Enterocolitis in Hamsters

Introduction

Diarrhea is the most common presenting problem in Syrian hamsters (Mesocricetus auratus).2,3,5,14 In a survey of two large American commercial breeding facilities, approximately 3% of shipped hamsters developed diarrhea.2 Diarrhea caused by enterocolitis can occur in hamsters of any age or breed and is commonly known as “wet-tail” (Fig 1).2,3,14 Clinical signs in weanlings usually include fetid diarrhea, anorexia, ruffled hair, dehydration, weight loss, and death.2,5,14 The mortality rate is often highest in 3-10 week old hamsters, however adult hamsters may also suffer debilitating disease and death.2,3,5,14 Potential sequelae in surviving hamsters can include intestinal obstruction, intussusception, or rectal prolapse.3,5

Diarrhea in a hamster

Figure 1. “Wet-tail” or diarrhea in a hamster (Mesocricetus auratus). Photograph by Dr. Lauren Richey. Click image to enlarge.

 

Etiology

The cause of enterocolitis can be multifactorial in hamsters, involving bacterial and parasitic etiologic agents. A number of the pathogens documented in hamsters are also transmissible to humans. Clinical outbreaks may be precipitated by stress, such as high temperatures or humidity, overcrowding, malnutrition, dietary changes, shipping, or underlying disease, such as endoparasitism.3

Bacteria

Historically, enterocolitis or “wet-tail” has been associated with proliferative ileitis caused by Lawsonia intracellularis, a highly fastidious, anaerobic obligate intracellular bacterium.5,9,14 Multiple studies have confirmed that hamsters experimentally infected with L. intracellularis can develop the clinical signs of proliferative ileitis as well as the gross and histopathological lesions of disease.3,20 This organism infects the small intestine and less frequently the large intestine (Fig 2).9 Malabsorption is considered the main mechanism involved in the physiopathology of diarrhea in L. intracellularis-infected animals.14,20

Figure 2. Gross appearance of enterocolitis in a hamster (Mesocricetus auratus). Photograph provided by Dr. Lauren Richey. Click image to enlarge.

 

Despite the importance of L. intracellularis, other bacteria that have been implicated in “wet-tail” include Clostridium spp., E. coliCampylobacter jejuni, Helicobacter spp., Salmonella spp., and Pasteurella pneumotropica.1,3,4,7,8,11,12,15-17,19  Campylobacter and Clostridium are most commonly associated with clinically significant infection.4,7,11,19 Clostridium piliforme is a Gram-negative, spore-forming, obligate intracellular bacterium and the causative agent of Tyzzer’s disease.15 Clostridium difficile has also been associated with enterotoxemia, typhlitis and enteritis in hamsters (Fig 3).3

Tyzzer’s disease in a hamster

Figure 3. Histologic appearance of Tyzzer’s disease in a hamster (Mesocricetus auratus). Photograph provided by Dr. Lauren Richey. Click image to enlarge.

Parasites

Concurrent mild to severe infestation of the tapeworm, Hymenolepis nana, is very common in hamsters with bacterial enterocolitis (Fig 4). As the degree of disease and debilitation increases, so does the tapeworm burden and in some individuals, the tapeworm load is high enough to nearly obstruct the intestines.3 The protozoa Giardia muris, Entamoeba histolyticaSpironucleus muris, Cryptosporidium spp., and trichomonads are also variably found in individuals with enterocolitis.3,10,18

Gross appearance of the tapeworm

Figure 4. Gross appearance of the tapeworm, Hymenolepsis nana, from a hamster (Mesocricetus auratus). Photograph provided by Dr. Lauren Richey. Click image to enlarge.

 

Management

Prevention and treatment of “wet’-tail” has historically centered around antimicrobial therapy, husbandry practices, selective breeding, and culling. Unfortunately treatment is rarely rewarding because of the intracellular nature of L. intracellulare and C. piliforme.13

Clostridial bacterial spores are quite stable and can remain infectious for 1 to 2 years. Therefore when Clostridium is been identified as the causative agent, Control of enterocolitis in a commercial breeding facility would ideally involve depopulation, rigorous disinfection, and repopulation with C. piliforme-free breeding stock.

Care of the individual patient relies upon antibiotic therapy and aggressive supportive care, including fluid therapy and nutritional support.2,14 Begin oral antibiotics, such as sulfa-trimethoprim (30 mg/kg per os every 12 hours for 5-7 days), tetracycline (400 mg/L of drinking water for 10 days or 10 mg/kg PO q12 hours for 5–7 days), or enrofloxacin (5-10 mg/kg PO or IM q 12 hours for 5–7 days).2,14 If diarrhea persists, add bismuth subsalicylate as a form of symptomatic treatment.14

Theorizing that high worm burdens make the gut more vulnerable to bacterial infection, Barron et al also treated weanling hamsters with praziquantel (20 mg/kg PO, repeat in 10d) and fenbendazole (20 mg/kg PO q24h x 5d) prior to shipping.2 Unfortunately this treatment regimen made no significant difference when compared to control animals.2

Note: Napa Nectar™ Plus is a useful and easy way to administer fenbendazole to large hamster colonies.2

 

Diagnosis

Definitive diagnosis often depends on necropsy and histologic examination. Infection is characterized by marked thickening of the ileal wall with excessive epithelial hyperplasia, necrosis, and inflammation.3,5,9 Peritonitis is also possible.5 The presence of L. intracellularis can also be confirmed by immunohistochemistry of intestinal lesions or fecal polymerase chain reaction  assays.6,14,21

 

Summary

“Wet-tail” is a non-specific clinical sign that can result from enterocolitis and resultant diarrhea in pet hamsters. Unfortunately enterocolitis is the most important cause of morbidity and mortality in hamsters. The causative agent is often Lawsonia intracellularis, however the development of enterocolitis may be multifactorial in hamsters of all ages and may include other bacteria, such as Clostridium spp. and Campylobacter jejuni, and parasites, particularly Hymenolepis nana. Clinical outbreaks of diarrhea in hamsters may be precipitated by stress, including high temperatures or humidity, overcrowding, malnutrition, dietary changes, shipping, or underlying diseases, such as endoparasitism. Prevention and treatment of “wet’-tail”, which centers around the use of antimicrobials, husbandry practices, selective breeding, and culling, have generally proved unrewarding.

 

Acknowledgement:   I thank Dr. Lauren Richey who was instrumental in the study referenced below (Barron et al) and who also provided the photographs provided above.

 

References

Spotlight on Anesthesia & Analgesia in Reptiles

View the RACE-approved webinar recording presented by Javier Nevarez, DVM, PhD, DACZM, DECZM (Herpetology). The live event was an updated version of his 2016 presentation. Topics covered include recognizing signs of pain and discomfort, analgesics commonly used in reptiles, as well as balanced anesthetic protocols. Since a key component of successful anesthesia and analgesia is the ability to properly monitor the patient, essential monitoring parameters and equipment are also discussed. This presentation concludes with a review of respiratory stimulus in the reptile and anesthetic recovery . . .


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Amphibian Handling and Restraint

Part of the Herptile Handling Teaching Module, this review article addresses handling and restraint of amphibians, a diverse group that consists of over 8,000 extant species belonging to three orders: Anura (frogs and toads), Caudata or Urodela (salamanders, newts, and sirens), and Gymnophiona or Apoda (caecilians). Transport, defense mechanisms that may prove hazardous to handlers, potential dangers for the patient, and specific capture, handling, and restraint techniques are reviewed. Equipment needed, including personal protective equipment, is also discussed as well as measures to reduce the risk of zoonotic disease transmission . . .


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Test Your Knowledge: HPAI

The Highly Pathogenic Avian Influenza webinar course was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program for 1 hour of continuing education credit, in jurisdictions that recognize AAVSB RACE approval. Complete the brief quiz and download your continuing education certificate . . .


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Colin McDermott, VMD, DABVP (Reptile & Amphibian Practice), CertAqV

Colin McDermott lives and works in Hong Kong, where he serves as a veterinary surgeon at Zodiac Pet and Exotic Animal Hospital and a clinical assistant professor in the Department of Veterinary Clinical Sciences of City University. Dr. McDermott earned his doctorate from the University of Pennsylvania School of Veterinary Medicine in 2011. He completed a 2-year specialty internship at the University of Pennsylvania followed by a fellowship in aquarium science and veterinary medicine at the National Aquarium in Washington, D.C. and Baltimore, Maryland. Dr. McDermott worked in private practice for 3 years at an emergency and specialty hospital in New Jersey, establishing their exotic animal medicine and surgery service. He moved to Hong Kong in 2019. where he works at an exotics-focused private practice hospital. Dr. McDermott is board certified in reptile and amphibian practice through the American Board of Veterinary Practitioners. He is also a certified aquatic veterinarian through the World Aquatic Veterinary Medical Association.

Test Your Knowledge: Chelonian Shell Repair

The Chelonian Shell Repair webinar course was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program for 1 hour of continuing education credit, in jurisdictions that recognize AAVSB RACE approval . . .


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Highly Pathogenic Avian Influenza

View this webinar recording by Victoria Hall, DVM, MS, DACVPM, RACE-approved for 1 credit hour. This presentation provides a brief overview of avian influenza viruses before delving into the details of the current highly pathogenic avian influenza (H5N1) outbreak. Dr. Hall then discusses the experiences at The Raptor Center of the University of Minnesota, from outbreak response and epidemiology to clinical picture and management . . .


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Victoria Hall, DVM, MS, DACVPM

Victoria Hall is the Executive Director of The Raptor Center and the Redig Endowed Faculty Chair in Raptor and Ecosystem Health at the University of Minnesota. Dr. Hall earned her Doctorate in 2014 and a Master of Science (Veterinary Preventive Medicine) in 2015 from Mississippi State University. She is also a Diplomate of the American College of Veterinary Preventive Medicine. Dr. Hall has a strong background in One Health, serving as the first veterinary epidemiologist for the National Zoo and a public health officer for the Smithsonian Institution's COVID-19 response . . .


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Understanding the Chelonian Shell

The shell is a bony structure unique to order Chelonia. No other animal, living or extinct, has its body enclosed within a bony shell similarly constructed in its entirety. This review article describes shell structure, pertinent shell vocabulary terms, as well as shell function, morphology, growth, and pathology . . .


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Test Your Knowledge: Avian Anesthesia – Practical Applications

. . .


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Chelonian Shell Repair

J. Jill Heatley, MS, DVM, DABVP (Avian Practice, Reptile & Amphibian Practice), DACZM presented a live, interactive webinar, RACE-approved for 1 credit hour and hosted by LafeberVet. This distance-learning event compared and contrasted multiple shell repair techniques. Additional topics reviewed included wound management, shell preparation, and fixator removal . . .


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Avian Anesthesia: Practical Applications

Jody Nugent-Deal, RVT, VTS (Anesthesia), VTS (Exotic Companion Animal) presented this RACE-approved webinar recording. This distance-learning event first reviews avian anatomy and physiology, emphasizing clinically relevant ways that birds differ from mammals. This course also goes over anesthesia monitoring equipment and what actually works on birds, as well as machine and basic equipment set-up. She concludes with a discussion of common anesthetic protocols used in avian patients. View the recording, then complete (and pass) the brief post-test to earn 1 hour of continuing education credit . . .


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Kay Backues, DVM, DACZM

Kay Backues is the Director of Animal Health at Tulsa Zoo & Living Museum in Tulsa, Oklahoma. Dr. Backues has practiced general zoo medicine at Tulsa Zoo since 1998. Dr. Backues is also an adjunct assistant professor at Oklahoma State University College of Veterinary Medicine Veterinary Clinical Sciences. Kay is a 1991 graduate of Kansas State University College of Veterinary Medicine. She is a Diplomate of the American College of Zoological Medicine (ACZM) and a Past President of ACZM (2018) and the American Association of Zoo Veterinarians (2011). Dr. Backues is also a 2007 recipient of the ACZM Presidential Service Award. As a general zoo practitioner, Dr. Backues has co-authored publications on a variety of topics, from elephant care and vaccination in llamas to pharmacokinetics in flamingos and gastritis in lemurs. Dr. Backues also authored the 2015 chapter on Anseriformes in Fowler’s Zoo and Wild Animal Medicine, Volume 8.

 

Dr. Backues is shown here with her 37 year old umbrella cockatoo, Cobber, whom she has owned since she was 5 months old.

Raptor Anatomy Fundamentals

What is a raptor?

Raptors, or birds of prey, consume foods almost exclusively of animal origin and are characterized by a strong beak, curved sharp talons, and keen vision. Raptors are an extremely diverse and wide-ranging group that fall within four different taxonomic orders (Table 1). Nocturnal raptors or owls belong to order Strigiformes (Fig 1). For example, the typical owls (order Strigiformes, family Strigidae) are a large group that are found worldwide except for Antarctica and some very remote islands.9,37,49 Diurnal raptors are represented by orders Accipitriformes, Falconiformes, and Cathartiformes (Fig 2) with members of order Accipitriformes also found worldwide in almost every terrestrial habitat, from the arctic tundra to the tropical rainforest.34,37

Table 1. Taxonomic classification in birds of prey 9,10,27,37,38

Class Aves

Order Strigiformes

Family Tyonidae: barn owls

Family Strigidae: typical owls

Order Accipitriformes

Family Accipitridae: hawks, eagles, kites, harriers, Old World vultures, buzzards

Family Pandionidae: osprey

Family Sagittariidae: secretary bird

Family Cathartidae: New World vultures, condors

Order Falconiformes

Family Falconidae: falcons, kestrels, merlins, hobbies, caracaras

Owls. Jeff Fischer of The Raptor Center

Figure 1. Owls. According to the International Ornithological Committee (IOC), there are over 200 species of “typical owls” worldwide belonging to the family Strigidae. (A) barred owl (Strix varia) (B) Eastern screech owl (Megascops asio) (C) Northern saw-whet owl (Aegolius acadicus). (D) The IOC also reports approximately 18 species in the genus Tyto of family Tytonidae. Shown here, a common barn owl (Tyto alba). Photo credit: Jeff Fischer/The Raptor Center, UMN. Click image to enlarge.

Diurnal raptors

Figure 2. Examples of diurnal raptors include:  (A) American bald eagle (Haliaeetus leucocephalus) Photo credit: Linda Cronin. (B) saker falcon (Falco cherrug) Photo credit: Dr. Jaime Samour. (C) osprey (Pandion haliaetus) Photo credit: Andy Morffew/Flickr Creative Commons. (D) black vulture (Coragyps atratus) Photo credit: Judy Gallagher/Flickr Creative Commons. Click image to enlarge.

 

Veterinary health professionals may be presented with raptors from the wild or those held for education, research, captive breeding, or falconry. If you are comfortable with the basics of avian anatomy and physiology, then you are well on your way to understanding raptors. However, this taxonomic group has many unique anatomic and physiologic adaptations that allow these birds to pursue and catch prey, including flight, beak, and talon modifications. The following collection of raptor anatomy and physiology facts should serve the reader well during physical examination, clinical care, and/or necropsy.

 

 

Integument

There are several anatomical structures derived from bird skin, such as the hard protective covering of talons and beaks, papilla on feet, feathers, and glands.

Talon sheaths

The feet of most raptors are armed with strong, needle-sharp, highly curved claws or talons. Each talon consists of a bone that is covered with a sheath made of sheets of keratin, a hard fibrous protein derived from skin (Fig. 2). Talons are used to catch, hold, and often kill prey.16,32,34,52 They are blunted in vultures since they do not need to capture live prey.34,74

Talon sheath and bone. The Raptor Center, UMN

Figure 3. The talon bone (top) and protective sheath (bottom) of a bald eagle (Haliaeetus leucocephalus), Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Clinical Tip:  In many species, the talon of the third digit has a specialized sharp edge on its medial surface that is used for feather grooming. In some owls, like the common barn owl (Tyto alba), this edge is pectinate and sometimes referred to as a “feather comb” (Fig 4). In all species, this edge should be preserved during talon maintenance in captivity.16,30,34,37

 

Feather comb. The Raptor Center, UMN

Figure 4. Feather comb on the edge of talon number 3 (arrow) in a common barn owl (Tyto alba). Photo credit: Gail Buhl/The Raptor Center, UMN

 

Rhamphotheca

Similar to talons, the raptor beak has a hard protective keratin covering called the rhamphotheca. As in other types of birds, the rhamphotheca in raptors continually grows and needs to be worn down to maintain a normal length and shape. In the wild, this happens naturally; in captivity, filing often has to be performed manually by caregivers in a process referred to as coping.

Clinical Tip:  In captivity, raptors require regular maintenance of the keratin covering their beak and talons.  If talon sheaths become too long, they can result in puncture wounds to the metatarsal pad or toes and/or uneven weight bearing that will also affect the health of the plantar foot surface. An overgrown rhamphotheca may develop chips or cracks that can extend toward the growth plates. Beak coping is often done with a rotary tool, but only experienced individuals should perform this technique in a live bird.  Beak coping can be done without general anesthesia for some individuals, but is required for birds that become highly stressed.

Foot papillae

While thick scales protect the dorsal surface of the feet from injury, roughened papillae on the plantar surface assist in grasping.16,34 In some raptors that hunt birds or fish, the ventral surface of the toe pads have wart-like projections or spicules that create a sandpaper-like surface that allows them to grasp slippery prey (Fig 5).23,34

Spicule-like papillae on the plantar surface of an osprey foot

Figure 5. Spicule-like papillae on the plantar surface of an osprey (Pandion haliaetus) foot. Photo credit:  (A)  Illinois Raptor Center  (B) The Raptor Center, UMN. Click image to enlarge.

 

Flight feathers

The integrity of the flight feathers is of the utmost importance for raptors destined for release.34 The tail feathers or rectrices of hospitalized raptors may be protected with a tail guard made from materials such as light but sturdy cardboard or file folders (Fig 6). The tail guard is placed over the rectrices and secured to the covert feathers with adhesive tape.

Tail guard. The Raptor Center, UMN

Figure 6. (A). Properly sized and (B) secured tail guard. Photo credit: The Raptor Center, UMN

 

Nocturnal owls have several modifications that allow them to be remarkable, silent hunters.16,33 The leading edge of the tenth primary feather, and in some species the ninth or more, is combed or serrated rather than smooth on each wing (Fig 7).16,33,37 This modified edge has the effect of reducing air turbulence and the noise normally created during wing flapping.16,33

Closeup of an owl flight feather

Figure 7. Close-up of flight feathers from a long-eared owl (Asio otus). Photo credit: “snowy owls”/ Wikimedia Commons. Click image to enlarge.

 

Quiet flight is further enhanced by the velvety pile on the dorsal surface of the vanes of most flight feathers. This soft, downy surface is composed of long, distal barbules that stick out from the otherwise flat surface of the feather vanes and reduce the sound of feathers over one another (Fig 8).37 The visual effect of these elongated barbules covering the pennaceous feather vanes reduces the glossiness of nocturnal owl plumage.37

Electron microscopy of a barn owl flight feather. The Raptor Center

Figure 8. Electron microscopic lateral view of a flight feather of a common barn owl (Tyto alba). Photo credit:  The Raptor Center, UMN. Click image to enlarge.

 

Head feathers

Vultures and condors routinely scavenge large carcasses and have minimal feathering on their head (Fig 9).31 This adaptation minimizes soiling of the head while the birds are consuming entrails.31

The heads of vultures and condors are bald.

Figure 9. The heads of vultures and condors are bald to sparsely feathered, as shown in this black vulture (Coragyps atratus). Photo credit: Frank Wouters/Flickr Creative Commons. Click image to enlarge.

 

Molting

Molting, the process of natural feather replacement, is a gradual process that takes approximately 6 months in most raptors, although molt may last up to 2 to 3 years in Old World vultures.4,34 Most raptors molt feathers once per year in symmetrical pairs, usually after breeding.34 However, some of the smaller owls, such as the Northern pygmy owl (Glaucidium gnoma) and the burrowing owl (Athene cunicularia), molt all their rectrices at once. Some diurnal raptors molt only partially each year.34 These birds have one or more immature or subadult plumages, which allows these years to be distinguished from adult plumage (Fig 10).34,46 Once adult plumage is obtained, age cannot be determined using plumage character.

Plumages in the bald eage. The Raptor Center, UMN

Figure 10. A few plumages in the bald eagle (Haliaeetus leucocephalus). From left to right: Adult (at least 5 years old), end of 4th year, end of second year, and first year. Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Uropygial gland

Like other birds, raptors have few glands; however, most birds of prey possess a uropygial or preen gland. The uropygial gland is located on the dorsal surface at the upper base of the tail, and varies in size with the species. When stimulated by the bird’s beak, this gland secretes an oily, fatty substance that is spread during preening to clean, waterproof, and condition the feathers (Fig 11).1

Uropygial gland. The Raptor Center

Figure 11. Uropygial gland of a barred owl (Strix varia). Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

 

Musculoskeletal

Feet 

Many raptors use their feet to capture and sometimes kill prey. The classic raptorial foot is armed with sharp, strongly curved talons that form the tips of the distal phalanges (Fig 3, Fig 12).32,34,37,52 Many raptors, including owls, eagles, and hawks, capture and kill prey by stabbing and crushing with their powerful feet.32,34,74

The anisodactyl foot of a golden eagle.

Figure 12. The anisodactyl foot of a golden eagle (Aquila chrysaetos). Photo credit: William Beebe/Wikimedia Commons. Click image to enlarge.

 

As in most birds, the raptor foot conforms to one of two basic arrangements. The anisodactyl foot of hawks, eagles, falcons, Old World vultures, and kites is adapted for perching and firmly grasping prey.23,30 The first digit, or hallux, faces backward, while digits II, III, and IV are directed forward (Fig 12, Fig 13).23,30,34 The zygodactyl foot, seen in owls and osprey allows an even stronger hold.23,30,49,52 When perched, digits II and III of the zygodactyl foot face forward and digits I and IV face backward (Fig 14). Digit IV is opposable and can be swiveled into an anterior or posterior position that allows a firm grasp on slippery or squirming prey.23,34,49

Foot

Figure 13. The hallux and digit II in many raptorial species are used together to immobilize prey and are sometimes referred to as the “killing talons” or “power toes”. The remaining digits are used for grasping. Photo credit: Darekk2 via Wikimedia Commons. Click image to enlarge.

Osprey foot

Figure 14. Zygodactyl toe placement in an osprey (Pandion haliaetus). Digits II and III face forward and digits I and IV face backward. Digit IV is opposable and can be swiveled into an anterior or posterior position to adjust the grip on squirmy prey. Photo credit: Getty Images. Click image to enlarge.

 

Falcons have flat feet and relatively long, thin toes (Fig 15). Unlike most raptors, whose feet are used to kill, the feet of falcons are primarily used to catch and immobilize prey. To actually kill their prey, falcons have a specialized feature on each side of their rhinotheca, a tomial tooth.32

Note the long, thin toes of the peregrine falcon.

Figure 15. A peregrine falcon (Falco peregrinus) takes off in flight. Note the long, thin toes. Photo credit: Hari K. Patibanda via Flickr Creative Commons. Click image to enlarge.

 

Clinical Tip:  When housed in captivity, falcons require a broad, flat perch, referred to as a “block”, that is covered with padding like artificial turf. Diurnal raptors that prefer to grasp should be provided with curved, rounded perches, such as “bow” perches, wrapped with turf or a suitable type of rope (Fig 16).32,34

 

(A) block perch (B) bow perch

Figure 16. (A) A saker falcon (Falco cherrug) on a block perch. Photo credit: Qatar Pharoah Hound. (B) A red-shouldered hawk (Buteo lineatus) on a bow perch. Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

New World Vultures have comparatively weak feet similar to those of chickens.59 Their feet are not useful for grasping prey but can be used to brace a cadaver while it is rended with the beak.59

 

Clinical Tip:  Raptors possess two potentially dangerous weapons, the talons and beak. Therefore proper restraint requires training and should not be attempted without observation and supervision by others skilled in handling techniques.

 

Clinical Tip;  It is also incredibly difficult (and hazardous) to pry open the feet of a restrained raptor.34 This is because the digital flexor tendons have unidirectional, interlocking ratch­eting mechanisms that resist digital extension when the toes are clenched.34 Straightening the leg at the ankle (hock) joint can loosen this mechanism making extending the toes easier and it is recommended to pull back on digits I and III (Fig 17).

 

Extending toes of a barred owl. The Raptor Center

Figure 17. Extending the toes of a barred owl (Strix varia). Note the distinct papillae on the metatarsal pad and plantar surface of the toes. Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Pneumatic bones

Raptors share many of the features of the unique avian respiratory system. For instance, much of the avian skeleton is pneumatized, with diverticula of the air sacs. In birds of prey, pneumatization of the skull appears to be maximally developed in large owls.30 The sternum, femur, and humerus are also frequently pneu­matic bones in raptors.23,34

 

Wing shape

Diurnal raptors demonstrate a variety of wing shapes that are related to their preferred prey and hunting technique(s).32,58 Many diurnal raptors are capable of soaring for long distances in search of food at high altitudes up to 4,000 meters.16,32,58,74 The typical soaring wing is relatively long relative to body size (low to medium wing-loading), particularly the antebrachium and manus (Fig 18).30,58,74 Soaring is also enhanced by a broad tail.74

Soaring wing of a bald eagle

Figure 18. Separation of the tips of the primary remiges, as shown in this bald eagle (Haliaeetus leucocephalus), provides additional lift and propulsion for soaring birds.16,32 Photo credit: David Mitchell via Flickr Creative Commons. Click image to enlarge.

 

True falcons are characterized by long, pointed wings, narrow tails, and high wing-loading (Fig 19).32,58,74 Falcons are capable of rapid flight that can reach 200 km/h or more, when the birds go into a stoop or dive.32,58,74 The agility of another group of raptors, accipiters, is enhanced by relatively short wings and long tails.74

True falcons have long, pointed wings and narrow tails.

Figure 19. The peregrine falcon (Falco peregrinus) is an example of high wing-loading, with a relatively large body mass and proportionally smaller wings. Photo credit: USFWS Midwest/Flickr Creative Commons. Click image to enlarge.

 

Tendon ossification

Ossification of tendons may be observed on radiographs in a variety of avian species, including raptors.3,74  The flexor tendons associated with the muscles of the tibiotarsus and toes can become calcified (Fig 20).49,74 It has been theorized that tendon ossification may confer strength and prevent stretching of flexor tendons during catch and transport of heavy prey.23,49 Some antebrachial and tarsal ligaments and cartilaginous structures also become ossified in birds of prey.23

Ossification of tendons. The Raptor Center.

Figure 20. Lateral radiograph showing ossification of tendons associated with tibiotarsus muscles in a great horned owl (Bubo virginianus). Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

 

Respiratory

The basic design of the raptor respiratory system is consistent with that seen across class Aves. The raptor cere is often firm, waxy, and varies in color based on species and age (Fig 21, Fig 22). The nares of falcons, Buteo hawks, and eagles have a keratinized flap or operculum (Fig 21).23,30,34 In most birds there are three nasal conchae, however the caudal nasal conchae are absent in some raptors.23,30

Cere (yellow arrow) operculum (white arrow)

Figure 21. The base of the raptor beak is covered by the cere, a waxy membrane that reaches up to the nares (yellow arrow). Also note the operculum (white arrow) in this golden eagle (Aquila chrysaetos), which serves as a baffle, facilitating air flow in the nostrils during flight. Click image to enlarge.

Cere color in an (A) young peregrine falcon (B) adult

Figure 22. (A) Young peregrine falcons (Falco peregrinus) have a bluish cere which turns (B) bright yellow as they become adults. Photo credit:  The Raptor Center, UMN. Click image to enlarge.

 

Finally, most avian species possess a tracheobronchial syrinx, however, a bronchial syrinx that consists entirely of bronchial elements has been described in owls.30

 

 

Gastrointestinal

Most raptors are carnivores that consume other birds, small mammals, reptiles, and occasionally fish.31 Some birds of prey are piscivores that eat primarily fish but may also consume some amphibians, small mammals, and birds.  Many smaller species are insectivorous and will consume terrestrial invertebrates, like worms, spiders, and crustacea, as well as small vertebrate prey.11b,23 Vultures are scavengers34, although a few species, like the black vulture (Coragyps atratus) and white-headed vulture (Trigonoceps occipitalis), are known to hunt and kill prey.42 Finally, some raptors are highly specialized feeders, such as the fish-eating osprey, the hook-billed kite (Chondrohierax uncinatus), and snail kite (Rostrhamus sociabilis).16,58

Beak

All raptors possess a sharply hooked bill or beak and sharp cutting edges, or tomia, designed for holding and tearing flesh.31,32,34,52 The “tomial tooth” is a protrusion of the maxillary beak or rhinotheca of falcons that allows them to easily sever the neck of vertebrate prey using plier-like action (Fig 23).34,52Each tomial tooth corresponds with a notch in the lower beak or gnathotheca.23

Tomial teeth

Figure 23. Tomial teeth (arrows) in a peregrine falcon (Falco peregrinus). Photo credit: _pauls. Click image to enlarge.

 

Clinical Tip:  Attempt to preserve the tomial teeth when grooming the falcon beak.13 If there is a crack in the corner of one tomial tooth leading to delamination of the beak, the tooth will need to be ground out and debris removed. A new tomial tooth will reform as the beak grows out.

 

Tongue

The raptor tongue is adapted for manipulation of food. Distinct highly keratinized papillae on the tip of the tongue create a tough, raspy surface that allows for greater food manipulation and rapid swallowing (Fig 24).31

Raptor tongue

Figure 24. The raptor tongue is relatively long with a sharp-ended apex and a distinct, median groove. Photo credit:  Dr. Julia Ponder/The Raptor Center, UMN. Click image to enlarge.

Esophagus

Raptors have a highly elastic esophagus that allows the passage of large food items due to its comparatively wide diameter and numerous longitudinal folds on its inner surface.30,31 Many diurnal birds of prey also have a distinct crop or ingluvies for the storage of food (Fig 25).31,34 The bearded vulture (Gypaetus barbatus) is the only vulture known to lack a crop, presumably due to a diet consisting primarily of bones which would be difficult to store.25,34 Owls do not possess a true crop, but merely a fusiform enlargement of the cervical esophagus.23,49

Full crop or ingluvies. The Raptor Center

Figure 25. Diurnal raptors store food in the crop. When full, it can be seen as a large bulge over the throat region (arrow) as shown in this juvenile red-tailed hawk (Buteo jamaicensis). Photo credit: The Raptor Center UMN.

 

Stomach

Raptors that feed on relatively large soft food items, such as meat- or fish-only diets, possess a relatively large sac-like stomach.31,34 The glandular stomach, or proventriculus, expands to accommodate large foodstuffs. The ventriculus functions to mechanically breakdown what cannot be digested chemically (Fig 26).30,34,45 The raptor stomach is relatively thin-walled and poorly muscled with a light cuticle or koilin layer that primarily serves to protect mucosa from the gastric juice produced by the proventriculus. 23,30,31,45,56 Externally, the junction between the proventriculus and ventriculus or isthmus, is often difficult to identify.45

Sac-like stomach of a great horned owl. Dr. Julia Ponder

Figure 26. Sac-like stomach in the great horned owl (Bubo virginianus) consisting of the glandular stomach or proventriculus (arrow) and the muscular ventriculus (arrowhead). Photo credit: Dr. Julia Ponder/The Raptor Center, UMN. Click image to enlarge.

 

The proventriculi of fish and meat-eating birds secrete large quantities of gastric juice. Diurnal raptors are able to more thoroughly digest bones due to an extremely acidic stomach pH that measures approximately 1.7 prior to meals in hawks.14,31,34,74 A gastric pH of 1.0 was recorded in an African white-backed vulture (Gyps africanus) and gastric pH as low as 0.7 has been recorded in other diurnal raptors.24,25 In owls, gastric pH averages 2.2 to 2.5 which does not provide sufficient acidity to break down bone and therefore influences the composition of pellets.14,49,62,74

 

Intestines

Raptors generally have medium-length to short intestines when compared to other avian species.31 The intestinal tract is comparatively longer in scavenging birds.25,31 The rectum of the American kestrel (Falco sparverius) has been described as unusually long, a feature which may aid in water resorption.31

 

Ceca

Ceca are paired organs projecting from the proximal colon where it meets the small intestine. Among bird species, there is a great deal of variability in size, shape, and proposed function of the ceca.11 Owls possess large, paired, water-absorbing glandular ceca (Fig 27), while the ceca in diurnal birds of prey are simple, vestigial lymphatic structures or absent.

Glandular ceca in the great horned owl. Dr. Julia Ponder

Figure 27. The distal part of the glandular ceca are enormously expanded in owls. Photo credit: Dr. Julia Ponder/The Raptor Center, UMN. Click image to enlarge

 

Accessory glandular structures

A well-developed gallbladder is present in most raptors.4,23,34 The pancreas is relatively small in birds of prey when compared to granivorous and herbivorous avian species, presumably due to the high digestibility of animal-origin foods.31 Among birds of prey, the pancreas is relatively large in owls, occupying approximately half of the duodenal loop (Fig 28). The pancreas is smaller in buteos, eagles, and falcons.34,74

Pancreas, barred owl. Dr. Julia Ponder

Figure 28. The pancreas is found between the ascending and descending limbs of the duodenum. Shown here, the relatively large pancreas of a barred owl (Strix varia). Photo credit:  Dr. Julia Ponder/The Raptor Center, UMN. Click image to enlarge.

Pellets

The consumption of whole animals provides complete nutrition, and small prey items are often consumed whole headfirst, especially by owls (Fig 29).31 In fact, some owls will only eat the head if food is abundant. The beak is used to tear large prey items into smaller pieces (Fig 30).31 Poorly digestible components, like the head or skin, may not be consumed.31 The gastrointestinal tract may also be discarded when an adequate food supply is available.31

Barking owl munching on a mouse

Figure 29. A barking owl (Ninox connivens) consumes a mouse whole. Photo credit: James Niland/Flickr Creative Commons. Click image to enlarge.

Peregrine falcon consuming a parrot.

Figure 30. A peregrine falcon (Falco peregrinus) consuming a bird by ripping and tearing the flesh. Photo credit: Hari K. Patibanda/Flickr Creative Commons. Click image to enlarge.

 

In the final phase of gastric digestion in raptors (and several other types of birds), indigestible material, such as fur, feathers, exoskeletons, fins, scales, shells, teeth, and claws, is compacted into a pellet within the ventriculus (Fig 31).31 Antiperistaltic muscular contractions move the pellet up into the lower esophagus and oropharynx.49 Oral expulsion of the pellet is called egestion or “casting”.23,34 Egestion is a unique physiologic event distinct from vomiting or regurgitation.

Owl pellet. Lori Arent, The Raptor Center

Figure 31. Compacted indigestible material or pellet collected from an owl. Photo credit: Lori Arent. Click image to enlarge.

 

Pellets are only egested once gastric digestion of a meal is complete. The average interval from feeding to egestion in owls ranges from 10 to 13 hours.49 The interval averages from 19.5 to 23.5 hours in hawks. Owls normally produce a pellet with each meal while hawks can eat more than one meal before casting.34 In the wild, most pellets are egested before midmorning or after killing prey, but before the first feeding of the day.

Clinical Tips:  It is important for clinicians to monitor pellet egestion in a raptor patient. Failure to produce a pellet when expected can indicate gastrointestinal tract dysfunction.45

Juvenile birds may have difficulty casting some material, such as fur, and raptors should generally not be provided food with indigestible material until they are over 12 days old (>20 days in some species).23

 

Feces and fecal flora

Normal raptor feces tend to be soft, viscous, and depending on the bird’s diet can range in color from yellow to dark brown to dark green.32 Fecal samples normally harbor a wide variety of enteric bacteria. Large numbers of Gram-negative coliforms and clostridial organisms are part of normal gastrointestinal flora in birds of prey. Aerobic bacteria isolated from the cloaca of red-tailed hawks (Buteo jamaicensis) and Cooper’s hawks (Accipiter cooperii) include coagulase-negative Staphylococcus, coagulase-positive Staphylococcus, Micrococcus sp., Streptococcus sp., Escherichia sp., and Salmonella spp.34,35 It has also been proposed that raptors can harbor Campylobacter spp., which potentially poses a zoonotic risk.12,47

For additional information:  Visit Raptor Gastrointestinal Anatomy and Physiology.

 

 

Reproduction

Sex determination

In raptors, visually distinguishing between the sexes can be challenging. However, there are a couple of easily identifiable features that help determine the sex of some species.

 

SIZE DIMORPHISM

Although there can be considerable overlap in body size between the sexes in some species.33,34, many raptors display reversed sexual dimorphism in which the male is approximately 30% smaller than the female.32,58,72,74  This phenomenon is most pronounced in diurnal species, especially raptors that feed on other birds, such as falcons and accipiters.32,68In fact, the falconry termtiercel” denotes a male falcon or hawk and is derived from the Latin word for third:  “tertius”.32

Male and female New World vultures and condors typically show little differences in size.16,38 If there is a difference, males tend to be larger than females although the size distinction is usually minimal.34,38 Among members of family Cathartidae, the Andean condor (Vultur gryphus) exhibits the most pronounced conventional sexual dimorphism.2

 

COLOR DIMORPHISM

In a limited number of raptor species, plumage is dimorphic between the sexes. American kestrels, merlins (Falco columbarus), Northern harriers (Circus cyaneus), snowy owls (Bubo scandiacus), osprey, and white-headed vultures (Fig 32-Fig 34) are examples of color dimorphism.33,34,41,58

(A) Male American kestrel (B) female

Figure 32. (A) The male American kestrel (Falco sparverius) has a blue/gray cap and wings and solid cinnamon-colored tail feathers with a dark terminal band. Photo credit: Jeff Fischer of The Raptor Center, UMN. (B) The female kestrel is more uniformly cinnamon colored, lacking the blue/gray coloring on her wings and also has a barred tail. Photo credit: John Schmoll/Flickr Creative Commons. Click image to enlarge.

(A) Male harrier (B) female

Figure 33. (A) The male Northern harrier (Circus cyaneus) is gray above and whitish below with black wingtips. (B) Females and immature harriers are brown. Photo credit: Channel City Camera Club/Flickr Creative Commons. Click image to enlarge.

(A) Male merlin (B) female

Figure 34. (A) The adult male merlin (Falco columbarius) is blue or gray, while (B) the female is brown. Photo credit: Jeff Fischer/The Raptor Center, UMN. Click image to enlarge.

 

Gender can be verified in sexually monomorphic species using endoscopic visu­alization of the gonads, DNA analysis, or intracloacal ultrasonography.22,34,64,72 Fecal steroid hormone immunoassays have also been utilized in research settings.13,34

 

Ovaries

Although paired ovaries and oviducts develop in the embryo, the right ovary and oviduct rapidly regress after hatch in most avian species.23,30,32,53,55 Although conventional wisdom has held that the right ovary is rarely functional 23,30,34, a study evaluating histological and immunohistochemical data in the goshawk, long-eared owl (Asio otus), common buzzard (Buteo buteo), and sparrow hawk (Accipiter nisus) suggests that folliculogenesis and ovulation may occur in the right ovary.53 In addition, in some Falconiformes, such as peregrine falcons, the right ovary has been reported to be not only present but also may be partially active.18 The right oviduct in several birds of prey has been reported to undergo involution and remain vestigial even when both gonads are functional.23,30,32,53

 

Breeding age and sex

Small raptors reach sexual maturity at a younger age than large raptors and in many species, male raptors tend to reach sexually maturity before females. Among diurnal species, small accipiters, small falcons, harriers, and Harris’s hawks (Parabuteo unicinctus) usually begin breeding at 1 to 2 years of age.13,46 Buteo hawks, kites, and large falcons breed at 2 to 3 years.46 Ospreys begin breeding at 3 years or more.46 Depending on the species and the individual bird, eagles begin breeding at 4 to 9 years.46 Vultures and condors may begin breeding between 6 to 12 years of age.38,46

Owls also show a similar pattern between size and breeding age. Screech owls (Megascops spp.) have been recorded to breed during their first year.67 The common barn owl (Tyto alba) also reaches sexual maturity very early in life.54 In fact, all members of family Tytonidae can reproduce in their first year, although the rare bird delays reproductive activity until their second year.13,54 The Eurasian eagle owl (Bubo bubo), a member of family Strigidae, reaches sexual maturity between 1-3 years.13

 

Clutch size

Several factors can influence the number of eggs laid in a clutch. First is the species and its natural history, such as the length of parental care needed post fledging. Large vultures and condors lay only one egg per clutch as their chicks can require care for up to an entire year.26,38,43,46 The smallest raptors typically lay up to 6 eggs per clutch (Table 2). Clutch sizes can also vary dramatically during any breeding season with the latitude, weather, food supply and  general health of the female.21,37,60

 

Table 2. An overview of eggs per clutch in raptors 21,26,36,38,43,46
Species
Eggs per clutch
Condors, large vultures*
1
Eagles, small vultures
1-3
Large kites, Buteo hawks, caracaras, ospreys
2-3
Small kites, large falcons, large accipiters
3-5
Small falcons, small accipiters, harriers
4-6
*The Egyptian vulture (Neophron percnopterus) and bearded vulture (Gypaetus barbatus) are the only Old World vultures whose clutch usually has two eggs 21

 

Most female members of family Strigidae lay an average clutch of two to seven eggs. In times of abundance, some species may lay larger clutches.9 The great horned owl (Bubo virginianus) generally lays two to three eggs and barn owls are quite prolific, laying up to 10 eggs.54,60

Eggs are laid over several days. Although variation occurs among individuals, small raptors lay an egg once every other day, medium-sized species lay eggs every 2 to 3 days, and large species lay eggs at intervals of 2 to 5 days.36,37,46

 

Incubation

Most raptors begin incubation before they complete laying their clutches. Some birds, like the common barn owl and great horned owl (Bubo virginianus) will begin to incubate as soon as the first egg is laid.16,33,60,71 However, pygmy owls (genus Glaucidium) begin incubating only after the last or penultimate egg is laid.33 Diurnal raptors also begin brooding with the second or third egg (or the first with eagles and vultures).36 Incubation periods in birds of prey tend to be relatively long, ranging from 4 weeks in smaller birds to 7 or 8 weeks in larger species.46

In most raptors, the female protects the nest, eggs and young birds and broods the eggs for almost their entire incubation (Table 3).21,33,36,37,54,60 The male is primarily responsible for hunting and providing food to the brooding female.21,36,37,54 He broods the eggs only occasionally when the female preens or feeds.30,36 Both Old and New World vultures tend to share incubation between the male and female.21

 

Table 3. Incubation periods and clutch sizes of selected birds of prey 13,21,36,38,46
Species
Clutch size
Interval between eggs (days)
Incubation period (days)
American kestrelFalco sparverius
4-6
2
27-31
Bald eagleHaliaeetus leucocephalus
2-3
-
35-36
34-35
35-38
Barn owl (common)Tyto alba
-
-
29-34
Black kiteMilvus migrans
3-5
2-3
2-3
31-32
31-37
Black vultureCoragyps atratus
2
-
38
California condorGymnogyps californianus
1
-
56
55
Cinereous vultureAegypius monachus
2
-
50-55
Common buzzardButeo buteo
3-5
2-4
2-4
33-38
33-35
36
Cooper’s hawkAccipiter cooperii
4-5
-
32-36
Eurasian eagle owlBubo bubo
-
-
31-36
European sparrowhawkAccipiter nisus
3-6
4-6
2-23
32-35
35
Golden eagleAquila chrysaetos
2
3-4
43-45
Griffon vultureGyps fulvus
2
1
-
48-54
52-59
GyrfalconFalco rusticolus
3-5
2-3
32-33
35
Harris’ hawkParabuteo unicinctus
3-5
2-4
-
32-34
33-36
Lanner falconFalco biarmicus
3-5
3-4
-
31-33
32-35
MerlinFalco columbarius
3-4
3-5
2
28-30
28-32
Mississippi kiteIctinia mississippiensis
1-2
-
30
Northern goshawkAccipiter gentilis
3-5
3-4
2-3
32-34
35-38
OspreyPandion haliaetus
2-3
-
37-38
Peregrine falconFalco peregrinus
3-5
3-4
2
31-33
32-34
31
Red kiteMilvus milvus
3-5
1-3
3
31-32
Red-shouldered hawkButeo lineatus
2-4
2-3
33
Red-tailed hawkButeo jamaicensis
2-4
-
32-35
Saker falconFalco cherrug
3-5
-
31-33
Turkey vultureCathartes aura
2
-
38-41
White-tailed sea eagleHaliaeetus albicilla
2
1-3
2-3
34-42
38

 

Most female raptors develop an incubation or brood patch during incubation.30,54,69 The brood patch develops in both sexes in species that share incubation duties, like vultures.21,69 In species where the male incubates for only short periods, the brood patch is absent or poorly developed in species.21

 

Asynchronous hatching

Since most raptors begin incubation before they complete their clutches, eggs hatch over an extended period and clutches can consist of chicks that are several days to a week or more apart in age (Fig 35).46,54,60In the wild, it is not unusual for the youngest nestlings to become progressively weaker from starvation, injury, and/or chilling.46,60 These chicks may die or even be killed and eaten by their older siblings.46,60 As the young grow, they become less aggressive. If the smaller chicks can survive the first few weeks, they have a good chance of fledging.46

Asynchronous hatch. The Raptor Center, UMN

Figure 35. A brood of long-eared owls (Asio otus) demonstrating different ages due to asynchronous hatching. Photo credit: The Raptor Center, UMN

 

Nearly all raptors outside the tropics raise one brood each year.38,46 However, Harris’s hawks have been known to have more than one brood in resource-rich years; a few species, like the California condor (Gymnogyps californianus), lay one clutch every other year.15,38

 

Raptors are semi-altricial

Hatchling birds of prey are weak, unable to stand or self-feed.46,60,71 Chicks are covered with an insulating layer of natal down feathers for much of their  flightless period which, depending on the species, can last between 4-31 weeks (Fig 36, Fig 37).28,33,37,46 Diurnal raptors may hatch with their eyes open or closed, but usually by day 2 their eyes have begun to open.28 The eyes are fully open by day 6.28 Owls hatch with closed eyes.28,33 Their eyes begin to open at 4–6 days of age and are fully open by day 9 or 10.28,60

Semi-altricial chicks. The Raptor Center

Figure 36. Owls, like these screech owls (Megascops asio), typically hatch with eyes closed and a whitish natal down. Photo credit: The Raptor Center, UMN

Screech owlets

Figure 37. The second set of down feathers or mesoptile of raptor chicks is a fluffy, downy plumage that covers the head and body, while flight and tail feathers resemble those of adults.33 Shown here, screech owlets (Megascops asio). Click image to enlarge.

 

Life span

In the wild, the life span of birds of prey is often limited by anthropogenic causes, such as obstacles, environmental toxins, and/or human activity that reduces habitat and prey resources.5,11b In captivity, however, raptors often outlive their wild counterparts and may face geriatric conditions, such as arthritis, atherosclerosis, and ocular abnormalities.8,65 It is common that with proper care, small species can live to approximately 15 years of age, medium-sized species to their mid-20s to early 30s, and large species to their mid-30s and 40s.

 

 

Special senses

Vision

All birds have high visual acuity and relatively large eyes; however, the forward-facing eyes of raptors provides a large binocular visual field of vision and greater depth perception.29,32,49 Binocular vision is particularly well developed in predators. and this trend is most pronounced in owls. Owls possess the most rostrally-directed eyes with a wide visual field of 150 degrees reported in barn owls.32 How is the raptor eye unique?

 

GLOBE

The globe is rounded in diurnal raptors and long and tubular in owls (Figure 38).29,30,49,52,70 The tubular shape of the globe gives owls telescopic vision, allowing them to pick out small shapes (like prey) from a distance.52 Extraocular muscles are reduced in all birds; however, the large size of the globe and its tight fit within the orbit, means that eye mobility is particularly limited in owls.10,29,32 Fortunately, this limitation is countered by the highly mobile cervical spine.32

(A) Tubular owl globe (B) Globoid diurnal raptor globe. The Raptor Center, UMN

Figure 38. Globe shape in birds of prey. (A) tubular shape of owls (B) spherical shape of Accipitriformes, Cathartiformes, and Falconiformes. Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Scleral cartilage serves to provide some internal reinforcement of the eye.19,32 In many falcons and eagles, the scleral cartilage surrounding the optic nerve is ossified to form a U-shaped bone, the os nervi optici.19,29,30 Scleral ossicles are also particularly numerous among owls.5b,19,73

 

NICTITATING MEMBRANE  

The nictitating membrane, or third eyelid, is semi-translucent in some raptors and opaque white in others, such as barred owls (Strix varia) (Fig 39).29,32 The nictitans sweeps across the cornea in a nasal to lateral direction and functions to protect the cornea and provide moisture.

Nictitating membrane in (A) great horned owl (B) barred owl. The Raptor Center.

Figure 39. Nictitating membranes in  (A) great horned owl (Bubo virginianus) and (B) barred owl (Strix varia). Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Many raptors close the nictitating membrane prior to striking their prey.23 Falcons use their nictitans as eye protection during hunting dives, while osprey close their third eyelid under water.23 Movement of the third eyelid over the cornea is typically rapid in diurnal birds, but is relatively slow in owls.29

In contrast to most birds, the upper eyelid of owls is also larger and more mobile.29,32

 

CORNEA

Raptors possess relatively large corneas, which allow them to gather the maximum amount of light.49 The typical bird cornea is thin; however, several exceptions have been described in diurnal birds of prey.29,32,44 The thickest portion of the golden eagle (Aquila chrysaetos) cornea is found at the limbus (1.2 μm) and the thinnest at the central cornea (0.64 μm).44

The cornea is kept moist by secretions of the gland of the nictitating membrane, as well as the lacrimal and Harderian glands in most species.29 Owls, which produce only a small volume of tears, lack a lacrimal gland.29,32

The anterior sclerocorneal muscle is largest and most developed in hawks and owls.23 This muscle pulls the corneoscleral junction posteriorly, thereby increasing the curvature of the cornea at its center.23,30

 

IRIS and CILIARY BODY

The avian iris is thin and contains variable amounts of striated dilator and constrictor muscles instead of smooth muscles.23 There is also striated musculature in the ciliary body.23

Clinical Tip:  Pupillary light reflexes can be observed in avian patients but are complicated by the fact that birds have voluntary control over constriction and dilation. Complete decussation of the optic nerves also means that there is no true consensual pupillary light response in birds.70

 

Iris color can vary between the sexes and at different ages within one species.70 For example, the iris of the juvenile red-tailed hawk is yellow and darkens with age becoming chocolate brown in the mature bird.58 The juvenile accipiter has a yellow iris that becomes ruby red in the 5-year old adult (Fig 40).58 The iris of the Northern harrier transitions from brown to yellow.16

The accipiter iris turns ruby red at 5 years of age. The Raptor Center

Figure 40. The accipiter iris turns ruby red at 5-years of age, as shown in this adult Cooper’s hawk (Accipiter cooperii). Photo credit: Jeff Fischer/The Raptor Center, UMN. Click image to enlarge.

 

LENS – ACCOMODATION

Accommodation refers to active changes in the refractive power of the lens, which is achieved by modifying lens shape. The shape of the lens is controlled by its internal elasticity as well as the force exerted by zonule fibers, which flatten the lens when stretched. The anterior surface of the lens is relatively flat in diurnal birds compared with a more spheroid shape in nocturnal species.23,30,32,70 All avian lenses are softer than in mammals, enabling quick accommodation; however, the owl lens is hard when compared to diurnal raptors.23,32 This reflects the fact that owls rely almost exclusively on corneal accommodation instead of lenticular accomodation.32 Lenticular accommodation in diurnal raptors is partially achieved by actions of the ciliary processes. The ciliary body suspends the lens by the zonular fibers and also forms the ciliary processes, which are kept in close contact with the lens by the action of ciliary muscles.29,44

The avian lens has an annular pad around its central core.29 This pad is particularly well developed in fast-flying diurnal raptors.23,32 The function of the annular pad is not completely understood, but it is believed to play an important role in using the lens to focus the eye and increase refractive power (lenticular accommodation).29,32 The annular pad is reduced in owls.23,32

 

RETINA

In diurnal birds of prey, the retina is heavily dominated by cone photoreceptors; rods are fewer in number and restricted to the margins in the diurnal raptor eye.32  The owl retina, on the other hand, possess a large number of densely packed rods and is thus specialized for dim-light vision.11,12,20,30,32,49 Up to 56,000 rods per millimeter square have been identified in the tawny owl (Strix alluco). Rod photoreceptors also contain high levels of rhodopsin, a light-absorbing pigment.32,49 Although rods make up to 90% of photoreceptors, owls can also see perfectly well in daylight.30,32,49

Most birds, including raptors, possess a pleated or plicated type of pecten oculi (Fig 41).29,30,34 This structure provides nourishment and oxygen to the avascular retina.10  Diurnal raptors usually have a larger pecten with more folds than nocturnal species.29,30,63 For example, the red-tailed hawk has a very large pecten with 17 to 18 folds, while the pecten in the great horned owl (Bubo virginianus) has seven or eight folds.6,7,29,44 The avascular avian retina also receives oxygenation from the choroid layer, which consists primarily of thin-walled blood vessels (Fig 42).29 In diurnal birds of prey, the choroid also contains heavily pigmented connective tissue that gives the fundus its typical gray, brown, or reddish-brown color. Little if any pigment is present in owls.32

Great horned owl pecten

Figure 41. The pecten is a heavily pigmented, highly vascularized, pleated structure that projects into the vitreous from a base situated on the avian optic disk. Image from a great horned owl (Bubo virginianus) . Photo credit:  Dennis E. Brooks, DVM PhD Dipl ACVO.

 

Figure 42.  Choroidal vessels in an Eastern screech owl (Otus asio) (left).  Choroidal vasculature is clearly visible in most young owls, which have a paucity of pigment in their retinal epithelium. Photo credit: Dr. Christopher Murphy. Choroidal vessels are more difficult to appreciate in most diurnal raptors, such as this red-tailed hawk (Buteo jamaicensis) (right). Photo credit: The Raptor Center, UMN. Click image to enlarge.

 

Many eagles, hawks, and falcons are bifoveate (Fig. 42).30 A fovea is a small, specialized depression within the retina where visual acuity is highest.29,66,70 The temporal or lateral fovea is dorsal and provides better binocular vision. The central fovea is located medially. Since the eyes of most diurnal raptors are located somewhat laterally in the head, the central fovea participates in lateral monocular vision and fixation of distant objects.23,29,30,32,34,66 Two foveae confer heightened perception of distance and the relative velocity of moving objects (prey) during flight.23,29,34,66,70

Owls only possess a single temporal fovea in each eye, while the Andean condor and black vulture have only a nasal fovea.29,30,32,34

For additional information:  Visit the Raptor Ophthalmology series: Anatomy of the Avian Eye, The Ophthalmic Exam, and Ocular Lesions.

 

Hearing

All birds possess a highly developed sense of hearing, but hearing is the principle sense used for hunting in owls.52 Owls are most accomplished in their ability to localize sound.12,52 Hearing is so finely tuned in the common barn owl that prey can be located in total darkness.48,74

 

LARGE, ASSYMETRIC EAR OPENINGS

The large ear openings are placed asymmetrically on each side of the head to facilitate vertical location of sound in up to one third of all owl species worldwide.49 The right opening points upward and the left downward (Fig 43). This asymmetrical placement is critical for pinpointing sounds.49 Localization of sound is aided by the wide skull. Differences in intensity and the time that it takes for a sound to reach each ear helps the bird determine whether a sound comes from the right, left, or straight ahead.16,49

Asymmetrical ear placement in the boreal owl. The Raptor Center

Figure 43. Asymmetrical ear placement in the boreal owl (Aegolius funereus). Photo credit:  The Raptor Center, UMN. Click image to enlarge.

 

FACIAL DISK

The facial disk acts like a funnel to direct sound into the ears (Fig 44). Underlying muscles allow fine positional adjustments of these funnels.32 This tight funnel is particularly prominent in owls and a few diurnal raptors, like osprey and harriers.30,74

Facial disk of a barn owl

Figure 44. Concentric rings of small, curved, stiff periauricular feathers focus sound into the ear openings in this common barn owl (Tyto alba) similar to a person cupping hands behind their ears. Photo credit: Stephen Barnett. Click image to enlarge.

 

OPERCULUM

In many owls, the rostral border of the external meatus has a vertical skin flap or operculum that bears a row of feathers along and at right angles to its edge. Striated muscles can be used to erect the operculum, which assists in locating sound.30

 

EAR COVERTS

In most birds, the external acoustic meatus is covered by specialized contour feathers or ear coverts; however, this region is naked in vultures (Fig 45).

External acoustic meatus (arrow)

Figure 45. The external acoustic meatus (arrow) is naked in vultures and condors, as seen in this Andean condor (Vultur gryphus). Photo credit: Frank Wouters via Flickr Creative Commons. Click image to enlarge.

 

Olfaction

Although black vultures (Coragyps atratus) depend more on sight to locate prey, the sense of smell is highly developed in some vultures.32,52 Research has confirmed that the turkey vulture (Cathartes aura) primarily uses its sense of smell to locate carrion.20,61 Scent-guided foraging is associated with an expansion of the olfactory bulbs in vertebrates, and the turkey vulture has the largest olfactory lobes among the New World vultures.20,30,32

 

 

What is the secretary bird?

Secretary birds (Sagittarius serpentarius) are large, distinctive birds of sub-Saharan Africa that are characterized by an eagle-like head and long, crane-like legs (Fig 46).50,51 From a phylogenetic perspective, family Sagittariidae represents the deepest divergence of Accipitriformes; however molecular analyses suggests that secretary birds are most closely related to ospreys.39 Adults weigh between 2.3 to 4.27 kg and have an average lifespan of 18.6 years in captivity.57

Secretary bird

Figure 46. Secretary birds (Sagittarius serpentarius) stand between 0.9 (2.95 ft) to 1.5 m (4.9 ft) tall with a wingspan up to 2.1 m (6.9 ft).50,57 Their exceptionally long legs can be attributed to unusually long tibiotarsus and tarsometarsus bones. Photo credit: Nigel Hoult Flickr Creative Commons. Click image to enlarge.

 

Secretary birds sometimes kill or stun prey with forceful, lightning-quick kicks or stamps to the head. Visit Cell.com for high-speed camera footage of a secretary bird kicking a rubber snake.51

 

In addition to their exceptionally long legs, another unique anatomic characteristic of the secretary bird are two pairs of ceca.40 Unlike most raptors, secretary birds are also sexually monomorphic, although females may be slightly smaller than males.51,57

 

 

Summary

Raptors are also referred to as  birds of prey because they consume foods almost exclusively of animal origin. They possess distinct morphological traits designed for localizing, pursuing, catching, and metabolizing a variety of prey types. These traits begin with the derivatives of the integument – the covering of their beaks and talons, the specialized skin on their foot pads, and modifications to their flight feathers – and are present in many of their major body systems.  The esophagus and stomach are specially designed to accommodate large food items and quantities. In the final phase of gastric digestion, the ventriculus compacts indigestible material, such as fur, feathers, and bones (owls), into a pellet which then, through antiperistalsis, is eliminated through the mouth in a process called egestion or “casting”.

As for reproduction, size dimorphism between the sexes, with the males of many species being up to a third smaller than the females, may aid in raising a brood.  This difference in size may help each sex to fulfill their primary roles throughout the breeding season.

One additional trait raptors possess is enhanced vision and hearing. The large eye is the most important sensory organ in many birds of prey.  Based on the species and its natural history, it has specific features which is critical for survival in the wild. For example, owls have a wider field of binocular vision than diurnal species. The retinas also differ in the number of fovea and type of photoreceptors. Owls only have one fovea and their retinas are specialized for dim-light vision with a large number of densely packed rods.  Hawks, on the other hand, are bifoveate and their retinas have a large number of cones. Owls also possess a highly developed sense of hearing due to the presence of large, asymmetric ear openings as well as structures that direct sound into the ear, such as the operculum and facial disk.

 

 

Acknowledgement

Thank you to Dr. Patrick Redig for helpful feedback.

 

 

References

Avian Anatomy Teaching Module

Lung, alula feathers, stomach. Drs. Nobuko Wakamatsu-Utsuki, L. Arent

Photo credit:  Dr. Nobuko Wakamatsu-Utsuki (left, right), Lori Arent (middle)

Objectives

An understanding of avian anatomy is essential for all facets of medical care. This teaching module is based on completion a reading assignment, which begins with a brief summary of Class Aves before exploring organ systems. Important vocabulary terms and key concepts are emphasized. Upon completion of this review article, the participant will have a basic clinical understanding of avian anatomy.

 

Syllabus

Complete the reading assignment:

Avian Anatomy & Physiology Basics

 

RACE approval has expired

This program was approved by the American Association of Veterinary State Boards (AAVSB) Registry of Continuing Education (RACE) to offer a total of 1.00 CE credits to any one veterinarian and/or 1.00 veterinary technician CE credit, however approval has expired.
STAY TUNED: Renewal of this program is pending.

Waterfowl Anatomy & Physiology Basics

Waterfowl belong to Order Anseriformes. Virtually all anseriforms belong to family Anatidae, which consists of ducks, geese, and swans. If you are comfortable with psittacine anatomy and physiology, then many features of waterfowls will be familiar. LafeberVet has listed twelve interesting and clinically significant facts about waterfowl . . .


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Avian Anatomy Teaching Module Quiz

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2023 T.J. Lafeber Avian Practitioner of the Year

Dr. Michelle G. Hawkins named
Avian Practitioner of the Year

Dr. Michelle Hawkins

Dr. Michelle Hawkins holds “Grasshopper” a male Swainson’s hawk (Buteo swainsoni) at the California Raptor Center at the University of California School of Veterinary Medicine.Photo credit: Don Preisler/UCDavis

 

Twenty-one exceptional avian veterinarians from all around the world were nominated for the 2023 T.J. Lafeber Avian Practitioner of the Year. The independent Selection Committee narrowed this list to three finalists and the 2023 T.J. Lafeber Avian Practitioner of the Year, Dr. Michelle Hawkins, was announced during the Plenary Session at the 2023 ExoticsCon.

Michelle Hawkins head shot

Michelle Hawkins, DVM, DABVP (Avian Practice) is a Professor of Avian and Exotic Animal Medicine and Surgery at the School of Veterinary Medicine, University of California, Davis and Director of the California Raptor Center.

 

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Download and share the press release.

Download a PDF

 

Award recipients

Visit Lafeber.com to learn more about Dr. Hawkins and to see a list of previous Award recipients.

Caring habds award

Did you know…?

The T.J. Lafeber Avian Practitioner of the Year is nominated and selected by their peers. The Awardee is not, and has never been, selected by Lafeber Company. The 2023 autonomous Award Selection Committee, consisting of Association of Avian Veterinarians members, was led by Dr. Kenneth Welle.

 

Raptor Gastrointestinal Anatomy and Physiology

Raptors are a diverse group of birds consisting of three taxonomic orders: Strigiformes (owls), Falconiformes (falcons and caracaras), and Accipitriformes (hawks, eagles, and remaining families). Although the normal diet of free-living raptors varies considerably among species, all raptors hunt and feed on other animals. Meat and fish-eaters possess unique gastrointestinal characteristics that reflect their predatory lifestyle. This review article begins with unique features of the bill and oropharynx, then describes distinctive features of gastrointestinal tract before concluding with pellet formation and egestion and digestive strategies . . .


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Passerine Anatomy & Physiology Basics

Perching birds or songbirds belong to order Passeriformes, which makes up the largest taxonomic group of birds. Passeriforms make up nearly 60% of all birds with over 5,000 species belonging to this group. If you are comfortable with psittacine anatomy and physiology, then you are well on your way to understanding passerines. LafeberVet has listed ten interesting, clinically significant facts about passerine anatomy and physiology . . .


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Pigeon Anatomy & Physiology: 15 Facts

Although pigeons and doves are a diverse group of birds, they do share some clinically significant anatomy and physiology, including a large, bilobed crop or ingluvies, crop milk production, as well as a vascular plexus found in the subcutis of pigeons. This post also touches on specialized anatomic features unique to fruit pigeons before summarizing some features of the columbid integumentary system, musculoskeletal system, and urogenital tract . . .


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Galliform Anatomy Basics

Order Galliformes is a large, diverse taxonomic group with a worldwide distribution. More than 250 species have a chicken-like appearance and short, rounded wings. LafeberVet has listed twelve interesting and clinically significant facts about galliform anatomy and physiology including important vocabulary terms . . .


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Avian Anatomy and Physiology Basics

This article is the focus of LafeberVet’s Avian Anatomy Teaching Module, which is RACE-approved for 1 hour of continuing education credit. This review begins with a brief summary of Class Aves before exploring various organ systems. Important vocabulary terms and key concepts are emphasized throughout the text. The reader should have a basic understanding of mammalian anatomy. Birds are quite different both structurally and functionally when compared to mammals, therefore comparisons are frequently drawn between these two taxonomic groups. Since form follows function, descriptions of avian anatomy will also merge into physiology and other life sciences, where appropriate . . .


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Post-Test: Clinical Approach to Avian Feather Destructive Behavior

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Patricia Macwhirter BVSc (Hons), PhD, FANZCVS

Pat Macwhirter w ElectusPat Macwhirter is the co-owner of Melbourne Bird Veterinary Clinic. Dr. Macwhirter earned a Bachelor of Veterinary Science with honors from the University of Sydney University. She then completed  an internship and fellowship at the University of Pennsylvania School of Veterinary Medicine, before returning to Australia in 1980 where she opened Burwood Bird and Animal Hospital. Dr. Macwhirter owned or co-owned this practice until 2015, when it was sold, and she enjoyed a brief year’s retirement before returning to clinical practice. In 1993, Dr. Macwhirter became the first person in the Australian state of Victoria to gain board recognition as a Specialist in Avian Medicine. Dr. Macwhirter has always had an interest in birds, bird watching and avian medicine and surgery. Over the years, she has kept and bred budgerigars, Major Mitchell cockatoos, galahs, peacocks, and Quaker parrots. She has authored or co-authored numerous scientific papers, books, and conference proceedings and has been invited to speak at veterinary conferences in Asia, Central America, North America, Europe, and Australia.

Test Your Knowledge: GnRH Agonists in Avian Practice

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Clinical Approach to Feather Destructive Behavior

Feather destructive behavior is one of the most challenging clinical concerns faced by avian veterinarians and owners alike. In this RACE-approved webinar recording, Lauren Thielen, DVM, DABVP (Avian Practice) discusses the systematic hunt for underlying causes as well as case management strategies once feather damaging behavior has been observed. Review of the current literature in feather destructive behavior is discussed as a way to understand why parrots exhibit this behavior and what caretakers can do to reduce the incidence of this problem . . .


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The Use of GnRH Agonists in Avian Practice

Avian veterinarian Brian Speer presented this live webinar, RACE-approved for 1.5 credit hours. Reproductive activities, particularly those that are recurrent, pose a significant threat to the health and behavioral well-being of many pet birds. This presentation began by reviewing the basics of female reproductive anatomy and endocrinology before discussing the role of environmental and behavioral stimuli on reproductive endocrinology. Dr. Speer then presented an ethical scale for selecting and prioritizing recommendations for intervention, before discussing medical therapy as well as the environmental and behavioral interventions that can be employed. Dr. Speer concluded with a discussion of behavioral . . .


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Jennifer Graham, DVM, DABVP (Avian Practice), DABVP (Exotic Companion Mammal Practice), DACZM

Jennifer Graham graduated from Auburn University in 1999. She completed an avian/exotic internship at the University of Georgia at Athens followed by a 3-year residency in avian/exotic animal medicine at the University of California at Davis. Dr. Graham worked at Angell Animal Medical Center in Boston from 2006-2012 and she ran the Zoological Companion Animal Medicine Service at the Cummings School of Veterinary Medicine at Tufts University from 2012-2022. Dr. Graham consults on zoological companion animal cases through Moichor, University of Miami, and Zoetis, while also running her own consulting business through Graham Veterinary Consulting. She currently holds adjunct positions with Tufts University, Tuskegee University, and the University of Miami. Jennifer is board certified with the American Board of Veterinary Practitioners in Avian and Exotic Companion Mammal practice categories as well as the American College of Zoological Medicine. Dr. Graham is a member of multiple professional organizations, including the Association of Avian Veterinarians, the Association of Exotic Mammal Veterinarians, Association of Reptilian and Amphibian Veterinarians, and the American Association of Zoo Veterinarians. Jennifer has authored numerous research papers, chapters, and books including the Five-Minute Veterinary Consult: Avian and Exotic Animal Emergency and Critical Care Medicine. You can learn more about Dr. Graham on ResearchGate.

Fawzi Mohamed, BVSC, MS, PhD

Fawzi Mohamed is a veterinary medical officer and pathologist for the United States Department of Agriculture (USDA). Dr. Mohamed is based out of Plum Island Animal Disease Center. Fawzi earned a PhD in veterinary pathology from the University of Georgia. He has co-authored several papers on rabbit hemorrhagic disease virus and other important infectious diseases, such as African swine fever and foot-and-mouth disease.

Molly Gleeson, DVM, DACZM

Molly Gleeson is currently in private practice in California, where she treats a variety of non-traditional pets. Dr. Gleeson is board certified in zoological companion animal practice through the American College of Zoological Medicine (ACZM). Prior to becoming a Diplomate, she completed a small animal rotating internship and exotics specialty internship at Gulf Coast Veterinary Specialists in Texas, and a residency in zoological companion animal medicine and surgery at the University of California at Davis.
 
 
 
 

Lymphoma in the Ferret: An Overview of Diagnosis and Treatment

Introduction

Hemolymphatic tumors are the third most common neoplasm in ferrets (Mustela putorius furo), with lymphoma representing from 8.6% to 19.3% of ferret neoplasms in retrospective studies.1-4 Unlike humans and some domestic animals, causative genetic mutations and infectious or environmental triggers have not been identified as risk factors for lymphoma in ferrets. A viral origin has been speculated in a few research studies, and an association between Helicobacter infection and gastric lymphoma has been suggested.2,5,25

Ferrets of any age or sex can be affected, with lymphoma described in patients as young as 2 months.2 A recent retrospective found 5 years as the median age of diagnosis in ferrets treated for lymphoma, and was the same for small, intermediate, and large cell lymphomas.6 In this same study, the incidence of lymphoma seemed to decrease throughout the 18-year study period, with more than half the cases occurring during the first 5 years (1998-2003).6

 

Clinical forms of lymphoma

Historically, two forms of disease were described:  a lymphoblastic form seen in young ferrets, less than 1 year of age, and a slow, progressive lymphocytic form, seen in ferrets older than 3 years. However, this age-related trend was not demonstrated in later case series.2, 5

Clinical forms of lymphoma are currently based on localization of the neoplastic infiltrates.5 Although any organ may be involved, lymphoma is most commonly found in lymph nodes (23% to 44%), spleen (17% to 20%), liver (23%) and/or gastrointestinal (GI) tract (14% to 45%) (Figs 1-4). Multicentric forms represented 11% to 40% of cases.1, 3, 7

Mesenteric lymph node lymphoma in a ferret. Photo credit: Dr. Peter Fisher

Figure 1a. Gross appearance of lymphoma involving mesenteric lymph nodes (arrows) in a ferret (Mustela putorius furo). Photograph provided by Dr. Peter Fisher. Click image to enlarge.

 

Lymphoma of the mesenteric lymph nodes in a ferret. Photo credit: Dr. Peter Fisher

Figure 1b. Closer view of mesenteric lymph nodes (arrows) shown in Figure 1a. Photograph provided by Dr. Peter Fisher. Click image to enlarge.

 

Gross splenic lymphoma in a ferret. Photo credit: Dr. Ruth Boll

Figure 2a. Gross appearance of splenic lymphoma in a ferret (Mustela putorius furo). Photograph provided by Dr. Ruth Boll. Click image to enlarge.

 

Cut surface of splenic lymphoma in a ferret. Photo credit: Dr. Ruth Boll

Figure 2b. Cut surface of the spleen shown in Figure 2a. Photograph provided by Dr. Ruth Boll. Click image to enlarge.

 

Metastatic lymphoma involving the liver in a ferret. Photo credit: Dr. Peter Fisher

Figure 3. Gross appearance of metastatic lymphoma involving the liver in a ferret (Mustela putorius furo). Photograph provided by Dr. Peter Fisher. Click image to enlarge.

 

Ocular lymphoma in a ferret. Photo credit: Dr. Peter Fisher

Figure 4. Ocular lymphoma in a ferret (Mustela putorius furo) causing prolapse of the lacrimal gland. Photograph provided by Dr. Peter Fisher. Click image to enlarge.

 

Ferrets with lymphoma have no specific clinical presentation, as clinical signs depend on the organ(s) involved. Patients may present with lethargy, anorexia, weakness, cutaneous masses or lesions, GI disorders, respiratory or cardiac signs, or neurologic deficits.2, 8, 9 Common abnormalities found during physical examination include abdominal mass(es), usually due to splenomegaly and/or lymphadenomegaly, and peripheral lymphadenomegaly (Fig 5).2 Lymphoma can also be an incidental finding in apparently healthy ferrets.

Profound splenomegaly in a ferret Photo credit: Dr. Ruth Boll.

Figure 5. Profound splenomegaly in a ferret (Mustela putorius furo). Photograph provided by Dr. Ruth Boll. Click image to enlarge.

 

Although quite rare, cutaneous lymphoma can also be encountered (1% of cutaneous lesions and 5% to 7% of lymphoma cases depending on the study).1,3,5,7,10 Cutaneous epitheliotropic lymphoma commonly causes swollen, hyperemic, alopecic lesions on the feet or limbs, however lesions may also appear over the lumbar spine or even in a more diffuse, generalized pattern (Fig 6).27 These lesions tend to grow in size and multiple lesions will develop if left untreated.2, 10

Cutaneous lymphoma in a ferret. Photo credit: Dr. Cécile Bernhard

Figure 6. Cutaneous lymphoma involving the foot in a ferret (Mustela putorius furo). Photograph provided by Dr. Véronique Mentré’. Click image to enlarge.

 

Cutaneous lymphoma in a ferret. Photo credit: Dr. Cécile Bernhard

Figure 7. Cutaneous lymphoma involving the dorsal lumbar region in a ferret (Mustela putorius furo). Photograph provided by Dr. Véronique Mentré’. Click image to enlarge.

 

Diagnosis

Lymphoma is considered “the great impersonator”:  it can look like almost any disease – and should always be kept on the differential list until a definitive diagnosis is reached (Table 1).

Table 1. Important differential diagnoses for lymphoma in the ferret.
Form of lymphomaDifferential diagnoses
GastrointestinalOther chronic gastrointestinal diseases
including:

Enzootic catarrhal enteritis (ferret enteric coronavirus)

Gastrointestinal foreign body

Helicobacter mustelae infection

Inflammatory bowel disease

Intussusception

Other gastrointestinal tumors
MediastinalChylothorax

Congestive heart failure

Dilated cardiomyopathy

Hemothorax

Other mediastinal tumors (thymoma, lipoma)
CutaneousChronic inflammatory dermatitis

Mast cell tumor or other cutaneous tumors

 

A minimum database is necessary to ensure an accurate diagnosis and to properly stage lymphoma. This database should include blood work and imaging.

  • Complete blood count

Anemia (packed cell volume <45%) is common and consistently  nonregenerative.2 Leukemia is rare (7.4% of cases in one study). Reactive lymphocytosis is mentioned in up to 32% of cases 5, however lymphocytosis can be caused by chronic infections as well. Neutropenia is occasionally found; thrombocytopenia is rare.2

Blood smears can yield significant information. The presence of keratocytes, acanthocytes, and schistocytes showed a significant association with lymphoma, however, these abnormal red blood cell morphologies are not specific to lymphoma and are also seen with other disorders, such as GI disease (schistocytes) and adrenocortical disease (acanthocytes).11

  • Complete biochemistry profile

Abnormalities depend on organ involvement. Hypoalbuminemia can be found in ferrets with GI forms of lymphoma; hyperproteinemia with hyperglobulinemia has been reported in rare occurrences,.2 Hypercalcemia has also been reported but is uncommon in the ferret and is seen in only about 7% of cases5, 12. When hypercalcemia is found, testing for intact parathyroid hormone (iPTH) and parathyroid hormone-related protein (PTHrP) can be performed to confirm humoral hypercalcemia of malignancy. Although the reference range for iPTH have been recently reported for ferrets, only canine/feline reference ranges are available for PTHrP.12, 13

  • Urinalysis results are usually normal in ferrets with lymphoma but may be abnormal in cases with renal involvement and renal failure.
  • Survey radiographs

Always obtain at least two views (ventrodorsal and lateral). Obtain right and left lateral views if thymic involvement is suspected. Potential findings on abdominal radiographs include hepatomegaly, ascites, mesenteric or sublumbar lymphadenopathy, nephromegaly, and splenomegaly.2 Thoracic radiographs may reveal sternal or tracheobronchial lymphadenopathy, a widened mediastinum, and/or pleural effusion, which was the most common thoracic abnormality in one study.2, 5, 14  Evaluate bones closely as skeletal lesions have been described in several case reports.2, 5, 15, 16,26

Abdominal ultrasound is often needed to identify affected viscera and lymph nodes. Mesenteric lymphadenomegaly, peritoneal effusion, and splenomegaly are often reported as the most common ultrasonographic findings.2, 5, 14 However these findings are not pathognomonic for lymphoma and can be observed with inflammatory bowel disease and other inflammatory conditions.2  Perform thoracic ultrasonography if indicated. Use fine needle aspirates of enlarged organs for diagnosis and staging. Sampling of free fluid may provide a presumptive diagnosis if organ aspirate is not possible.


Definitive diagnosis of lymphoma relies upon cytology or histology.

  • In the hands of an experienced clinical pathologist, cytology of fine needle aspirates (FNA) can be diagnostic, although more commonly results may be suggestive of lymphoma. In one study, 66% of cases had a confirmed diagnosis with FNA.6 Depending on the FNA site, cytological findings might be insufficient, particularly when aspirating abdominal lymph nodes or liver as severe lymphoid infiltrate may also occur with inflammatory bowel disease. Moreover, evidence is lacking regarding the comparative diagnostic value and concordance of cytology versus biopsy.5 References are available for cytologic population of mesenteric lymph nodes aspirates in ferrets.17

Bone marrow aspirate cytology is indicated in cytopenic patients or if abnormal lymphocytes are seen on peripheral blood smears. The proximal femur or the proximal humerus may be used.2

  • Histopathology of affected organ tissue is required for a definitive diagnosis, phenotyping, and staging.2, 18 Even with histology, lesions may be confused with severe chronic inflammatory bowel disease in the intestine and mesenteric lymph nodes, and immunohistochemistry may be advocated to ensure adequate diagnosis.2, 19 Thus, biopsies of peripheral lymph nodes might be better suited for diagnostic purposes.2

 

Prognosis

Overall mean survival times for untreated ferrets can range from 5.7 to 7 months.20 Some ferrets with small cell lymphoma have been reported to survive up to 2 years without any treatment.2 Staging may help to determine the prognosis more precisely. In a proposed staging system for ferrets, stage I neoplasia carries the best prognosis (Table 2).18

 

Table 2. Proposed staging system for lymphoma in ferrets18

Stage I The tumor involves only a single site
Stage II Multiple sites are involved on the same side of the diaphragm
Stage III The spleen is involved as well as lymph nodes on both sides of the diagram
Stage IV Multiple sites on both sides of the diaphragm are involved

 

One study found a median survival time of approximately 110 days with localized lymphoma versus 36 days with disseminated disease.7 Total remission has even been reported in several cases with localized disease.5

Pathologists may also grade lymphoma based on cytologic features. Low-grade neoplasms are typically characterized by small lymphocytes with few mitotic figures. Intermediate grade neoplasms show diffuse large cell lymphocytes; and high-grade lymphomas contain diffuse, immunoblastic cells with large numbers of mitotic figures. In some studies, small lymphocytic lymphoma has been associated with longer survival times than larger cell lymphoma.20,24

Although it may also be useful to characterize lymphoma as either B- or T-cell origin, data from the scientific literature is equivocal regarding the prognosis associated with phenotype. Classification based on immunohistochemistry found T-cell lymphomas accounted for 80% to 90% of cases, while B-cell lymphomas were uncommon.5 Depending on the study, B-cell lymphomas had either a better or worse survival time when compared with T-cell lymphomas.2,5,20

Cutaneous epitheliotropic lymphoma seems to have a fair prognosis, with prolonged survival times of up to 3 to 4 years reported, especially with rapid excision. Systemic involvement does not necessarily occur in ferrets with epitheliotropic lymphoma, as seen in dogs and humans.2, 10

 

Treatment options

The goal of treatment for the veterinary patient facing cancer is to improve the animal’s quality of life. At this point, no conclusive information exists to indicate that any one treatment is superior for most cases, and controlled studies are decidedly lacking in ferrets. In many cases, lymphoma is systemic in ferrets and chemotherapy is the recommended treatment. In the rare occurrence where a single organ is affected, surgery or radiation therapy may be successful and enable remission. In cases of cutaneous lymphoma, complete surgical excision is advised and can result in prolonged disease-free intervals. Patients with gastric lymphoma should also be managed for Helicobacter infection as an association has been suggested.2

COP or modified COP protocols

Cyclophosphamide, vincristine sulfate (Oncovin), and prednisone (COP); the COP protocol with doxorubicin hydrochloride or hydroxydaunorubicin (CHOP), and modified COP or CHOP are the main published protocols for treating lymphoma in ferrets.2 In a retrospective study, 15 ferrets treated with modified COP, with or without additional chemotherapeutics, had a median survival time of 429 days, higher than the overall median survival time of 124 days for all treatment protocols.6  Another author reported a mean survival time of 437 days in ferrets treated with “an aggressive chemotherapy protocol”.21 Based on data from feline and canine medicine, these treatment protocols are typically recommended for intermediate to high-grade lymphomas.2 The main limitation is that intravenous (IV) access is required. Ferret body surface area calculation has been described and should be used when calculating the chemotherapy dosing regimen, however the feline formula might also be adequate as they do not differ significantly.22

“Non-IV” protocols

Another commonly used regimen is the 27-week “non-IV” protocol from Tufts Cummings School of Veterinary Medicine. This protocol uses prednisone, L-asparaginase, cyclophosphamide, cytarabine, methotrexate, chlorambucil, and procarbazine. The main drawback of this protocol is that the oral drugs require compounding and cannot be administered by the owner on an outpatient basis.2 With this protocol, median survival time was lower (86 days) but most ferrets were lost to follow-up so this value might be underestimated.6

A protocol using chlorambucil and prednisone has been described for ferrets with lymphocytic lymphoma. Dosages were extrapolated from protocols used in cats.2

Corticosteroids alone

In numerous cases, ferrets with lymphoma are treated with corticosteroids alone. This treatment protocol should be considered palliative, is relatively inexpensive, and may reduce clinical signs and improve the quality of life. Median survival time with prednisolone alone is reportedly 97.5 days (range: 3-744 days).6 Long-term remission (more than 1 year) has even been described with prednisolone alone in a case of epitheliotropic gastrointestinal lymphoma23, however cutaneous epitheliotropic lymphoma respond variably to corticosteroids.2,10,27 Dosages have ranged between 0.5 to 2 mg/kg once to twice a day.2

Patient monitoring

Common adverse effects of chemotherapy include GI distress, hair loss, and myelosuppression. Complete blood counts and biochemistry panels should be regularly monitored throughout chemotherapy. Symptomatic treatment may be administered for GI side effects.2

 

Conclusion

Lymphoma is common in ferrets and has multiple clinical presentations. Diagnostic imaging, cytology and histology are the most useful diagnostic tools for this condition. Prognosis is poor, as the median survival time is about 4 to 6 months in studies, however some ferrets live more than 2 years after diagnosis. Chemotherapy is generally advocated; however controlled studies are lacking regarding chemotherapeutic protocols and survival time.

 

 

Acknowledgments:  This article is an updated version of a manuscript shared by Sandra Mitchell, DVM and critically reviewed by Michael S. Kent, DVM, DACVIM (Oncology) DACVR

 

References

Lafeber’s New Diet Conversion Kits

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The majority of bird owners need guidance when it comes to avian nutrition, and it can be time consuming!

Our new Diet Conversion Kits help your team save time by providing clients with instructions and tips on how to convert from a seed mix diet to nutritionally balanced diets along with 5 trial size portions of food to get them started.

Featuring:

  • 5 convenient trial sizes for parrots or cockatiels: (1) Classic Nutri-Berries, (1) Tropical Fruit Nutri-Berries, (1) Classic Avi-Cakes, (2) Tropical Fruit Gourmet Pellets.
  • Pellet conversion instructions.

 

 

 

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Reptile Nutrition 101: Veggie & Insectivores Delight

Introduction

La’Toya Latney, DVM, DECZM (ZHM), DABVP (Reptile & Amphibian Practice), CertAqV presented this talk for the University of Minnesota College of Veterinary Medicine Zoo, Exotics, Aquatics & Wildlife Medicine Club as part of the Lafeber Company Student Program.

 

Abstract

Reptile nutrition is a growing field. Despite the large amount of biological data known about reptiles, there is much less known about how these species process the foods offered in captivity. This non-interactive webinar recording reviews what we know about reptile nutrition, including the nutritional strategies utilized as well as the comparative analysis of commonly fed vegetables and insects. The basic components of reptile nutrition are explored, from metabolizable energy, protein, and fat, to vitamins and minerals. Food preparation is then discussed in detail. Depending on the source, this process can be quite confusing, however, there are measures that can be taken to manipulate the nutritive profile of feeder insects.

 

Outline

Download a PDF of this detailed outline.

I.  Introduction

II. Nutrition guidelines

    1. National Research Council (NRC)
    2. Herptile nutrition is extrapolated from other species
      1. Minimums for rats are most commonly used
      2. Nutritional Advisory Group

III. Nutritional strategies per taxonomic group

  • Diet breakdown for chelonians
    • Aquatic turtles
      • Aquatic veggies
      • Feeder fish
      • Pellets
      • Insects
    •  Box turtles
      • Weeds, garden veggies
      • Slugs, earthworms
      • Berries
      • Flowers
    • Tortoises
      • Most consume 100% plants only
      • Weeds, fibrous roots
      • Adapted to live in the desert
      • Exceptions: South American spp., African forest tortoises
    • Insectivores
    • Specialized
      • Fruit/nectar feeders
      • Crested geckos
      • Columbian tegus
  • Almost all snakes are carnivores
  • Specialized diets
    • Insects, amphibians, feeder fish
    • Examples: garter snakes, rainbow boas, ring-neck snakes, hog nose, egg-eating snake

IV.  Nutritional strategies

  • Herbivores
    • Vegetable dinner wheel
      • Dandelion greens
      • Romaine lettuce
      • Collard greens
      • Mustard greens
      • Red leaf lettuce
      • Escarole
      • Endive
      • Swiss chard
      • Bok choy
      • Kale
      • Spinach
    •  Hay science
      • Alfalfa
      • Botanical hay
      • Oat hay
      • Orchard grass
      • Organic meadow
      • Western timothy
    • Grasses
  • Insectivore
    • Insect composition
    • Domestic cricket (Acheta domesticus)
    • Mealworm (Tenebrio molitor)
      • Mealworm-beetle life cycle
    •  Earthworm (Lumbricus terrestris)
    • Silkworm (Bombyx mori)
    • Phoenix worm larvae (Hermetia illucens)
    • Madagascar hissing cockroach (Gromphadorhina portentosa)
    • Turkistan or red rusty cockroach (Blatta lateralis)
    • Butterworm or tebo worm (Chilecomadia moorei)
    • Dubia cockroach (Blaptica dubia)
    • Hornworm (Maduca quinquemaculata)
    • Not readily on the market, but occasionally available
      • False katydid (Microcentrum rhombifolium)
      • Wood louse (Procellio scaber)
  • Carnivores
  • Omnivores
  • Super-specialized

V.  Basic components of nutrition

  • Metabolizable energy (ME)
    • Definition: Net energy gained from food after digestion and absorption
    • Standard metabolic rates for daily energy needs at optimal temps= 32 x BW kg (0.75)
      • 500-gram reptile requires 9.5-57 kcal/day at 86°F (30°C)
    •   Measurement
      • Invertebrates: 7-2.7 kcal ME/g
        • Butterworms: 977 ME/g
        • Cricket: 402
        • Earthworm: 708
        • House fly: 918
        • Mealworm karvaeL 378
        • Phoenix worms: 994
        • Red Turkish roach: 244
        • Superworm larvae: 423
        • Wax worms: 747
    •  Factors that impact ME
      • Species
      • Age
      • Activity
      • Environmental temperature
      • In reptiles, temperature is not maintained by ME
        • Fewer calories needed than mammals
        • Digestive efficiency is the same as mammals
      • Reptiles – Metabolic rate based on metabolic body size
  •  Protein
    • Definition: Amino acid composition and availability
      • Nitrogen availability
    • Measurement: g/kg or % DM
    • Insect protein sources
      • Exoskeletons contain amino acids
      • Bioavailability may be limited
        • Phoenix worms and mountain chicken frogs (Dierenfeld 2008)
        • Phoenix worms and leopard geckos (Boykin 2021)
  •  Fat
    • NRC min for rats
      • 5% (50 g/kg) of diet fed (growing)
      • Necessary for fat-soluble vitamins
    • Lipid content in feeder inverts: 3-6X higher than rodent diets
    • Is fat bad for herps?
      • Species dependent: strict herbivores rely on fat more than omnivores
      • Activity level

 

Invertebrates Crude fat (g/kg) % fat
Butterworms 294
Crickets 68 As high as 22.8%
Earthworms 16 12.6%
False katydids 9%
Fruit flies 19
Hissing cockroach 20.3%
Mealworm larvae 54 As high as 31.1%
Phoenix worms 140
Red rusty cockroach 14.5%
Silkworms 14
Superworm larvae 177 As high as 40.1%
Tenebrio beetles 17.7%
Waxworms 249
Wood louse 11.3%
Zoophobas beetles 14.3%
  • Vitamins
    • Vitamin A
      • Definition: retinol, beta-carotene, retinyl esters
      • Fat-soluble, light sensitive
      • Measurement (IU/kg)
      • Clinical relevance
        • Poor levels in most insects
        • Hypovitaminosis A
          • A significant and common clinical problem in herptiles
          • Squamous metaplasia
            • Palpebral edema
            • Aural abscess
            • Respiratory epithelium compromise
            • Lingual squamous metaplasia (“short tongue syndrome” in amphibians)
            • Ulcerative chelitis
            • Vision loss
            • Growth deficits
            • Gastrointestinal bloat
            • Dermal ulcerations
            • Septicemia
            • Acute death
          • Supplementation with beta carotene is not as effective, must use retinol or retinyl esters
        • NRC min retinol for rats: 2300 IU/kg
        • Do we know minimum requirements for herps?
          • Box turtles: 3-6 IU/g diet DM
          • Aquatic turtles: 2-8 IU/g diet DM
          • Chameleons: 5-9 IU/ cricket DM
          • Foam nesting frogs: 230,000 IU vitamin A/kg of supplement

 

Invertebrates IU/kg ug/kg
Butterworms <300
Crickets <1000
Earthworms <1000
False katydids 2953
Hissing cockroach 182
House flies <300
Mealworm larvae <1000
Phoenix worms <300
Red rusty cockroach 120
Silkworms 1580
Superworm larvae <1000
Tenebrio beetles 12
Waxworms <1000
Wood louse 170
Zoophobas beetles 41

 

  • Vitamin E
    • Definition: antioxidant vitamins, alpha-tocopherol
    • Measurement
      • mg/kg
      • % fat in diet
    • Clinical relevancy
      • Invertebrates have adequate levels, ranging from 5-166 mg/kg
      • Steatitis in deficient patients
    • NRC rat min 18 mg/kg
  • Vitamin D3
    • Definition
      • 25-hydroxycholecalciferol or calcidiol
      • Activated by photosynthetic mechanisms (UVB driven) in diurnal and crepuscular herps and people
        • Sun >
        • UVB radiation >
        • Vitamin D precursor in the skin >
          • 25-hydroxycholecalciferol
          • 1, 25- hydroxycholecalciferol
      •  Absorbed via intestine
      • Calcium absorption and homeostasis
      • Serum levels are dependent on musculoskeletal, renal, integumentary, and GI health
    •  Measurement: ug/kg or IU/kg
    • Production and calcium homeostasis
    • Clinical relevance
      • Calcium deficiencies across many orders of herptile spp.
      • Well studied in diurnal herbivores
    •  Insectivore supplementation?
      • Diurnal or crepuscular
        • House gecko (Carmen 2000)
        • Jamaican anole (Ferguson 2005)
      • Nocturnal
        • Leopard geckos (Mitchell, ARAV 2013)
      • Homemade vs oral supplements
        • UVB first
          • Level comparable to natural history
          • Even nocturnal spp. can use UVB
        • Supplementation
          • Caution: Inadvertent toxicity can occur
          • Insects “groom” powders off exoskeleton
          • If utilized, do so for 1 week or less
  • Minerals
    • Calcium & phosphorus
      • NRC min for calcium in rats: 5-5 g/kg
      • NRC min for phosphorus in rats: 3 g/kg
      • Insects
        • Ca: 089-9.3 g/kg
        • P: 5-3.7 g/kg
        • Phoenix worms
          • 9.3 g/kg
        • Wood louse
          • 14% calcium DM
          • 11.79 Ca:P ratio
        • Digestibility?

VI.  Food prep

  • Commercial diets
    • Canned/dried prey items
    • Pellets
    • Powder/gel food
    •  Advantages
      • Shelf life of products
      • Don’t have to handle or care for live prey
      • Consistent nutrition profile
    •   Challenges
      • Acceptance by reptiles
      • Variable quality/nutritional content
  •  Care and feeding of prey
    • General concepts
      • Do not feed directly from pet store of post-shipment
      • Need appropriate planning
    • Housing examples
      • Containers and containment
      • Stocking density/surface area
      • Substrate/hides
      • Crickets
        • The development and evaluation of a gut-loading diet for feeder crickets formulated to provide a balanced nutrient source for insectivorous amphibians and reptiles (Attard 2013)
          • Ingredients
            • Soybean flour
            • Sweet potato flour
            • Red lentil flour
            • Spirulina
            • Crushed rabbit alfalfa pellets
          • Gut load x 24h
      •  Beetle larvae
        • Similar setups for mealworms and superworms
        • Hydration is important
        • Breeding is easy
        • Can be gut loaded
      • Roaches
        • Popular
          • Death head
          • Lobster
          • Dubias
            • Dubia blaptica
              • Cannot climb glass
              • Adults live 1-2 years
              • Breed constantly
              • Quiet, no odor
          • Turkish
          • Hissing
            • Madagascar hissing roaches (Gromphadorhina portentosa)
              • Large, easy to care for
              • Tropical
              • Can climb glass
              • Adults: 2-3 years
              • Juveniles take 3 months to mature
      • Butterworms or trevoworms (Chilecomadia moorei)
        • Chilean carpenter moth – invasive species
        • Irradiated prior to import to prevent molting
        • Store in fridge for weeks
        • Gut load 24 hours prior?
      • Reptiworms, calciworms, and Phoenix worms
        • Phoenix worms are the larvae of the black solder fly (Hermetia illucens)
          • Well studied, used in aquaculture, poultry, vermiculite
          • Stored in cups at room temp
      • Hornworms
        • Grow rapidly and eat non-stop
        • Feed to insectivores within 7-10 days depending on desired size
        • Large specimens
        • May require cuticle laceration
      • Silkworms
        • Picky eaters: mulberry leaves (vitamin A)
        • Most vendors sell with a food substrate
        • Store at room temperature and feed them within 7-10 days
        • Moisture of feed can promote fungal growth
      • Earthworms
        • Dirt substrate
        • Feed composting scraps
        • Can gut load 24h prior
      •  Moth and fly larvae
        • Drosophila melanogaster
    • Prey health is important for insectivore health
      • Well hydrated
      • Well nourished, high-quality diets
      • Infectious disease
    • Augmenting nutrition profile (vitamin/mineral)
      • Dusting
        • Shake invert in small particle dust prior to feeding
        • Imprecise way to guarantee supplementation
          • Insects can groom off dust or dust falls off
      •  Gut loading
        • Short-term feeding nutrient dense diet to prey
        • Many studies confirm this method works for calcium
      • Do both!

VII.  “Happy Meal”® menu

  • Larval insects
    • High in fat
    • Deficient in vitamins and minerals
    • Variable protein bioavailability
  • Adult beetles, earthworms, roaches
    • Lower fat
    • Good protein levels (especially earthworms)
  •  Most insects have poor calcium levels
    • Increase dietary calcium with supplementation
    • Exception:  Phoenix worms have high calcium content
    • Macerate to increase bioavailability
  • Insect care
    • Well hydrated
    • Well nourished
    • Feed calcium-rich diet at least 24h prior (not >9% total calcium)
    • Can be kept or bred at home

"Happy Meal" Table Latney

 

Recording

 

 

Client education

Download this list of husbandry resources that Dr. Latney shares with her herptile and piscine clients.

Latney handout screenshot

 

Garden resources

Explore these resources shared by Dr. Latney for building economical, effective gardens for tortoises.

 

 

RACE approval

This program was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program for 1 hour of continuing education credit for veterinarians and veterinary technicians in jurisdictions that recognize AAVSB RACE approval.

 

References

Adrenocortical Disease in Ferrets

Introduction

Hyperadrenocorticism is a common and complex clinical condition of pet ferrets (Mustela putorius furo), affecting animals anywhere from 2-3 years of age. The median age is 4.5 years and greater than 80% of ferrets older than 5 years have some degree of adrenal disease.24,25,32

The prevalence of adrenal disease was between 0.55% to 5.7% in different studies.10,14 In a recent Japanese retrospective study, the adrenal gland was the most commonly affected organ of the endocrine system (71.2% of endocrine lesions).26 In studies reviewing ferret neoplasms, adrenal tumors were the first or second most common and accounted for 16.7% to 36.6% of cases.1,10,18 Non-neoplastic lesions or hyperplasia can also cause clinical disease.32

 

Pathogenesis

Adrenal disease in ferrets is unlike hyperadrenocorticism in dogs, which is due to elevated levels of cortisol. Adrenal disease in ferrets is due to increased production of sex hormones, such as estradiol, androstenedione, and 17α-hydroxyprogesterone.26

While the underlying cause of disease is not completely understood, it is thought that gonadectomy coupled with exposure to a prolonged photoperiod from being housed indoors triggers a “perpetual breeding season” syndrome. Exposure to long days stimulates the production of gonadotropin-releasing hormone (GnRH) by the hypothalamus, which in turn stimulates pituitary gland secretion of luteinizing hormone (LH) and follicle stimulating hormone.11

Neutering removes the critical negative feedback of sex steroid hormones on gonadotropin secretion in the pituitary gland, resulting in persistent stimulation of the adrenal cortex, which possesses LH receptors. Age at diagnosis has been shown to be linearly correlated with age at neutering.10,26  In one study, the median interval between neutering and adrenocortical disease diagnosis was 3.5 years.26  This theory is supported by the lower incidence of adrenocortical disease in the United Kingdom, where ferrets kept for hunting are left intact and housed outdoors.26 Genetic factors have also been suggested as alterations of specific genes have been found in adrenocortical tumors.8

Stimulation of the adrenal glands may lead to adrenal hyperplasia, adrenal adenoma, or even adenocarcinoma.26 Disease may be unilateral (~85%) or bilateral (~15%).31 Adrenal adenocarcinoma metastasizes late in the disease process to regional tissues, such as the liver or spleen.26

 

Clinical disease

Signalment

Hyperadrenocorticism occurs most frequently in ferrets 3 years or older, but has been reported in animals as young as 1 year of age (4.5 years of median and > 80% affected ferrets older than 5 years).24,25,32 There is no obvious gender predisposition.

Clinical signs

Most clinical signs are related to sex steroid hormone secretion, except in rare cases with mechanical compression of adjacent structures or invasion of the caudal vena cava. Some ferrets may exhibit weight loss and reduced activity.13,26 In rare instances, hyperestrogenism may cause non-regenerative anemia due to bone marrow toxicity in male or female ferrets.26

Dermatologic clinical signs

The most common clinical sign of hyperadrenocorticism in ferrets is progressive alopecia of the tail, tail base, and trunk, which affects more than 90% of ferrets (Fig 1-Fig 4).26 Alopecia may progress until the affected ferret is completely bald (Fig 5).

Hair loss in a ferret with adrenal disease

Figure 1. Hair loss in a ferret (Mustela putorius furo) extending over the dorsum, sides, and tail base. Photo credit:  Dr. Christal PollockClick image to enlarge.

 

Patchy alopecia in a ferret. Photo credit: Dr. Peter Fisher

Figure 2. Patchy alopecia on the ventrum of a ferret (Mustela putorius furo). Photo credit: Dr. Peter Fisher. Click image to enlarge.

 

Figure 3. One of the most common clinical signs of hyperadrenocorticism in the ferret (Mustela putorius furo) is progressive alopecia of the tail, tail base, and trunk. Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Alopecia in a ferret. Photo credit: Dr. Sue Chen

Figure 4. Alopecia in a ferret (Mustela putorius furo) with adrenocortical disease. Photo credit:  Dr. Sue Chen. Click image to enlarge.

 

Profound alopecia in a ferret. Photo credit: Dr. Peter Fisher.

Figure 5. Profound alopecia in a ferret (Mustela putorius furo). Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Although most affected ferrets show some degree of pruritus, approximately 30% are profoundly pruritic (Fig 6). Pruritus is often localized to the interscapular region and may lead to excoriation and erythema.26 This pruritus has been theorized to be caused by histamine production, another hallmark of ferret adrenocortical disease.13 Thinning of the skin and comedones are also mentioned by some authors.13 In rare instances, hyperestrogenism may also cause hyperpigmentation of the skin.26

Severe pruritus in a ferret with adrenal disease. Photo credit: Dr. Peter Fisher.

Figure 6. Excoriated skin in a ferret (Mustela putorius furo) with severe pruritus caused by adrenocortical disease. Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Urogenital clinical signs

Vulvar enlargement is seen in up to 90% of spayed females with adrenocortical disease (Fig 2).32 Localized vaginitis with seromucoid discharge is also sometimes present. Around the vulva, the skin might be dark and bruised.

Vulvar swelling and alopecia in a ferret. Photo credit: Dr. Sue Chen

Figure 7. Vulvar swelling in a spayed female ferret (Mustela putorius furo) with adrenocortical disease. Note also the hair loss. Photo credit:  Dr. Sue Chen. Click on image to enlarge.

 

Vulvar swelling and alopecia in a ferret. Photo credit: Dr. Sue Chen

Figure 8. Closer view of vulvar swelling and alopecia in a ferret (Mustela putorius furo). Photo credit:  Dr. Sue Chen. Click on image to enlarge.

 

Male ferrets may present with signs of pollakiuria, stranguria, or even complete urethral obstruction. These findings are caused by prostatomegaly and periurethral cysts in the prostatic area due to androgenic stimulation (Fig 9).26 The prostate may be palpable as a mass dorsal to the bladder on physical examination. In addition, diverticuli of the urethra are possible, resulting in bladder-like cysts.7,26

Cystic prostatic hyperplasia in a ferret. Photo credit: Dr. Peter Fisher

Fig 9. Shown here, the surgeon lightly grasps a prostatic cyst, located inear the base of the urinary bladder, in a ferret (Mustela putorius furo). Photo credit:  Dr. Peter Fisher. Click image to enlarge

 

Some ferrets may exhibit sexual behavior, including mounting, urine marking, and aggression towards people and other ferrets.26,32 These actions are generally attributed to male ferrets in the literature 25,26,32 , however behavioral changes can occur in both sexes and these changes may develop before any external signs are observed (C. Johnson-Delaney, written communication, October 2022).

Some ferrets may emit a musky odor that is stronger than normal.26,32 In rare instances, hyperestrogenism may cause hyperpigmentation of the skin or non-regenerative anemia due to bone marrow toxicity in male or female ferrets.26 Mammary enlargement can also be observed in female ferrets.19,26

 

Diagnosis

Although clinical signs can be very suggestive of adrenal disease, several differential diagnoses should be excluded. Many ferrets also have concurrent disease that must be identified, such as islet cell neoplasia and/or cardiac disease. Confirmation of the diagnosis mostly relies on diagnostic imaging, which is especially needed if surgical treatment may be considered. Some clinicians also use therapeutic diagnosis as medical treatment is minimally invasive and often less expensive than diagnostic tests.

Table 1. Primary differential diagnoses for ferrets with clinical signs suggestive of hyperadrenocorticism2526
SignalmentDifferentials
Female ferretsOvarian remnant
Ovarian neoplasm (granulosa cell tumor)
Non-neutered jill with intact ovaries
Male ferretsSertoli cell tumor (intact ferret, +/- cryptorchid)
Hypothyroidism
Both gendersFood intolerance/allergy
Atopy
Infectious skin diseases
Seasonal alopecia
Pheochromocytoma

Physical examination findings

An enlarged adrenal gland is occasionally palpable, craniomedially to the kidney as a round, firm mass embedded in fat.26 Adrenal glands are usually easier to identify on the left side as the right gland is partially covered by the liver.26 An enlarged prostatic cyst may be palpable as a mass dorsal to the bladder.26

Minimum database

Adrenocortical disease in the ferret rarely causes any significant changes in the complete blood cell count (CBC) or chemistry profile. More commonly, clinical pathology results may suggest concurrent diseases, like insulinoma, however testing may be performed, particularly if surgery is considered. A CBC, or at least hematocrit, may be performed as hyperestrogenism can cause pancytopenia, consisting of mild to moderate non-regenerative anemia, thrombocytopenia, and leukopenia.26 In rare individuals, liver enzymes can be elevated secondary to metastasis.26

Imaging

Survey radiographs are usually unremarkable except in cases of prostatomegaly, where the prostate may appear as a mass lesion dorsal to the bladder (Fig 10). Profound adrenomegaly may also be visible on survey radiographs, however, in most cases, even when the gland is mineralized, radiographs are not diagnostic.

Prostatomegaly in a ferret. Photo credit: Dr. Peter Fisher

Figure 10. Survey radiograph illustrating a distended urinary bladder and prostatomegaly in a ferret (Mustela putorius furo). Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Abdominal ultrasound is the most useful diagnostic tool. Experienced ultrasonographers often detect adrenomegaly (width > 3-3.5 mm) or abnormal adrenal architecture in which the gland becomes irregular or widened.3,21 Distinct nodules are less commonly seen 3, however increased vascularization is frequently observed. With adequate landmarks, both adrenal glands can be identified relatively easily. Typical findings include increased width (> 3.9 mm), rounded appearance, heterogeneous structure, increased echogenicity or mineralization of the gland (Fig 11, Fig 12).25,26 The adrenal glands of clinically affected ferrets may occasionally appear normal in size and shape, especially early in the disease process. Both glands are affected in about 20% of cases, and the contralateral gland displays no atrophy.2,25,32 However, ultrasonographic findings do no provide information regarding functionality of the modified gland and sonographically normal adrenal glands may still be surgically and histologically abnormal.10,26

Mineralization of the right adrenal gland. Photo credit: Dr. Sue Chen

Figure 11. Sonographic image illustrating a mineralized right adrenal in a ferret (Mustela putorius furo). The diameter of the gland is indicated by “+” signs. Photo credit:  Dr. Sue Chen. Click image to enlarge.

 

Compression of the vena cava by the right adrenal gland. Photo credit: Dr. Sue Chen

Figure 12. Doppler flow ultrasonography shows compression of the caudal vena cava by an enlarged right adrenal gland in a ferret (Mustela putorius furo). Photo credit:  Dr. Sue Chen. Click image to enlarge.

 

Ultrasound can also be used to further evaluate prostatic tissue in male ferrets. During abdominal ultrasound, it is also important to look for potential metastases or potential ovarian remnant in females or cryptorchid testicles in males.

Computed tomography with contrast may be useful to better delineate the enlarged gland, especially in preparation for surgery.26

Hormone analysis

Measurement of serum or plasma hormone levels is also commonly used. The ferret androgen panel typically includes estradiol, androstenedione, and 17α-hydroxyprogesterone. Most affected ferrets will have elevated blood levels of one or more of these steroids, however intact females also show increased hormonal levels during estrus, so this diagnostic test is unable to differentiate adrenal disease from an ovarian remnant.25,26

Ancillary tests

Uncommonly used tests include a human chorionic gonadotropin stimulation test and the urinary corticoid-creatinine ratio.26 These tests are of limited value in clinical practice because they only differentiate healthy neutered ferrets from neutered ferrets with adrenal disease. Ovarian remnant disease cannot be differentiated.25

Histopathology

Histology of the affected adrenal gland provides a definitive diagnosis. Lesions are most commonly neoplastic with 62% to 92% of adrenal lesions being cortical neoplasms, including 41% carcinomas and 29% adenomas. Cortical hyperplasia accounted for 8% to 19% of lesions in these studies.1,10,18,27 However, in surgical case studies, carcinomas were only encountered in 10% to 40% of removed adrenal glands.10

Other adrenal tumors, such as pheochromocytomas, neuroblastomas, leiomyosarcomas, leiomyomas, and spindle cell sarcomas, represent 2% to 8% of adrenal neoplasms.1,18,24

 

Therapy

If left untreated, adrenocortical disease can cause potentially fatal sequelae, including urethral obstruction in males, bone marrow suppression, tumor-related invasion of the vena cava, and/or regional metastasis to the liver or spleen. In addition, affected ferrets clinically feel unwell and are uncomfortable.

Treatment options include surgery and medical management. The choice depends on many factors, such as the age of the ferret, the presence of concurrent disease, the surgical risk (higher for the right adrenal gland) and/or financial limitations. In one study, the mean disease-free period was higher for ferrets treated with a deslorelin implant (16.5 months) compared with ferrets who underwent surgery (13.6 months).15,25 Median recurrence time post-surgery was 6 to 7 months in other studies.10,18,31

Surgical therapy

Adrenalectomy has traditionally been considered the treatment of choice for ferrets determined to be good anesthetic candidates that have a concurrent condition that would benefit from surgery, such as insulinoma. Geriatric ferrets or ferrets with cardiomyopathy are not good candidates for surgical therapy.

Surgical removal of diseased adrenal tissue may be unilateral or partially bilateral. Because of the intimate association between the right adrenal gland and the caudal vena cava, right adrenalectomy is a much more technically demanding procedure (Fig 13-Fig 15). However, a study found that collateral circulation seems to develop when the caudal vena cava is ligated.4,10 Anecdotal evidence suggests this is less common, with collateral circulation developing before ligation due to an already reduced flow. For this reason, it is wise to confirm the presence of collateral circulation with Doppler ultrasound prior to ligation or risk severe adverse events like kidney failure (C. Johnson-Delaney, written communication, October 2022). Partial resection of the right adrenal gland was found to have a more favorable outcome than complete resection or partial resection combined with cryosurgery.28  In cases where both glands are affected, some authors suggest to remove the entire left gland and part of the right one. This resulted in an Addisonian crisis in 5% of these ferrets, and this complication should be anticipated and discussed with owners. Detailed descriptions of surgical techniques in the ferret can be found elsewhere.2,12

Enlarged right adrenal gland (arrow). Photo credit: Dr. Peter Fisher

Figure 13. Enlarged right adrenal gland (arrow) in a ferret (Mustela putorius furo). Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Large right adrenal tumor. Photo credit: Dr. Peter Fisher

Figure 14. Large right adrenal tumor in situ in a ferret (Mustela putorius furo). Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Enlarged right adrenal gland. Photo credit: Dr. Peter Fisher

Figure 15. Exposure of the enlarged right adrenal gland (arrow) in a ferret (Mustela putorius furo). Note its intimate association with the cava (arrowhead). Photo credit:  Dr. Peter Fisher. Click image to enlarge.

 

Perioperative death may occur in 2% to 5.5% of patients and chylous ascites has been described as a postoperative complication of adrenalectomy.29 Ninety-eight percent of ferrets treated surgically survived 1 year post-operatively and 88% survive to 2 years.28

Clinical signs caused by prostatomegaly and pruritus begin to subside within 48 to 72 hours after surgery. All clinical signs may resolve within 2 to 4 months postoperatively, although in one study 5.8% of patients did not improve after surgery.2,10,15,25,29 Owners should be informed that recurrence occurs in about 15% to 30% of cases due to development of disease in remaining adrenal tissue.

Excised adrenal tissue may be submitted for histopathological examination, although the exact etiology of the lesions (hyperplasia, adenoma, or adenocarcinoma) was not found to influence  survival time.10

Medical management

DESLORELIN ACETATE

Deslorelin is a depot GnRH agonist and deslorelin implants (Suprelorin-F, Virbac) are the only drug licensed for treatment of adrenal disease in ferrets. When comparing surgical resection alone with deslorelin acetate implants alone, deslorelin acetate provides a longer disease-free interval based on timing to recurrence of clinical signs.15,22,25 The continuous release of deslorelin suppresses the release of gonadotropins, overriding the pulsatile release of GnRH needed for the secretion of gonadotropins.25 However, it is essential to acknowledge that this GnRH agonist only moderates clinical signs, it does not cure the disease. Tumor size does not change significantly after implant placement, and in fact, tumor size may continue to increase.30 Additionally, autonomous production of steroids by the adrenal glands may occur over time and result in loss of efficacy of the implant and thus recurrence of clinical signs.25

After placement of the implant, clinical signs may worsen during the first 2 weeks before the suppressive effects begin. Hair regrowth may occur within 4-6 weeks post-implant but may be incomplete in some ferrets. Most ferrets have complete regrowth by 8 weeks post treatment. Within 2 months, plasma levels of steroid hormones decrease. Vulvar swelling and pruritus decrease 10-14 days after treatment, and the vulva returns to a normal appearance by 6 weeks post-treatment.6 Clinical recurrence has a median time of 13.7 to 17.6 months in ferrets treated with GnRH implants. So, even if survival time has not been specifically evaluated, it is at least 1 to 2 years based on this data.10,15,30

 

LEUPROLIDE ACTETATE

Leuprolide acetate 30-day depot (Lupron) may also be used.5 In a study using the monthly depot form, median time at recurrence was 3.8 months.10,18 Most clinical signs (vulvar swelling, pruritus, dysuria, and aggression) diminish within a few days to weeks, but hair regrowth still takes 4 to 8 weeks.6

Some ferrets with adrenal disease do not respond to the deslorelin implant, and may instead respond to leuprolide acetate. As leuprolide acetate may begin to work more rapidly than deslorelin, a Lupron dose may be given at the same time an implant is inserted for profoundly uncomfortable ferrets (C. Johnson-Delaney, written communication, October 2022).

 

OTHER TREATMENTS

A single injection of a GnRH vaccine (GonaCon, USDA) was shown to be effective in resolving clinical signs and normalizing serum sex hormone levels within 3 months.17 This vaccine is used for contraception of wildlife populations (especially deer), but it is not commercially available or labeled for use in ferrets.17,26

Additional treatments, such as melatonin20,23, ketoconazole, mitotane, and trilostane have been investigated but are currently discouraged for use in ferrets with adrenal disease.25

Management of prostatic enlargement and paraurethral cysts

Ultrasound-guided aspiration of large prostatic cysts should be performed to improve urethral patency and for cytology and bacterial culture and sensitivity. Prostatic or urethral cysts containing flocculent material should also be aspirated for culture and sensitivity and/or cytology. Preputial cytology may show an increase in cornified epithelial cells in males with hyperadrenocorticism.22

For medical management of prostatic enlargement, administration of a GnRH agonist is generally advised. Treatment usually leads to improvement of dysuria within a few days.5 , however, in some ferrets it may temporarily make prostatic disease worse, and obstruction can occur. Therefore urination must be closely observed.

Visit Urethral Catheterization in Male Ferrets for advice on managing affected males.

In cases of prostatitis, management with antibiotics (e.g. trimethoprim-sulfamethoxazole) and placement of a deslorelin implant was successful in all cases.30

Surgical management, such as omentalization or surgical draining, may also be required in severe cases and has been described.2,12

Prognosis and complications

Ferrets with adrenal disease may live for several years after diagnosis, depending on factors such as age, concurrent diseases, clinical signs, and extension of neoplasms, usually by local invasion. Rupture of the caudal vena cava invaded by an adrenal tumor has been reported, and prostatic enlargement may lead to life-threatening urinary blockage.26 Although very rare, metastases may also occur. Paraplegia caused by metastases to the spinal cord and vertebral bodies resulted in hindlimb paraplegia in a ferret.9

In females, cystic stump pyometra has been reported in spayed jills, and suspected secondary to adrenal disease with increased progesterone levels.16 Hyperestrogenism-induced anemia may also occur and depending on anemia severity, blood transfusion might be required.19

 

Prevention

Although neutering is generally required for prevention of hyperestrogenism in jills and reducing the intensity of body odor in hobs, surgical desexing should be avoided as it has been implicated as a causative factor of adrenal disease. Instead chemical neutering using the deslorelin implant is advised. The 4.7-mg implant is effective between 1 and 3 years in females and males.26 Although in many countries, ferrets in the pet trade have undergone early neuter/spay and demusking at 5-6 weeks of age, it may be advantageous to consider deslorelin implantation starting at the age of chronological puberty and maintained throughout the ferret’s life.25b,26 Uncommonly, benign adverse effects, such as pruritus and scabs, have been observed.26 In the first 2 weeks after placement, temporary estrus may be observed and rare incidence of pseudopregnancy has been reported.26

Although studies evaluating the impact of deslorelin implants on the incidence of adrenal disease are ongoing, the GnRH vaccine was associated with a lesser increase in the size of adrenal glands in jills. It is thus likely that GnRH implants also prevent the development of adrenal disease.17,26

 

Conclusion

Hyperadrenocorticism is a common and complex clinical condition in the pet ferret. This disease occurs most frequently in middle-aged to older ferrets but has been reported in animals as young as one year of age. Presumptive diagnosis of adrenal disease in the ferret is based on history, clinical signs and diagnostic imaging. Medical therapy using deslorelin implants, though not curative, is recommended. Ferrets may remain asymptomatic for a median of 1-1.5 years. Adrenalectomy may be indicated in case non-responsiveness to medical treatment, although adrenalectomy of the right adrenal gland is challenging.

 

Acknowledgement:  This article is an updated version of a manuscript written by Tracey Ritzman, DVM, DABVP (Avian Practice), DABVP (Exotic Companion Mammal Practice).

 

References

Test Your Knowledge: Avian Ganglioneuritis and Avian Bornavirus

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A Clinician’s Perspective on Avian Ganglioneuritis and Avian Bornavirus

This non-interactive, RACE-approved webinar recording by Dr. Brenna Fitzgerald reviews avian ganglioneuritis (formerly proventricular dilatation disease or PDD) and avian bornavirus, which are extremely complex and potentially confusing topics. This lecture begins with what is currently known (including varying viewpoints among the scientific community) and emphasizes what clinicians need to know about this disease, including diagnostic and treatment options. The latest discoveries reported in the literature are discussed to help guide best practices . . .


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Parrot Anatomy Basics

Parrots are primarily arboreal, diurnal birds found in tropical and subtropical regions of the world. Parrots belong to Order Psittaciformes and are divided into three families. There are over 350 species of psittacine birds or parrots. If you are comfortable with the basic principles of avian anatomy and physiology, then you are well on your way to understanding psittacine birds. LafeberVet has listed 16 interesting facts about parrot anatomy and physiology that may serve you well during physical examination, clinical care, and/or necropsy. This post also brief describes the Quaker or monk parrot as well as unique features of . . .


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Walter Rosskopf, DVM

Walter Rosskopf South Bay Bird SocietyWalter Rosskopf is the owner of the Avian & Exotic Animal Hospital in Hawthorne, California. Dr. Rosskopf has been in avian and exotic animal practice since he graduated from the University of California at Davis in 1969, and he has pioneered numerous avian and exotic medical and surgical procedures. Dr. Rosskopf was one of the first clinicians to establish pet bird normal blood values and he has authored hundreds of scientific articles on avian medicine. Dr. Rosskopf was a Diplomate of the American Board of Avian Practitioners in avian practice from 1994-2014. He was also the President of the Association of Avian Veterinarians (AAV) from 1987-1988. In the 1980s and 1990s, Walter presented at annual AAV conferences over 65 times. He has also lectured internationally at over 100 veterinary conferences and veterinary medical schools. Dr. Rosskopf also taught avian and exotic animal medicine at Oregon State College of Veterinary for 37 years and at Mississippi State for 5 years. Dr. Rosskopf was the co-author of the seminal textbook Diseases Of Caged And Aviary Birds, an author and contributor to Veterinary Clinics of North America, and numerous other textbooks.

Post-Test: Rabbit Hemorrhagic Disease and Vaccination

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Fast Facts on Rabbit Hemorrhagic Disease

INTRODUCTION

Rabbit hemorrhagic disease (RHD) is a highly infectious, fatal viral hepatitis affecting lagomorphs (rabbits, hares, and pikas), including the European rabbit (Oryctolagus cuniculus).10,24 RHD is considered a reportable disease of international concern by the World Organization for Animal Health (formerly OIE).10,20

Rabbit hemorrhagic disease virus (RHDV) is a non-enveloped, single-stranded, positive-sense RNA virus belonging to family Caliciviridae and genus Lagovirus.2,10,22 Historically, RHDV split into six highly pathogenic genotypes (G1-G6), however in 2010, a new, antigenically distinct genotype emerged:  rabbit hemorrhagic disease virus type 2 (RHDV2) (Box 1).9,24,25

Box 1. Rabbit hemorrhagic disease virus genotypes primarily seen today 5, 10,11,12,13,22
*RHDV1 and RHDVa are closely related
  • RHDV/RHDV1/classical RHDV/GI.1a-d/rabbit hemorrhagic disease virus type 1
  • RHDVa/G6*
  • RHDV2/RHDVb/GI.2/rabbit hemorrhagic disease virus type 2

The European brown hare syndrome virus is another lagovirus that causes RHD-like disease in hares (Lepus spp.).10,24

 

RHDV1

RHDV2

GEOGRAPHIC RANGE

Rabbit hemorrhagic disease virus type 1 (RHDV1) was first reported in China in 1984, resulting in the loss of millions of rabbits in less than 1 year. 6,8,11,22 Two years later, RHDV1 was first reported in Europe. In 2010, a new form of RHD, rabbit hemorrhagic disease virus type 2, emerged in France in wild and farmed rabbits. 6,7,8,18
Since that time, RHD has been reported in over 40 countries, occurring regularly across parts of Europe, Asia, Africa, the Americas, and Oceania.21 Outbreaks have also occurred in the Middle East.21 Within 5 to 6 years, RHDV2 had spread across Europe and reached Africa, Israel, Australia, New Zealand, and North America.3,6,7,18 RHDV-2 has now become the dominant subtype of RHD in endemic countries.
Isolated cases have appeared intermittently in the US and Canada. The first confirmed case of RHDV2 reported in North America was seen in Quebec in 2016.18 The first case in the US was seen in 2018. Since then, RHVD2 outbreaks have been seen sporadically throughout the US and Canada.7,9,18

SIGNALMENT

SpeciesWild and domestic European rabbits (O. cuniculus)1,7,18

Wider host range, including many species of wild rabbits, such as hares (Lepus spp.) and cottontails (Sylvilagus spp.), pikas, and the domesticated European rabbit3,7,9,14,18

Since the emergence of RHDV2, viral RNA has been identified in a few rodent species, presumably through the ingestion of rabbit-infected tissues or feces during scavenging.1, 5, 15 Although virus was found in wild mice living near RHDV2 outbreaks, the mice did not show clinical signs of disease.15

The presence and replication of RHDV2 has also been identified in Eurasian badgers (Meles meles) found dead in Portugal between 2017 and 2020.1 This study showed that badgers are susceptible to RHDV2, developing systemic infection and excreting the virus in the feces.1

AgeAdult rabbits 7,21

Adults as well as kits as young as 7 to 15 days old 20

Zoonotic potential

RHD is not considered a food safety concern and is not associated with infection or disease in humans.12,21

TRANSMISSION

RHDV is extremely contagious. RHDV is easily transmitted through direct rabbit-to-rabbit contact with bodily fluids (urine, feces, respiratory secretions) or hair from an infected animal.7,21


Transmission mainly occurs by the oral route but nasal or conjunctival exposure is also possible.2,21


RHDV is extremely stable in the environment.2,7 Therefore exposure to fomites or mechanical vectors can transmit disease.7,21 Virus can also persist for months in decomposing carcasses in the environment as well as frozen infected rabbit meat.2,7,21 Importation of rabbit meat and byproducts may play an important role in the introduction of RHDV into new geographic regions.7,21

INCUBATION

Shorter incubation periods of 1-3 days 2,7,21

Longer, more variable incubation period of 3-9 days 2,7,16

CLINICAL PICTURE

Mortality rate70-90% in adult rabbits 6,7,18,20RHDV2 strains have become progressively more virulent over time, ranging from 70-100%6,7,20
DurationDeath usually occurs 12–36 hours after the onset of fever 7,18,20,21More prolonged period of illness before death (up to 5 days)16
The clinical syndromes caused by RHDV and RHDV2 are similar.6,7,18 RHD often presents as peracute to acute disease.

In peracute cases, the only clinical signs may be sudden death without premonitory clinical signs except for vocalizations followed rapidly by collapse and death.7,18

The acute form of disease often begins as fever (>40°C or 104°F) followed by a wide range of progressive clinical signs related to circulatory shock, liver failure, and disseminated intravascular coagulation or DIC: 2,7,8,18,20

  • Neurologic signs, such as loss of balance, opisthotonos, ataxia, paralysis, or terminal seizure activity

  • Respiratory signs (dyspnea)

  • Congestion of palpebral conjunctiva

  • Non-specific signs of illness, such as lethargy and hyporexia or anorexia

  • Jaundice

  • Fever can progress to hypothermia

  • Bleeding from the eyes, nose, mouth, and rectum, and hematochezia secondary to anemia and coagulopathies.

  • Death can occur within 12-36 (possibly up to 48) hours after clinical signs appear. Free-ranging lagomorphs may be found dead.


Approximately 5 to 10% of rabbits display a subacute to chronic clinical course.1,21 The clinical picture is often similar to that seen with the acute form, but with less severe clinical signs:4,7,18,21

  • Non-specific signs of illness: lethargy, anorexia, weight loss

  • Jaundice

  • Gastrointestinal dilation

  • Cardiac arrhythmia, heart murmur

  • Neurologic deficits

  • Death can occur within 1–2 weeks, although some adult rabbits survive.

DIAGNOSIS

A presumptive diagnosis of RHD is often based on history, risk assessment, and clinical findings.

American veterinarians that suspect RHD should contact their state veterinarian to receive instructions on testing and reporting.

Minimum database 7,18

Complete blood count

  • Leukopenia

  • Thrombocytopenia


Coagulation tests

  • Decreased fibrinogen

  • Prolonged prothrombin and activated partial thromboplastin times


Biochemistry panel

  • Elevated gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP)

  • Elevated bile acids

  • Hyperbilirubinemia

  • Changes in aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activity *

  • Hypoglycemia

  • Hypocholesterolemia


*Liver enzymes can be decreased 6 or elevated (M. Gleeson, written communication, Mar 18, 2023).

Urinalysis

  • Bilirubinuria

  • Proteinuria

  • Elevated urinary GGT


Gross necropsy lesions

Common necropsy lesions include pallor and a friable liver due to necrosis, splenomegaly, and epistaxis. There may also be evidence of disseminated intravascular coagulation, such as petechiation and hyperemia or hemorrhage of the trachea, lungs, heart, liver, spleen, and kidneys.2,7,21 It is also possible for there to be no gross necropsy findings in rabbits that die peracutely.14

Histopathology

The most common histopathologic findings include extensive, multifocal to massive hepatocellular necrosis and multifocal to diffuse splenic necrosis. 7,18 Bronchopneumonia, pulmonary hemorrhage or pulmonary edema, and cardiomyocyte necrosis, may be seen in some subacute to chronic cases.7

Laboratory testing

Reverse transcription (RT) PCR and antigen ELISA are the most commonly used tests to identify the presence of virus.2,6,7,20,21 Test results typically take only 1-5 business days, but unfortunately, many animals have already succumbed to the virus. Most animals will also die before an antibody response can be detected by Ab ELISA. Therefore testing is most helpful in caring for other animals at risk of exposure and preventing viral spread.


PCR testing is best performed on fresh or frozen liver samples, but virus may also be detected in the spleen.2,7,20 Formalin fixed tissue can also be submitted for histopathology.7,21


For antemortem testing, PCR can be performed on urine, feces, or serum collected from convalescent rabbits up to 15 weeks post-infection but results can be inconsistent.7,20



Laboratories currently offering RHD testing include (but are not limited to):

Additional test methods that are used less commonly include electron microscopy, immunohistochemistry, Western blotting, in-situ hybridization, next-generation sequencing, and hemagglutination inhibition.2,7,20



**Plum Island currently does not offer antemortem testing because of inconsistent test results; Ab ELISA is performed for export purposes.
Definitive diagnosis

Like most caliciviruses, RHDV cannot be grown in cell culture. Therefore rabbit inoculation is necessary to isolate virus. This method is not used for routine diagnosis due to animal welfare concerns. 2,7,20,21

When sudden deaths of multiple rabbits occur within a household or collection, the most useful diagnostic test is necropsy and testing of samples from deceased rabbits.

THERAPY

There is no specific treatment for RHDV, however supportive care can be rewarding, particularly in adult rabbits suffering from the subacute to chronic form of disease.7

PREVENTION AND CONTROL

Where RHD is absent...

Prevent the introduction of virus through restrictions on importation of animals or products from endemic areas.7,19

When an outbreak occurs...

Eradicate disease through strict quarantine, depopulation, disinfection, and serosurveillance.7 Vaccination of all animals is also recommended as successful post-exposure prophylaxis has been seen.7


When disease is endemic...

  1. Isolate infected rabbits


    • Any animal known or suspected to be infected should be immediately isolated; surviving rabbits can carry virus for up to 2 months.7
    • Also strive to identify subclinical carriers that can shed virus for months without obvious signs of disease.7,21


  2. Practice proper biosecurity, such as hand washing, clothes changes between rabbit groups, etc.

  3. Disinfect and sanitize


    • RHDV can be inactivated using sodium hypochlorite (0.5%–1%), phenolics such as 1-Stroke Environ® (2%) (Vestal Lab Inc., St. Louis, MO, USA), accelerated hydrogen peroxide products like REScueTM (Virox Animal Health, ON, Canada), chloramine, sodium hydroxide (1%), or formalin (1%–2%).7,21

    • Higher concentrations of formalin (3%) are recommended for disinfecting pelts.7,21

    • Incineration of infected material and cremation of carcasses is also recommended.7

    • Visit General Guidance for Cleaning and Disinfection of Rabbit Hemorrhagic Disease Virus (RHDV) Contaminated Premises by the United States Department of Agriculture, Animal Plant Health Inspection Services for additional information.


  4. Institute appropriate vaccination protocols


    • In many countries where RHD is endemic, vaccinations have been administered to susceptible rabbits and high-risk populations for many years.

    • In Europe, vaccines available include highly efficacious inactivated (killed), commercial vaccines available as well as recombinant vaccines:5,6,7,21

      • Eravac (Spain) is a monovalent RHDV2 vaccine primarily used in the rabbit-meat farming industry.
      • Filavac (VHD K C+V, France) is a bivalent vaccine effective against both RHDV and RHDV2 that is widely used in pet rabbits in the United Kingdom and continental Western Europe.
      • Fatrovax RHD (Italy) is effective against RHDV1 and RHDV2.
      • Nobivac Myxo-RHD (The Netherlands) is a recombinant vaccine that protects against RHDV1 and myxomatosis.
      • Nobivac Myxo-RHD Plus protects against RHDV1, RHDV2, and myxomatosis.
      • Visit the Frances Harcourt-Brown website for detailed information on vaccines against RHD available in the UK


      The vaccines available in Europe are not licensed in the United States and are only available on a limited basis.5 In 2021, the US Department of Agriculture authorized emergency use of the Medgene RHDV2 vaccine (Medgene Labs, Brookings, SD, USA).5,13

      • In a challenge study, this inactivated, recombinant subunit vaccine was administered subcutaneously as a two-dose regimen (0.5-ml), administered 21 days apart.5,13. More research is needed for full protocol recommendations.
      • The vaccine proved effective in preventing mortality in 100% of rabbits challenged with live virus (n=9).5,13
      • Clinicians using this vaccine should ideally maintain a record of vaccinated rabbits that includes any adverse effects or breakthrough cases.



Cross protection between RHDV2 vaccines and RHDV/RHDVa vaccines is poor.6,7,20,21 Current recommendations in endemic countries is to vaccinate against both variants RHDVa and RHDV-2.


 

SUMMARY

Rabbit hemorrhagic disease is a highly infectious, fatal viral hepatitis of lagomorphs caused by a calicivirus. There are three major pathogenic rabbit hemorrhagic disease virus genotypes:   classical RHDV, RHDVa, and RHDV2. Rabbit hemorrhagic disease virus type 2 has now become the dominant subtype in endemic countries, and outbreaks affecting both domestic and wild rabbits have occurred in North America. Virus is easily transmitted through direct rabbit-to-rabbit contact with bodily fluids or hair through the oral, nasal, or conjunctival routes. Disease can also be transmitted through indirect contact with fomites or mechanical vectors. The incubation period often ranges from 1 to 6 days. While disease caused by RHDV1/RHDVa is restricted to domestic European rabbits, the host range is wider for RHDV2 and includes not only the European rabbit but several species of wild lagomorphs. Also, disease caused by RHDV1/RHDVa occurs primarily in adult rabbits, while disease caused by RHDV2 is seen in rabbits of all ages as young as 7-15 days old.

Rabbit hemorrhagic disease is characterized by high morbidity and high mortality. Clinical signs associated with acute disease can include neurologic and respiratory signs, non-specific signs of illness, jaundice, and bleeding. Death usually occurs 12–36 hours after the onset of fever. A presumptive diagnosis of RHD is often based on history, risk assessment, and clinical findings. When sudden deaths of multiple rabbits occur within a household or collection, the most useful diagnostic test is necropsy and testing of samples from deceased rabbits. Viral loads are particularly high in the liver and spleen. PCR is most commonly used to identify the presence of virus. Prevention and control of disease relies upon strict biosecurity protocols, stringent disinfection, and vaccination.

 

 

REFERENCES

Rabbit Hemorrhagic Disease Virus

The objective of this resource is to educate pet rabbit owners about rabbit hemorrhagic disease. The reader will review the distinction between rabbit hemorrhagic disease virus type 1 and type 2, as well as the basics of disease transmission, signs of disease, diagnosis, prevention and control.

Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

Exotic Small Mammal Anesthesia

Exotic small mammals can be challenging to safely induce, maintain and recover from general anesthesia. View the recording of this RACE-approved webinar, which explores clinical anesthesia in exotic companion mammals from patient assessment and anesthetic induction to monitoring and recovery. This recording discusses the importance of proper physical examinations, the pharmacology of common anesthetic drugs or fluids, including the use of constant rate infusions and locoregional anesthesia techniques, intravenous and intraosseous catheterization, intubation techniques, and how to choose monitoring equipment in common companion exotic small mammal species . . .


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Test Your Knowledge: Exotic Small Mammal Anesthesia

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Reptile Case Challenge Teaching Module

Husbandry-related conditions are very common in reptiles.  This case-based teaching module explores a condition frequently encountered by reptile veterinary health professionals. This teaching module is approved for 1 hour of continuing credit for veterinarians and veterinary technicians by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE . . .


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Rabbit Hemorrhagic Disease and Vaccination

Bunny Love by David-O

Photo credit: David-O via Flickr Creative Commons

 

 

Abstract

Rabbit hemorrhagic disease (RHD) is a usually fatal disease affecting almost exclusively lagomorphs caused by the rabbit hemorrhagic disease viruses (RHDV). While initial outbreaks of RHDV-1 occurred in Europe and Asia, RHDV-2 has emerged and spread across the globe within the span of the last 10 years. RHDV-2 has resulted in major outbreaks of RHD in wild and domestic rabbits in Washington State and the North American Southwest (USA and Mexico) since 2020.

RHDV-2 causes a severe necrotizing hepatitis in lagomorphs that results in secondary disseminated intravascular coagulation and death. Death is often peracute and other signs may not be recognized prior to death. RHDV-2 is a calicivirus that is environmentally stable and transmitted primarily by fomites via the oral-fecal route. Due to the ease in inadvertent exposure via fomites and the seriousness of the disease, vaccination is recommended as the primary means to prevent infection. Initial importation of unapproved European killed vaccines was allowed for affected states only and were difficult and expensive to acquire.

Medgene Labs has recently received United States Department of Agriculture Center for Veterinary Biologics (USDA-CVB) emergency use approval for their inactivated recombinant subunit protein vaccine, increasing availability and ease of acquiring vaccines across the country. Due to vaccine developments, vaccination against RHDV-2 for domestic rabbits is now widely available and strongly encouraged.

 

Outline

  • History of RHDV
    1. RHDV general information
    2. Initial emergence of RHDV-1 and RHDV-2
    3. North American outbreak and progression
    4. RHDV-1, RHDV-2 pathological differences
  • Pathology
    1. Transmission
    2. Clinical disease
    3. Pathophysiology
    4. Diagnostics
    5. Case study
  • Vaccines
    1. European vaccines
      1. Overview
      2. Adverse Events
    2. Medgene vaccine
      1. Overview
      2. Safety
      3. Adverse events
      4. Label requirements
Bunny Cuddle

Photo: Alex via Flickr Creative Commons

Cottontail rabbit

 

About the presenter

Dr. Amanda Jones is a consultant for Medgene Labs, and a supervising veterinarian for the Medgene Labs Texas Field Safety Site. Dr. Jones is also the owner of Central Texas Rabbit Herd Management in Killeen, Texas and an associate veterinarian for Animal Emergency Services of Killeen. Dr. Jones is a 2014 Cum Laude graduate of the Texas A&M College of Veterinary Medicine and… [MORE]

 

Webinar recording

 

 

Post-test

Complete the brief quiz. With a passing grade of 70% or higher, you can download your continuing education (CE) certificate for 1 hour of CE credit in jurisdictions that recognize American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) approval.

Test your knowledge

 

 

Expert Q&A

Dr. Jones generously answered virtually every question entered during the live event. A few remaining questions were answered by email and are now posted below:

I have heard of some practices opening the vaccine, drawing it up into individually dosed syringes, and they will then use these syringes up to at least several days after they have been drawn into the syringes. Generally, with other vaccines, they are supposed to be discarded if they have been in the syringe over 24 hours, so I was curious if this is a safe way to try to use the vaccine over a longer period of time or if this is not recommended. If this is a possible solution to make the vaccine last longer, how long can they be kept in the syringes? 

I would not recommend storing the vaccine in individual syringes over keeping it in the glass vial it comes in. We know that the vaccine is stable in the glass vial and that glass is unreactive. Plastic can occasionally bind proteins and no research has been done on the vaccine stability stored in a syringe. Without research to verify there is no impact on the vaccine, I would not recommend it as a general practice.

 

How do you handle a case where you have suspicion for this disease but unconfirmed and owner declines any treatment other than supportive and takes pet home to die later and was buried by owner. 

Unfortunately, there isn’t much that can be done. If you are very suspicious, you could call the state vet for guidance and if they have additional resources to ensure proper testing.

 

At the USAHA meeting, Medgene gave a presentation that discussed some mortality cases (multiple but details were not provided on exact numbers) shortly after vaccination that was attributed to transport stress. Was curious how that information ties into the information provided today? 

As I did not attend that presentation, I am not sure of exactly what was said. Medgene strived to have necropsies performed for any rabbit that died in temporal association with the vaccine. All necropsies I reviewed showed either an underlying condition that was responsible for death or were inconclusive due to advanced decomposition.  There have been some cases where rabbits had episodes of GI stasis in close timing with vaccination that may have been associated with the stress of traveling, but those rabbits recovered with supportive care.

 

 

RACE approval

This program is approved by the American Association of Veterinary State Boards (AAVSB) Registry of Continuing Education (RACE) to offer a total of 1.00 CE credits to any one veterinarian and/or 1.00 veterinary technician.

 

References

Amanda Jones, DVM

Rabbit Herd MgmtDr. Amanda Jones is a consultant for Medgene Labs, and a supervising veterinarian for Medgene Labs Texas Field Safety Site. Dr. Jones is also the owner of Central Texas Rabbit Herd Management in Killeen, Texas and an associate veterinarian for Animal Emergency Services of Killeen. Dr. Jones is a 2014 Cum Laude graduate of the Texas A&M College of Veterinary Medicine and a 2010 Summa Cum Laude graduate from Eastern Kentucky University. Amanda’s professional affiliations include the American Veterinary Medical Association, Texas Veterinary Medical Association, and the Association of Exotic Mammal Veterinarians.

Amphibian Sedation and Anesthesia Quiz

The Amphibian Sedation and Anesthesia webinar was reviewed and approved by the American Association of Veterinary State Boards Registry of Approved Continuing Education program for 1 hour of continuing education, in jurisdictions that recognize AAVSB RACE approval. You have three chances to take this post-test and pass. If you pass, you will see your results and a link to your continuing education certificate . . .


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Lori Arent, MS

Arent Lori cropped squareLori Arent is the Assistant Director at The Raptor Center (TRC), College of Veterinary Medicine at the University of Minnesota (MN). She has a Master’s of Science in Veterinary Physiology from the University of MN. Prior to her current role at TRC, she managed the rehabilitation of 800-1000 raptor patients annually, with a special focus on reconditioning and pre-release preparations. She has authored multiple resources, such as Raptors in Captivity:  Guidelines for Care and Management, the resource used by the United States Fish and Wildlife Service for managing a permanent collection of education raptors, as well as the chapter on Avian Anatomy and Physiology in Clinical Anatomy and Physiology for Veterinary Technicians. Lori has also developed a suite of online training courses for raptor rehabilitation professionals and helps teach undergraduate courses and in-person workshops.

Amphibian Sedation and Anesthesia

This RACE-approved webinar recording was presented by Douglas Whiteside,DVM, DVSc, DACZM, DECZM (ZHM). Similar to other vertebrate species, sedation or anesthesia may be required in amphibians for various diagnostic, clinical, and surgical interventions. An understanding of clinically relevant anatomy and physiology, a pre-anesthetic protocol, the selection of appropriate anesthetic drugs to safely conduct a desired procedure, appropriate anesthetic monitoring, and post-anesthetic planning all are key to successfully managing the amphibian patient through an anesthetic event . . .


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Care of Senior or Geriatric Domestic Rabbits

The objective of this educational resource is to empower owners on how to best care for senior or geriatric pet rabbits. The reader will learn how to ensure common geriatric conditions do not become a welfare concern for their pet. The goal is not to “cure” but rather manage geriatric diseases, such as cataracts, arthritis, and even cognitive decline.

Geriatric Rabbit Page 1

Download the PDF version (American English) or PDF (British English version) of this client education handout, or modify the DOCX version (American English) or DOCX (British English) for your veterinary hospital.

 

Senior Pet Questionnaire

Quality-of-life questionnaires are an excellent tool for the veterinary team. This questionnaire can be completed in the waiting room or during consultation with a veterinary nurse. Use of a comprehensive history form paired with this quality-of-life questionnaire can greatly assist in beginning difficult conversations with owners of senior pets and managing geriatric patients. Many age-related diseases are manageable with correct and appropriate husbandry changes.

senior pet questionnaire screenshot

Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

Note:  This form was adapted from a Geriatric Questionnaire by Today’s Veterinary Practice.

Rabbit History Form

An in-depth clinical history can assist in providing the information needed for a successful treatment plan. Use this questionnaire to obtain a complete and thorough clinical history of your rabbit patient. If the pet rabbit is older, pair this form with the senior rabbit questionnaire, which is intended to evaluate quality of life.  These forms can be completed in the waiting room or during consultation with a veterinary nurse.

rabbit history screenshot

Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

Chloe McMenamin RVN, BSc VN, CH 

McMenamin cropped squareChloe McMenamin is a lecturer of Applied Animal Health in the veterinary nursing department of Unitec Institute of Technology, which is part of Te Pūkenga Aotearoa New Zealand. Chloe earned a Bachelor of Science in veterinary nursing from University College Dublin, then came to Aotearoa New Zealand to work as an exotic and wildlife veterinary nurse. This is where Chloe developed a passion for educating owners and the public on all things furry, feathered, and scaly. Today, Chloe is lucky enough to be able to follow a passion for educating and empowering the next generation of veterinary nurses.

2022 T.J. Lafeber Avian Practitioner of the Year

Dr. Sharman Hoppes named Avian Practitioner of the Year

Hoppes with parrots

Twenty-four exceptional avian veterinarians from all around the world were nominated for the 2022 T.J. Lafeber Avian Practitioner of the Year. The independent Selection Committee narrowed this list to three finalists and the 2022 T.J. Lafeber Avian Practitioner of the Year, Dr. Sharman Hoppes, was announced during the Plenary Session at the 2022 ExoticsCon.

Hoppes Sharman cropped square

Sharman Hoppes, DVM, DABVP (Avian Practice) is the owner of Texas Avian & Exotic Hospital in Grapevine, Texas and a Professor Emerita of the zoological medicine service at Texas A&M University.

Share the news

Download and share the press release.

Download a PDF

 

Award recipients

Visit Lafeber.com to learn more about Dr. Hoppes and to see a list of previous Award recipients.

Caring habds award

Did you know…?

The T.J. Lafeber Avian Practitioner of the Year is nominated by their peers: YOU. The Awardee is NOT, and has never been, selected by Lafeber Company.

The autonomous Award Selection Committee, consisting of Association of Avian Veterinarians members, is led by Dr. Kenneth Welle.

 

Reptile Venipuncture Teaching Module Quiz

. . .


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Bird Basics Teaching Module

cockatiel cockatoo grey

Objectives

What are the basics of avian medicine that a novice veterinary health professional should know before laying hands on the companion parrot patient? Upon completion of this learning aid, the participant will have a basic clinical understanding of avian anatomy, psittacine handling and restraint, history and  physical examination, zoonotic concerns, nutrition, basic diagnostic and therapeutic techniques, as well as a few select presenting problems.

The content listed below barely scratches the surface of avian medicine. Use LafeberVet’s list of Avian Quick Links to assist your navigation of additional avian medicine resources on LafeberVet.

 

Syllabus

Anatomy & Physiology

Handling & Restraint

crop anatomy overlay

parrot holding toes

History & Exam

Zoonotic Concerns

finch eyes closed cropped

conure cropped

Housing & Nutrition

Supportive Care Techniques

Clinical Avian Nutrition for the Veterinary Health Professional

tube fdng tiel cropped 16 9


Minimum Database

Basic Techniques

Huynh rad cropped Photo credit: Dr. Minh Huynh

Intramuscular injection

Select Clinical Problems

 

Approval pending

Stay Tuned: This teaching module will be submitted for approval by the American Association of Veterinary State Boards for continuing education credit.

Avian Neonatology and Pediatrics

View the recording of the live webinar presented by Lorenzo Crosta, med Vet, PhD, DECZM, EBVS European Veterinary Specialist in Zoo Health Management. The objective of this presentation was to assist the exotic animal practitioner, with little or no experience in avian neonatology and pediatrics. This presentation discusses the logical diagnostic plan in the young bird. The approach to common pediatric conditions, ranging from developmental and orthopedic problems to common traumatic injuries and infectious diseases, is also explored. Practical clinical examples are presented . . .


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Avian Quick Links

bird pictures

Photo credit: Jill Murray (left) Bothered by Bees (second from right), Ingrid Taylor (right)

 

Objectives

LafeberVet’s list of avian medicine links will assist your navigation of some of the avian medicine resources on LafeberVet. First, educate yourself before laying hands on the avian patient by reviewing the fundamentals of avian anatomy and physiology as well as important principles of handling and restraint. Then explore content on the examination and history, behavior, housing and nutrition, as well as supportive care techniques, diagnostics, basic therapeutics, and common presenting problems.

Start with content listed in the rows titled, Begin with…, then expand your knowledge with other sections, such as “Learn more...”.

Depending on the problem encountered, referral may be in your avian patient’s best interest. Visit LafeberVet’s Referring Non-Traditional Species for additional information.

 

Syllabus

Anatomy & Physiology
Common Species
Handling & Restraint
Companion Bird Behavior
Obtaining the History
Performing the Exam
Zoonotic Concerns
Husbandry
Nutrition
Supportive Care Techniques
Obtaining the Minimum Database
Basic Techniques
Common Clinical Problems


Anatomy & Physiology




Common Species


 
Begin with...
 
More taxa or species-specific information

 
Organ systems
 
Learn more...

Handling & Restraint





Companion Bird Behavior

 
Begin with...
 
Learn more...
 
Client education
 
Forms

Obtaining the History


Performing the Exam

 
Begin with...
 
Learn more...
 
Forms

Zoonotic Concerns



Husbandry


 
Begin with...
 
Learn more…
 
Client education

Nutrition



Supportive Care Techniques


 
Begin with...
 
Learn more…
 
Client education
 
Forms

Obtain the Minimum Database


Basic Techniques

 
Begin with...

 
Learn more…

  • Avian Hematology and Biochemistry Panels

  • Crop Wash in Birds

  • Radiology in Birds: Imaging the Possibilities


  • Common Clinical Problems

    Important Avian Diseases

    Taxonomic Groups

    Non-Specific Signs of Illness

    Traumatic injury

    Gastrointestinal Signs

    Respiratory Signs

    Reproductive Tract Disease Skin and/or Feather Related

    Test Your Knowledge: Avian Neonatology & Pediatrics

    The Avian Neonatology and Pediatrics webinar course was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program for 1 hour of continuing education.

    You have three chances to take this post-test and pass. With a passing grade of 75% or . . .


    To continue you need to be a LafeberVet.com member. (Français), (Español)

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    Basic Information Sheet: Pionus

    Pionus spp.

    Scaly-headed Pionus

    Natural history


    Pionus spp. parrots are native to regions of Mexico, Central America, and/or South America. The specific range varies with the species (Table 1).4-7,13,15,18

    Table 1. Geographic range of select Pionus parrots 11,13,15,18
    SpeciesSouth AmericaCentral AmericaMexico
    Scaly-headed parrot (Pionus maximiliani)Northern Argentina, through Bolivia and Paraguay to eastern Brazil
    Bronze-winged parrot (P. chalcopterus)NW Venezuela,
    western Columbia, Ecuador, NW Peru
    White-headed parrot (P. seniloides)Mountains of western Venezuela through western Columbia into Andes in Ecuador to NW Peru
    Dusky parrot (P. fuscus)Extreme northern South America, including SE Venezuela, Guyana and NE Brazil
    Blue-headed parrot (P. menstruus)Northern South America (Columbia, Ecuador, Peru, SE Brazil, N Bolivia) except the AndesCosta Rica, Panama
    White-crowned parrot (P. senilis)East coast of central America to Costa Rica and western Panama Eastern Mexico (mainly Caribbean slope)

    Taxonomy


    Class: Aves

    Order: Psittaciformes

    Tribe: Arini = New World parrots

    Family: Psittacidae

    Blue-breasted parrot (Pionus reichenowi)

    Blue-headed, blue-hooded, or red-vented parrot (Pionus menstruus)

    P. m. menstruus

    P. m. rubrigularis (smaller, duller blue, some have red on throat)

    P. m. reichenowi (deeper, more extensive blue coloration; horn-colored beak)

    Bronze-winged parrot (P. chalcopterus)

    Dusky or violet parrot (P. fuscus)

    Red or coral-billed parrot (P. sordidus)

    Scaly-headed (Maximilian’s) parrot (P. maximiliani)*

    Subspecies vary mainly in the color of their upper breast

    P. m. melanoblepharus (upper breast mainly darker blue)

    P. m. siy (reddish purple)

    P. m. lacerus (bluer reddish-purple)

    Speckle-faced or plum-crowned parrot (P. tumultuosus)

    White-headed, white-capped, or Massena’s parrot (P. seniloides)**

    White-crowned parrot (P. senilis)

    *Maximilian’s Pionus is a reference to Prince Maximilian of Wied-Neuwied, a nobleman and naturalist who explored southeastern Brazil in the early 19th century.21

    ** The white-headed or Massena’s parrot has sometimes been described as a subspecies of the plum-crowned parrot: Pionus tumultuosus seniloides (Warden). Some, more recent classification schemes list the white-headed parrot separately as P. seniloides.2

    Conservation status


    The International Union for Conservation of Nature (IUCN) Red List describes the blue-headed parrot (P. menstruus) population to be stable. The blue-headed parrot is common in a wide range of habitats over an immense area.15,18 Unfortunately, the populations of many other Pionus spp. are decreasing (Table 2). Although many species have a Red List assessment of “least concern”, the blue-breasted parrot (P. reichenowi) is listed as vulnerable by the IUCN.14

    When compared to other South American parrots, Pionus spp. are not as common in the pet trade 3, however the blue-headed parrot (Pionus menstruus), white-crowned parrot (P. senilis), dusky parrot (P. fuscus), and bronze-winged parrot (P. chalcopterus) are relatively popular companion birds in the United States.3,4,6,16,22,24 The scaly-headed parrot (P. maximiliani) is also fairly common.7,16,18,22,24 Other Pionus spp., such as the red-billed parrot (P. sordidus), speckle-faced parrot (P. tumultuosus), and white-headed parrot (P. seniloides), are relatively uncommon to rare in aviculture.16,18



    Physical description


    Pionus parrots are often described as “small Amazon parrots” because of their stocky builds and often short, square tails.4-7, These medium-sized parrots have a prominent, featherless cere, and a relatively large bill.3, Compared to some psittacine species, their coloration is often quite subdued or subtle, however, under bright lighting, their feathers shimmer with iridescence. Many Pionus also have large, bare eye rings and all species possess bright red undertail coverts.4-7,

    Table 2. Physical characteristics of select Pionus parrots 1,3-7,11,15,18,20,24
    Pionus speciesBlue-headedBronze-wingedDuskyScaly-headedWhite-crowned
    Click thumbnail image to enlargeBlue-headed pionusBronze-winged pionusDusky pionus Maximillian or scaly-headed parrotWhite-crowned Parrot
    Body weight
    (average) grams
    230-260 4,18,24
    234-295 3
    180-210 5,18
    265-275 24
    180-230 3,6,18,24180-210 7
    230-293 3,18,24
    180 18
    220-230 3,24
    Length
    cm (in)
    23-28
    (9-11)
    25-29
    (10-11.5)
    24-28
    (9-11)
    27-29
    (10.5-11)
    24-26
    (9-10)
    Overall Bright green body, deep blue headMostly dark blue-green or blueish-purple; green with bronze backMainly dark, brownish-grayVarying shades of green, feathers are edged with bluish-grayMostly dark green and dark blue
    Head Bright sapphire blue Green head; deep blue crown, back of head, upper head; pale chin patchDull blue-gray with red patch at base of the bill and purplish blue chinPrimarily brownish-green head feathers edged in gray to blue creating a subtle “scaly” appearanceDark blue with white forehead and crown
    Bill
    Dark colored with red-pink patches at the base on either side of the upper billPale yellow Dark gray with a yellow patch at the base of the upper bill Most birds having a two-tone or mottled beak: yellowish horn turning to dark gray at the base, pale tipYellow or pale-colored
    Eye ring Blue-tingedBare pinkish eye ring becomes dark peach to pink-orange (coral) in adults PaleLight coloredWhite to pale pink becoming pink-orange (coral) in adults
    Ear covertsBlackDark blue to blackBlack with streaky pale patch
    GreenDark blue
    ThroatBright sapphire blue with a pink-red base White throat patch above variable pinkish-red patches; upper neck is deep blue
    Indistinct or streaked dusky white to pinkish collar
    Bluish-purple band running across ventral throat
    White patch
    BreastUpper breast is green, tinged with olive brown and blue edging Upper parts of breast dark blue; pale pink to dark peach and orange on upper breast
    Brown barred with wine red or reddish-blueBecoming lighter and more bronze-brown along ventrum
    Dark green (upper breast) to bluish green (lower breast)
    Undertail covertsBright red tipped with greenBright redPurplish red
    (tail feathers are also red below with a blue band)

    Bright red Pinkish-red
    TailCobalt blueBright violetGreen
    WingsGreenDark bronze-green with iridescent aqua blue underwing covertsBlue flight feathers with iridescent silver blue underwing coverts
    Green with bronze shoulder patches in some individuals Olive shoulder patch

    Juvenile Similar coloring with much less blue, some red on forehead Less colorful than adults, dark blue-green with paler brown upper wing coverts, may have some red on the forehead and under the chinLess obvious patches on the cheeks, may have some red on forehead; little or no streaky patch on neck; green on secondaries as well as flight feathers coverts
    Less extensive blue on throat, less distinct margins on head Narrow white band on forehead, green head faintly tinged blue; yellow-green undertail coverts chin, throat, breast/ yellowish-green undertail coverts


    Normal physiologic values


    Lifespan25-40 years, maximum 13,16,23
    Puberty1.5-4 years 16
    Body weight (average), grams 18Coral-billed or sordid parrot
    255
    White-headed or Massena’s parrot
    250
    Plum-crowned parrot250
    See Physical Description above


    Anatomy/physiology


    MusculoskeletalAs seen in other members of Order Psittaciformes, the Pionus parrot possesses a zygodactyl foot with two toes pointed back and two toes pointed forward.
    GastrointestinalThe normal Pionus spp. bill is longer than most other parrot bills, extending almost to the base of the lower bill or gnathotheca.3,13 The upper bill or rhinotheca also has a distinct notch.3

    As seen in other members Order Psittaciformes:

    • The tongue contains intrinsic muscles.

    • The craniofacial hinge of the beak is a synovial joint.

    • Ceca are absent.

    • The gall bladder is absent.

    RespiratoryAn interesting characteristic of Pionus spp. is the Pionus “snarfle, snuffle”, or wheeze, which is exhibited when individuals become upset or frightened.3,16 This display can be misinterpreted as a clinical sign of respiratory disease, but these clinical signs disappear when the bird once again feels safe and secure (see Behavior below for additional information).16,22,23

    Pionus possess a prominent naked cere.3

    As seen in other members of Order Psittaciformes, the right and left nasal sinuses communicate in Pionus spp.
    IntegumentaryPionus parrots have a distinctive musky (or sweet) odor, that often becomes more prominent during the breeding season.3,16 It has been theorized that this odor serves to attract insects to the nest.16

    The uropygial or preen gland is absent in the Pionus parrot.19

    See Preventive Medicine (below) for grooming tips.
    ReproductiveTo the human eye, Pionus spp. are sexually monomorphic.

    The age of sexual maturity ranges between 1.5-4 years.16 The breeding age is approximately 3-5 years for blue-headed, scaly-headed, and dusky parrots.4,6,7 Breeding occurs one to two times per year.16

    Both male and female birds may cannibalize young in the nest when the parents are visually threatened by larger neighboring species or if the parent birds are stressed by too-frequent nest-box inspection by human care takers or by the presence of predators or vermin.22
    Pionus parrot neonatology vital statistics 4-7,16,18
    SpeciesClutch size (ave) Incubation (days)Weight of newly hatched chick (g)Fledging (weeks)
    Scaly-headed3-4 7
    4-5 18
    2699-10
    Bronze-winged

    3-424-279
    Blue-headed3-4268-10
    White-crowned4-624-26n/a8
    Dusky 424-2699-10

    Diet


    A healthy diet for a companion Pionus parrot should consist of a formulated diet, supplemented with fresh, vitamin A-rich vegetables and some fruit.22 If table food is offered, the owner should be particularly cautious of dietary fat intake.22 Clinically, these birds are similar to Amazon parrots as they may be prone to obesity, hypercholesterolemia, and other adverse effects associated with high dietary fat.22

    A study of free-ranging scaly-headed parrots in Brazil found their diet consisted mostly of native seeds (70.4%), followed by flowers (20.3%), corn from farms near their forest habitat, and fruit pulp.12


    Husbandry


    Although the enclosure should be as large as possible, at minimum, a Pionus parrot should be provided with a medium-sized parrot cage measuring at least 50 x 60 x 100 cm (20 x 24 x 40 inches).16 Bar spacing should be 2.2 cm (7/8-in) for most Pionus species.16 Smaller birds, such as dusky parrots and white-crowned parrots, should have no more than 1.8 cm (3/4-in) space between bars.16

    Bathing is a favorite activity and daily misting, showers, or baths is recommended.



    Behavior


    Personality

    Pionus parrots tend to have a gentle disposition.3,13,16,23 Pionus have a reputation for being relatively quiet, or least less noisy than larger parrots, but of course Pionus spp. are capable of making loud vocalizations, particularly during the early morning and late afternoon hours or during the breeding season.4-7,16,22,23 Males are believed to be more vocal than females.16 The dusky parrot is also thought to be the noisiest of Pionus spp.3

    Pionus also tend to be shy birds.4-7,13 They are often nervous in a hospital setting but are generally not as aggressive or territorial as mature Amazon parrots.17,22

    Pionus parrots are relatively independent companion birds.16 They usually do not seek or accept a large amount of handling or cuddling.16 The scaly-headed parrot is believed to be the most sedate or easy going Pionus species.16 The white-crowned parrot (Pionus senilis) may be the most aggressive Pionus spp., requiring a more experienced owner.3,16

    As with most psittacine birds, aggression may be more likely to occur during the breeding season.16 An aggressive Pionus may ‘strut’, fanning its tail feathers and raising its head feathers as it slowly stalks back and forth.16 A bird exhibiting this display may bite if approached.16

    Response to stress

    Pionus parrots are unique among parrots in their response to external stressors.16 When frightened or upset, Pionus produce respiratory noises that can be misinterpreted as snorting and snuffling, wheezing, rattling, hyperventilation, or dyspnea but these signs resolve within minutes when the stressful stimulus is removed.3,16,22 These sounds can be disconcerting for even the experienced avian veterinarian 3, but there should be no nasal discharge or other physical signs of disease.22 This respiratory noise is also produced with the mouth closed.17,23

    Mimicry

    Pionus parrots are considered intelligent birds but they are not considered the “best talkers”.13,16,23 These birds tend to mimic household sounds or repeat words in a somewhat garbled fashion.13,16 Pionus spp. may also speak in “an exceptionally soft voice”.16 Among Pionus spp., scaly-headed, dusky, and white-crowned parrots are often considered the best talkers.3


    Restraint


    Pionus may be restrained by holding the head between index and middle fingers. Support the body with palm of the hand as well as the thumb and little finger. Beware of the Pionus “snuffle” (See Behavior above).

    Venipuncture


    Use a 25-gauge needle and 1 to 3-ml syringe to draw blood from the right jugular vein. Collection of up to 1% of body weight is acceptable in healthy patients.

    Important medical conditions


    Non-infectious disease

    As in Amazon parrots, obesity or malnutrition is a common disorder in Pionus spp.4-7,16,22 Hepatic lipidosis may develop, which can progress to cirrhosis and fibrosis of the liver.22

    Like any neotropical parrot, Pionus parrots are also susceptible to respiratory aspergillosis.4-7,16,22

    Infectious diseases

    Depending on environmental conditions, sinus infections and chronic upper respiratory disease can be common, particularly when the diet is deficient in vitamin A.4-7,22 Bacterial, fungal, and mycoplasma infections are all common causes of chronic upper respiratory diseases in Pionus parrots.22

    Like other New World psittacine birds, Pionus spp. are susceptible to Chlamydophila.4-7,16,22

    Reported conditions

    • A non-Candida albicans species, C. krusei, was identified in six birds exhibiting clinical signs associated with diarrhea, regurgitation, and melena, including one white-crowned parrot.9
    • Mycobacteriosis involving the gastrointestinal tract is reportedly seen with greatest frequency in Pionus and Amazona species.10
    • Fatal proventricular dilatation disease was described in one captive scaly-headed parrot in Brazil.8
    • Prior to 1992 when psittacine birds were commonly imported (or smuggled) into the United States, avian pox virus was a very common finding in Pionus parrots.4-7,22
    • Avian polyomavirus infection is often fatal in pre-weaning aged chicks.22
    • Feather damaging behavior 4-7
    • Toe necrosis 4-7


    Preventive medicine


    For additional information, visit the review article Grooming Companion Birds and the RACE-approved webinar recording Flight Mechanics and Ethical Concerns.

    • Recommend quarantine of newly acquired birds.
    • Perform additional testing for select diseases based on history and physical exam findings: avian polyomavirus and chlamydiosis.
    • Determine the origin and history of newly acquired sick birds to contain and prevent further spread of disease.
    • Birds housed in large groups or aviaries are at higher risk of Pacheco’s disease virus and use of the vaccine may be indicated.
    • The avian polyomavirus vaccine is recommended for breeding populations.

    References

    GI Stasis in Rabbits Quiz

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    Test Your Knowledge: Avian Cardiology Essentials

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    Natasha Omar

    Omar Natasha

    Natasha Omar was born in Nairobi, Kenya, where she lived for 10 years, before moving to Canada in 2012. Since childhood, Natasha has been exposed to all kinds of creatures, from elephants to our beloved domestic pets. Natasha has worked as a veterinary medical assistant in general practice for 4 years and she is now in the process of becoming a registered veterinary technician at Northern Alberta Institute of Technology in Edmonton, Alberta, Canada. Her interests include emergency and exotic animal medicine.



    Marianne Wikdahl, RVT

    Wikdahl MarianneMarianne Wikdahl graduated with a Bachelor of Science with honors in Veterinary Nursing and Practice Administration from the University of Bristol (UK) in 2011. During her time at university she had the privilege to work as a student veterinary nurse in one of South West England’s largest referral hospitals. After graduation, Marianne moved to Canada where she embarked on her career as an ER/Exotics registered veterinary technician in a busy emergency hospital in Calgary, Alberta. In 2017, Marianne returned to her home country Norway, and is currently working at Sveberg Dyrehospital, a small animal clinic outside of Trondheim. Marianne has a special interest in exotic mammal medicine and has worked with a wide range of exotic species throughout her career so far. She is currently studying the Advanced Programme in Veterinary Nursing of Small Mammals (Girling & Fraser), which she aims to complete in 2022.

    Dental Health in Rabbits

    This guide to keeping your rabbit’s teeth healthy was awarded first place in the 2022 second annual Association of Exotic Mammal Veterinarians (AEMV) Veterinary Technicians Client Education Materials Contest, sponsored by Lafeber Company.

    This client education handout explores the basics of rabbit dental anatomy, before focusing on what owners can do to look after their rabbit’s teeth. Some common dental conditions are also discussed as well as the signs of dental disease in the rabbit.

    Dental Health in Rabbits screenshot

    Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

    Chinchilla Nutrition

    What to Feed Your Chinchilla:

    This client education handout explores the recommendations for a healthy chinchilla diet, including hay, hay-based pellets, produce and greens, and water. The type and amount of treats to offer is also discussed.

    This client educational material was awarded first place in the 2022 Association of Exotic Mammal Veterinarians (AEMV) Veterinary Technology Student Client Education Materials Contest, sponsored by Lafeber Company.

    Chinchilla Nutrition thumbnail

    Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

    Marco Di Giuseppe, DVM, PhD, GPCert (ExAP)

    Marco Di GiuseppeMarco Di Giuseppe currently works as freelance veterinarian in many clinics in Palermo (Italy) offering referral services in rabbit medicine. In the meantime, he is completing a program at the Italian Post-graduate Veterinary School of the Universityof Naples (Italy) to receive the title of Italian Specialist in Laboratory Animals. In 2014, Dr. Di Giuseppe obtained the title of General Practitioner Certificate in Exotic Pet Practice from the European School of Advanced Veterinary Studies. In the same year, he earned a Doctorate in Veterinary Medicine at the University of Padua (Italy) with a thesis on Encephalitozoonosis cuniculi in rabbits. Dr. Di Giuseppe has been an accredited veterinarian in Exotic Mammals, Reptiles and Amphibians Medicine from the Italian Board of Veterinarians since 2014 . In 2013 he founded the first exotic animal clinic in Palermo. Marco is also coauthor of an Italian textbook on rabbit medicine Medicina e Chirurgia del Coniglio da Compagnia
    and he is the author of many scientific works on exotic animals with particularly emphasis on rabbit and reptile medicine.

     

    Anneliese Strunk, DVM, DABVP (Avian Practice)

    Strunk AnnelieseAnneliese Strunk is the Residency Director and a senior associate at The Center for Bird & Exotic Animal Medicine in Bothell, Washington. Dr. Strunk obtained her undergraduate degree in Biomedical Science from Texas A&M University (TAMU) in 1995, graduating Magna Cum Laude from TAMU College of Veterinary Medicine in 2000. Anneliese spent her first year out of school as an associate at the Research Boulevard Pet and Bird Hospital in Austin, Texas, seeing small animal and exotic cases. Dr. Strunk then completed an internship in exotic animal, wildlife and zoo medicine at the. University of Georgia in 2002, followed by a 3-year residency in companion avian and exotic pet medicine at the University of California at Davis. After completing her residency, Dr. Strunk moved across the country to help start the Avian and Exotics Department at Red Bank Veterinary Hospital in Tinton Falls, New Jersey, where she saw primary care and referral avian and exotics cases. In 2009, she returned to Texas to re-join the team at Research Boulevard Pet and Bird Hospital as the head of Avian and Exotic medicine. She achieved ABVP board certification in Avian Practice in 2010 and has has been enjoying the Pacific Northwest since 2014.

    Dr. Strunk is the author and co-author of a number of articles in both professional journals and national conference proceedings. Anneliese is active in both the Association of Avian Veterinarians and the Association of Reptile and Amphibian Veterinarians, and has presented lectures at and been an instructor of hands-on workshops at national and international meetings and veterinary schools.

    Alyssa Scagnelli, DVM

    Scagnelli AlyssaAlyssa Scagnelli is an associate veterinarian at the Avian and Exotic Animal Clinic (AEAC) in Mesa, Arizona. Dr. Scagnelli earned her Doctorate of Veterinary Medicine from the University of Missouri College of Veterinary Medicine in 2015. After graduation, she completed two academic internships at Louisiana State University (LSU) School of Veterinary Medicine. Her last year at LSU was entirely devoted to companion, wildlife, zoo, and aquarium medicine and conservation. In addition to working at AEAC, Dr. Scagnelli is also adjunct faculty at Midwestern University School of Veterinary Medicine in Glendale, Arizona. As adjunct, her predominant focus is on clinical research as it pertains to exotic animal medicine. Alyssa is an active member of the International Iguana Foundation and also volunteers for Arizona’s largest wildlife rehabilitation center. She is most passionate about reptile and aquatic animal medicine. Dr. Scagnelli has published several peer-reviewed journal articles and book chapters on various exotic animal medicine topics.

    Byron de la Navarre, DVM

    de la Navarre ByronByron de la Navarre is chief of staff at Animal House of Chicago, Complete Veterinary Care, which he opened in 2000. Byron attended Cornell University as an undergraduate, where he completed Honors Research in the captive husbandry and breeding of peregrine falcons at the Cornell Lab of Ornithology. Byron then attended the  veterinary college at Cornell, earning his DVM degree in 1990. While in veterinary school, he externed at over 12 zoos in North & Central America, Europe, and Israel. After completing an internship, Dr. de la Navarre worked in private practice, including Niles Animal Hospital & Bird Medical Center in the Chicago area for over 7 years.

    Dr. de la Navarre has lectured on exotic pet topics at the local, state, national & International levels. Locally, he has served as the President of the Chicago Veterinary Medical Association (CVMA) & on the AVMA’s Membership & Services Committee.  Byron is also on the Executive Board of the Association of Reptile and Amphibian Veterinarians (ARAV) and served as the ARAV President in 2005. He has also been active in and served as President of the  (AAV) as well as the Association of Exotic Mammals (AEMV).

    Reptile Venipuncture Teaching Module

    Hematology and biochemistry results serve as an important part of the minimum database for all veterinary patients. Use three videos on blood collection in lizards, snakes, and chelonians (or text with still images) plus one slideshow on general principles to better understand reptile venipuncture and to improve your ability to obtain a clinically useful sample. This teaching module is approved for 1 hour of continuing credit for veterinarians and veterinary technicians by the American Association of Veterinary State Boards Registry of Approved Continuing Education . . .


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    Charles Cummings, DVM, CertAqV

    Tufts Grad BiomedicalCharles Cummings is a Postdoctoral Research Fellow at the Tufts University Clinical and Translational Science Institute, where he focuses on the clinical and epidemiological aspects of zoonotic disease, particularly at the interface of humans and wildlife. From July 2019 to June 2020, Dr. Cummings served as a zoological medicine intern at Louisiana State University School of Veterinary Medicine. Charles earned his Doctorate from Tufts University Cummings School of Veterinary Medicine in 2019. He is also a Certified Aquatic Veterinarian through the World Aquatic Veterinary Medicine Association. He earned a Bachelor of Science in Fisheries and Wildlife from the University of Minnesota in 2015.

    Sue Chen, DVM, DABVP (Avian Practice)

    Sue Chen, DVM, DABVP (Avian Practice)

    Dr. Patricia (Sue) Chen is board certified in Avian Practice by the American Board of Veterinary Practitioners and is the department lead for the avian and exotics department at Gulf Coast Veterinary Specialists. Dr. Chen earned her DVM from Texas A&M College of Veterinary Medicine, where she created a specialized veterinary curriculum track focused on exotic animals. Sue spent time training at zoos and wildlife sanctuaries in Dallas, Seattle, and Australia, as well as a pathology rotation at the Smithsonian’s National Zoo in Washington, D.C. After veterinary school, Dr. Chen completed a specialty internship at Gulf Coast Veterinary Specialists, followed by a residency in avian and exotic pet medicine and surgery at the Animal Medical Center in New York. Dr. Chen has authored publications on avian and exotic medicine and she has a special interest in the use of hyperbaric oxygen therapy in exotic species. In her free time, she enjoys gardening, cooking, and hiking with her family.

    2022 AEMV Veterinary Technology Contest

    AEMV animals cropped

    Introduction

    Lafeber Company was proud to sponsor the Association of Exotic Mammal Veterinarians (AEMV) Veterinary Technology Client Education Materials Contest. Credentialed veterinary technicians, veterinary technologists, veterinary nurses, as well as students in this field were encouraged to submit a two-page, English-language educational handout (1500 words or less) about a companion exotic mammal health and wellness topic.

    Submissions closed April 1. The AEMV Technician Committee evaluated this educational material and they were blinded to the identify of each veterinary technologist or student.

     

    Winners

    1st Place Technologist

    Marianne Wikdahl
    Sveberg Dyrehospital
    Hommelvik, Norway

    Dental Health in Rabbits

    Dental Health in Rabbits screenshot

    1st Place Technology Student

    Natasha Omar 

    Northern Alberta Institute of Technology
    Edmonton, Alberta, Canada

    Chinchilla Nutrition: What to Feed Your Chinchilla

    Chinchilla Nutrition thumbnail

     

     

    Prizes

     

    1st Place Technician/Technologist
    (estimated value $130 USD)
    Auscultation of gpig
    3M™ Littmann® Classic II Pediatric Stethoscope
    Nursing kit:  pouch with bandage scissors, hemostat, suture scissors
    1 year of FREE Association of Exotic Mammal Veterinarians membership
    1st Place Technician/Technology Student (estimated value $130 USD)

     

    3M™ Littmann® Classic II Pediatric Stethoscope
    Nursing kit:  pouch with bandage scissors, hemostat, suture scissors
    1 year of FREE Association of Exotic Mammal Veterinarians membership

     

     

    Learn more

    Interested in learning more about exotic companion mammal medicine? Visit AEMV.org or email [email protected] for more information about AEMV Technician Membership, as well as Student Membership and the Student Chapter Program.

    AEMV logo

    Blood Collection in Turtles and Tortoises

    Successful venipuncture can be a challenge in turtles and tortoises, however hematology and biochemistry results serve as an important part of the minimum database in chelonians just as they do for all veterinary patients. Use this video, or text with still images, to review the equipment needed and sample handling recommendations as well as the potential complications and proper approach to the jugular vein, brachial vein, subcarapacial vessel, and dorsal coccygeal sinus in the chelonian . . .


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    2022 AEMV Veterinary Medical Student Case Report Contest

    AEMV animals cropped

     

    Introduction

    Lafeber Company was proud to sponsor the Association of Exotic Mammal Veterinarians (AEMV) Veterinary Medical Student Case Report Contest. Veterinary medical students from all over the world were encouraged to write a 2-page case report (1500 words or less) about an exotic companion mammal seen at their college of veterinary medicine or during a clinical experience.

    Submissions closed April 1, 2022. Judges from the AEMV Student Committee evaluating the case reports were blinded to the students, mentors, co-authors, and institutions at which the cases were seen.

    Posted below are brief summaries of each winning case report. Each student has been encouraged to submit their paper for peer-reviewed publication.

     

    First place

    Typhanie Tan   (Student – Université de Montréal, Quebec):

    Rabbit gastrointestinal stasis isn’t as straightforward as it seems: unilateral urinoma with ipsilateral hydroureteronephrosis in a domestic rabbit (Oryctolagus cuniculus

    A two-year-old neutered female rabbit (Oryctolagus cuniculus) presented for gastrointestinal stasis of one-day duration. Upon physical examination, a 5-6 cm, mobile, firm abdominal mass was noted cranially to the urinary bladder. Bloodwork was within normal limits. On abdominal tomodensitometry with contrast, a severe hydronephrosis with ipsilateral hydroureter were noted. A voluminous peritoneal cavitary mass attached to the right ureter was non-contrast enhanced. Gastrointestinal stasis was treated medically and an exploratory laparotomy was scheduled. The right kidney and ureter, along with the ureteral mass, were successfully excised and sent for histopathological and bacteriological analysis. A urinoma associated with a severe unilateral hydronephrosis and ipsilateral moderate hydroureter was diagnosed. No associated infection was confirmed. The rabbit recovered uneventfully and recheck bloodwork was unremarkable two-months post-surgery. To the authors’ knowledge, this is the first report of urinoma in a rabbit.

     

    Second place

    Ashleigh Pienaar  (Student – University of Pretoria, South Africa):

    Successful treatment of intestinal obstruction due to lymphoma in a rabbit (Oryctolagus cuniculus)

    A 2-year-old female spayed rabbit (Oryctolagus cuniculus) was presented with sudden-onset anorexia and lethargy. Physical examination findings included hypothermia, a distended stomach, and a firm mass in the abdomen caudal to the stomach. Radiographs showed severe gastric dilation and distension of the intestines with gas, which was consistent with the presence of an obstruction. An exploratory laparotomy revealed a large, firm mass in the mid-duodenum. The intestines were resected to remove the mass, and an end-to-end anastomosis was performed. Histopathological examination identified the mass as a lymphoma. The patient was treated with intravenous crystalloid fluids, lignocaine, buprenorphine and meloxicam during the surgery. Post-operatively the patient was treated with buprenorphine for 2 days, as well as meloxicam, metoclopramide, cisapride, and enrofloxacin for 7 days. Support feeding with EmerAid Intensive Care Herbivore was done for the first week post-operatively. Six weeks after the surgery, the patient had fully recovered and showed no signs of metastasis or impaired gastrointestinal function. Based on a literature search, the case presented in this report is one of the first described cases of intestinal obstruction due to lymphoma that was successfully treated surgically.

     

    Third place

    Jared Zion (Student – Cornell University, USA):

    Insulinoma in a domestic rabbit (Oryctolagus cuniculus domesticus)

    A 5-year-old male intact rabbit (Oryctolagus cuniculus domesticus) in a multi-rabbit household presented on an emergent basis for clinical signs consistent with gastrointestinal (GI) stasis. A conservative treatment protocol was implemented but due to the lack of improvement of clinical signs, further diagnostics were employed. Serially low blood glucose values led to the prioritization of synthetic liver failure, sepsis, and insulinoma as differential diagnoses. In conjunction with the hypoglycemic readings, an insulin assay was performed. An abdominal ultrasound revealed a hyperechoic pancreatic nodule. Despite aggressive medical management, the patient failed to clinically improve and the prognosis for surgical success was considered poor. Euthanasia was elected. A necropsy was performed, and the approximately 0.5 cm pancreatic mass was submitted for histopathology. The results confirmed an islet cell pancreatic tumor of insulin origin.

     

    Prizes

    1st Place: $100 USD cash prize

    Carpenter JW (ed). Exotic Animal Formulary, 5th ed. Elsevier, 2017.

    Quesenberry KE, Orcutt CJ, Mans C, Carpenter JW (eds). Ferrets, Rabbits, and Rodents:  Clinical Medicine and Surgery, 4th ed. St. Louis: Elsevier; 2021.

    2nd Place: $100 USD cash prize

    Carpenter JW (ed). Exotic Animal Formulary, 5th ed. Elsevier, 2017.

    3rd Place: $100 USD cash prize

     

    Permission and privacy concerns

    Permission was obtained from the supervising clinician (required) and the owner (optional depending on local privacy laws or facility standards).

     

    Learn more

    Interested in learning more about exotic companion mammals? Visit AEMV.org or email [email protected] for more information.
    AEMV logo

    Avian Cardiology Essentials

    Cardiovascular disease commonly occurs in companion birds and poses a serious threat to the quality of life and longevity of many avian species. This live, interactive, RACE-approved webinar was presented by avian veterinarian, Brenna Fitzgerald. Topics discussed in the webinar recording include key features of avian cardiovascular anatomy and physiology, risk factors, as well as specific clinical disease states, including atherosclerosis, congestive heart failure, and pericardial disease and effusion. This lecture also reviewed essential elements of a diagnostic workup, and current treatment approaches that can improve longevity and quality of life for these patients . . .


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    Blood Collection in Lizards

    Hematology and biochemistry results are an important part of the minimum database for all veterinary patients, including lizards. Proper venipuncture technique is critical for accurate interpretation of laboratory results. Blood samples are most frequently collected from the ventral coccygeal vein and jugular vein in lizards; however, the site selected can depend on a variety of factors including the preferences and experience of the phlebotomist, the volume of blood needed, patient size and temperament, and of course the species involved . . .


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    Blood Collection in Snakes

    Proper patient handling, blood collection technique and sample handling are all critical for accurate interpretation of hematology and biochemistry in all patients, including snakes. Use the video or text with still images to review equipment needed as well as the potential complications and proper approach to the ventral coccygeal vein and the heart, the two most common venipuncture sites in the snake . . .


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    Brenna Fitzgerald, DVM, DABVP (Avian Practice)

    Brenna Fitzgerald, DVM, DABVP (Avian Practice)

    Dr. Brenna Fitzgerald is currently an associate veterinarian at Colorado Exotic Animal Hospital in Denver, Colorado as well as the owner of Avian Exclusive Veterinary Consultation. Dr. Fitzgerald is a 2007 graduate of Texas A&M University College of Veterinary Medicine. She then worked as an associate veterinarian in a private, multi-doctor practice in Dallas, Texas, where she practiced small animal, avian, and exotic animal medicine. Dr. Fitzgerald then completed both a clinical internship and residency at Dr. Brian Speer’s Medical Center for Birds in Oakley, California. She earned Diplomate status through the American Board of Veterinary Practitioners in Avian Practice in 2012. Dr. Fitzgerald stayed on as an associate at the Medical Center for Birds through 2021. She relocated to the Denver area and spent the first half of 2022 providing specialty care to avian patients at Homestead Animal Hospital in Centennial, Colorado. She has since joined the team at Colorado Exotic Animal Hospital where she continues to practice specialty avian medicine. Dr. Fitzgerald is strongly committed to furthering avian medicine, not only through serving her patients and clients in private practice, but also through education and support of the avian veterinary community. She has worked to promote continuing education by speaking at veterinary conferences, designing their educational programs, and authoring a number of scholarly articles.

    Test Your Knowledge: Mediterranean Tortoises

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    Test Your Knowledge: To Cut or Not to Cut?

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    Test Your Knowledge: Rabbit Nutrition

    Test Your Knowledge: View the RACE-approved webinar recording on "Rabbit Nutrition and Critical Care Feeding" by Kara Burns, MS, MEd, LVT, VTS (Nutrition), then take the brief post-test to earn 1 hour of continuing education credit . . .


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    John Chitty BVetMed CertZooMed MRCVS

    AntonVetsJohn Chitty is a Royal College of Veterinary Surgeons (RCVS) Advanced Practitioner in Zoological Medicine. He qualified from the Royal Veterinary College in 1990 and gained a RCVS Certificate in Zoological Medicine in 2000. Dr. Chitty is co-director of a small animal/exotics practice in Andover, Hampshire (United Kingdom) with 100% avian/exotics/small mammal caseload, both referral and first opinion:  Anton Vets. He is consultant to seven zoological collections, a commercial laboratory, and the Great Bustard Reintroduction project. Dr. Chitty has co-edited three texts on avian medicine, one on rabbit surgery, and he is co-author of a textbook on tortoise medicine, Essentials of Tortoise Medicine and Surgery. Dr. Chitty is also the author of various book chapters and papers on a range of species.

    John Chitty served as the 2015-2017 President of the European Association of Avian Veterinarians and he was also President of the British Small Animal Veterinary Association from 2017-18. He serves on the editorial board of the Journal of Exotic Pet Medicine and is a Trustee of Vetlife.

    Keeping and Treating Mediterranean Tortoises

    View this RACE-approved webinar recording by John Chitty BVetMed CertZooMed MRCVS. This seminar explores unique features of this group of terrestrial Chelonia and how these adaptations to a unique biome affect husbandry and disease investigation. This presentation provides an overview on identification and sexing, captive husbandry, hibernation needs and management, reproduction and follicular stasis, clinical investigations, hospitalization needs, and disease prevention . . .


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    Test Your Knowledge: Avian Radiology

    Test Your Knowledge: View the RACE-approved webinar recording on "Avian Radiology: Basic Principles, Reference Values & Clinical Cases" by Minh Huynh, DVM, MRCVS, DECZM (Avian), DACZM, then take the brief post-test to earn 1 hour of continuing education credit . . .


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    Ultrasound in Birds: From Finch to Goose Quiz

    Ultrasound in Birds: From Finch to Goose Quiz . . .


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    Kevin R. Kazacos, DVM, PhD, DACVM

    Kevin R. Kazacos, DVM, PhD, DACVMKevin Kazacos is Professor Emeritus of Veterinary Parasitology and former Director of Clinical Parasitology at the Purdue University College of Veterinary Medicine. Dr. Kazacos earned a BS in biology in 1971 from the State University of New York at Albany, a PhD in parasitology in 1974 from the University of Notre Dame, and a DVM in 1979 from Purdue University. He served on the faculty of Purdue University from 1979 to 2014, where he enjoyed teaching veterinary and graduate students.

    Dr. Kazacos is a Charter Diplomate of the American College of Veterinary Microbiologists (Parasitology) and was a founding member and Past President of the Companion Animal Parasite Council. Dr. Kazacos has done extensive research on zoonotic helminths, and is best known for his comprehensive studies on Baylisascaris procyonis as a cause of animal and human disease. Dr. Kazacos has been honored with three Distinguished Teaching Awards, the Purdue Veterinary Medicine Alumni Faculty Award for Excellence, the SmithKline Beecham Award for Research Excellence, and a Distinguished Visiting Professorship. He is the author or coauthor of numerous journal articles, book chapters, monographs, research abstracts and proceedings, and has given over 580 presentations at scientific and professional meetings.

    Decision Making in Rabbit Gastrointestinal Syndrome

    View this RACE-approved webinar recording presented by Joanne Sheen BVM&S CertZooMed DABVP (Exotic Companion Mammal Practice): "To Cut or Not to Cut... Decision Making in Rabbit Gastrointestinal Syndrome". This seminar reviews rabbit gastrointestinal anatomy and physiology as well as the baseline diagnostic workup in RGIS. Treatment is dependent on the underlying etiology. Fluid therapy and analgesia are considered cornerstones in the management of gastrointestinal disease in rabbits, but other specific treatments such as active warming, intestinal promotility agents, antimicrobials, and nutritional support may also be warranted. Surgery may be indicated for some conditions, such as intestinal obstruction, liver . . .


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