - William G. van Bonn
- John G. Shedd Aquarium, A. Watson Armour III Center for Aquatic Animal Health and Welfare, Chicago, IL, 60605, U.S.A
| | - Kathleen Colegrove
- Zoological Pathology Program, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, 3300 Golf Rd., Brookfield IL, 60513, U.S.A
| | | | - Robert Suydam
- North Slope Borough, Dept. of Wildlife Management, Barrow, AK, 99723, U.S.A
| | - Raphaela Stimmelmayr
- Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK, 99775, U.S.A
| | - John Pierce Wise
- Wise Laboratory of Genetic and Environmental Toxicology, Department of Pharmacology and Toxicology, University of Louisville School of Medicine, 505S. Hancock St., CTRB, Louisville, KY, 40202, U.S.A
| | - Sandra S. Wise
- Wise Laboratory of Genetic and Environmental Toxicology, Department of Pharmacology and Toxicology, University of Louisville School of Medicine, 505S. Hancock St., CTRB, Louisville, KY, 40202, U.S.A
| | - Guy Beauchamp
- Canadian Wildlife Health Cooperative, Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, St. Hyacinthe, PQ, J2S2M2, Canada
| | - Daniel Martineau
- Canadian Wildlife Health Cooperative, Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, St. Hyacinthe, PQ, J2S2M2, Canada
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Beckmen KB, Keogh MJ, Burek-Huntington KA, Ylitalo GM, Fadely BS, Pitcher KW. Organochlorine contaminant concentrations in multiple tissues of free-ranging Steller sea lions (Eumetopias jubatus) in Alaska. Sci Total Environ 2016; 542:441-452. [PMID: 26524270 DOI: 10.1016/j.scitotenv.2015.10.119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Revised: 10/22/2015] [Accepted: 10/24/2015] [Indexed: 06/05/2023]
Abstract
The relationships of selected organochlorine (OC) contaminants between blubber, blood, feces, and milk of young, free-ranging Steller sea lions (Eumetopias jubatus) were examined. Both between and within each tissue there was considerable individual variation. In spite of the variation, similar patterns were observed across the tissues for most of the selected PCB congeners. In all four tissues, the major PCB congeners were PCB101, PCB118, PCB138, and PCB153. The most prominent congener, both as a weight (ng/g lipid) and as a percentage of summed PCBs (∑PCBs), was PCB 153. Comparisons between paired tissues showed that ∑DDTs in blubber samples were related to concentrations in blood, feces, and milk. The ∑PCBs in blubber were related to concentrations in milk and fecal samples, though the relationship with feces was weak. Our findings show milk samples, in particular, are useful for assessing OCs in young sea lions. Blubber concentrations of PCB101, PCB118, and PCB138 were an order of magnitude higher than those in milk, supporting the biomagnification of these PCB congeners in SSL tissues. The findings indicate alternative tissues may be used as indicators of relative contaminant exposure in lieu of surgical blubber biopsy.
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Affiliation(s)
- Kimberlee B Beckmen
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States.
| | - Mandy J Keogh
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 1300 College Road, Fairbanks, AK 99701, United States
| | | | - Gina M Ylitalo
- Environmental Conservation Division, Northwest Fisheries Science Center, National Marine Fisheries Service, 2725 Montlake Blvd. East, Seattle, WA 98112, United States
| | - Brian S Fadely
- National Marine Mammal Laboratory, Alaska Fisheries Science Center, National Marine Fisheries Service, 7600 Sand Point Way NE, Seattle, WA 98115, United States
| | - Kenneth W Pitcher
- Division of Wildlife Conservation, Alaska Department of Fish and Game, 525 West 67th Avenue, Anchorage, AK 99518, United States
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Carrasco SE, Chomel BB, Gill VA, Doroff AM, Miller MA, Burek-Huntington KA, Kasten RW, Byrne BA, Goldstein T, Mazet JAK. Bartonella spp. exposure in northern and southern sea otters in Alaska and California. Vector Borne Zoonotic Dis 2015; 14:831-7. [PMID: 25514118 DOI: 10.1089/vbz.2014.1612] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
Since 2002, an increased number of northern sea otters (Enhydra lutris kenyoni) from southcentral Alaska have been reported to be dying due to endocarditis and/or septicemia with infection by Streptococcus infantarius subsp. coli. Bartonella spp. DNA was also detected in northern sea otters as part of mortality investigations during this unusual mortality event (UME) in Kachemak Bay, Alaska. To evaluate the extent of exposure to Bartonella spp. in sea otters, sera collected from necropsied and live-captured northern sea otters, as well as necropsied southern sea otters (Enhydra lutris nereis) unaffected by the UME, were analyzed using an immunofluorescent antibody assay. Antibodies against Bartonella spp. were detected in sera from 50% of necropsied and 34% of presumed healthy, live-captured northern sea otters and in 16% of necropsied southern sea otters. The majority of sea otters with reactive sera were seropositive for B. washoensis, with antibody titers ranging from 1:64 to 1:256. Bartonella spp. antibodies were especially common in adult northern sea otters, both free-living (49%) and necropsied (62%). Adult stranded northern sea otters that died from infectious causes, such as opportunistic bacterial infections, were 27 times more likely to be Bartonella seropositive than adult stranded northern sea otters that died from noninfectious causes (p<0.001; 95% confidence interval 2.62-269.4). Because Bartonella spp. antibodies were detected in necropsied northern sea otters from southcentral (44%) and southwestern (86%) stocks of Alaska, as well as in necropsied southern sea otters (16%) in southcentral California, we concluded that Bartonella spp. exposure is widely distributed among sea otter populations in the Eastern Pacific, providing context for investigating future disease outbreaks and monitoring of Bartonella infections for sea otter management and conservation.
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Affiliation(s)
- Sebastian E Carrasco
- 1 Wildlife Health Center, One Health Institute, School of Veterinary Medicine, University of California , Davis, California
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Burek-Huntington KA, Dushane JL, Goertz CEC, Measures LN, Romero CH, Raverty SA. Morbidity and mortality in stranded Cook Inlet beluga whales Delphinapterus leucas. Dis Aquat Organ 2015; 114:45-60. [PMID: 25958805 DOI: 10.3354/dao02839] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The endangered Cook Inlet (Alaska, USA) stock of beluga whales Delphinapterus leucas declined 47% between 1994 and 1998, from an estimated 653 whales to 347 whales, with a continued decline to approximately 312 in 2012. Between 1998 and 2013, 164 known dead strandings were reported by the National Marine Fisheries Service. Only 38 of these animals, or 23% of the known stranded carcasses, were necropsied. Carcasses were found between April and October. The majority of animals necropsied were adults (n=25), followed by juveniles (n=6), calves (n=3), and aborted fetuses (n=4). Eight of the 11 mature females were pregnant, post-partum, or lactating. Many (82%) of these belugas were in moderate to advanced autolysis, which hampered determination of a cause of death (COD). Each animal had a single primary COD assigned within a broad set of categories. The CODs were unknown (29%), trauma (18%), perinatal mortality (13%), mass stranding (13%), single stranding (11%), malnutrition (8%), or disease (8%). Other disease processes were coded as contributory or incidental to COD. Multiple animals had mild to moderate verminous pneumonia due to Stenurus arctomarinus, renal granulomas due to Crassicauda giliakiana, and ulcerative gastritis due to Anisakis sp. Each stranding affords a unique opportunity to obtain natural history data and evidence of human interactions, and, by long-term monitoring, to characterize pathologies of importance to individual and population health.
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Carrasco SE, Chomel BB, Gill VA, Kasten RW, Maggi RG, Breitschwerdt EB, Byrne BA, Burek-Huntington KA, Miller MA, Goldstein T, Mazet JA. Novel Bartonella infection in northern and southern sea otters (Enhydra lutris kenyoni and Enhydra lutris nereis). Vet Microbiol 2014; 170:325-34. [DOI: 10.1016/j.vetmic.2014.02.021] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Revised: 02/11/2014] [Accepted: 02/14/2014] [Indexed: 11/28/2022]
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