by Heather A. Bjornebo, DVM, DABVP(Reptile-Amphibian Practice), CertAqV
Introduction:
The risk of spreading disease amongst both captive and wild populations continues to rise as tortoises and turtles continue increase in popularity in the pet trade. A number of important contagious diseases have already been identified and can cause significant morbidity and mortality in these species. A better understanding of these illnesses will allow better population management and more prompt initiation of appropriate veterinary intervention leading to improved animal care, survivability, captive breeding, and repopulation efforts. This article will discuss clinical signs of illness, prevention, and the diagnostic modalities available in confirming cause of illness and identifying carriers of contagious disease.
Contagious diseases in chelonians can be broken up within 4 categories: bacterial, viral, internal parasites, and ectoparasites (external parasites).
Bacterial Diseases:
Mycoplasma spp.
- Causes: Mycoplasma agassizii & M. testudinum
- Species affected:
- Terrapene spp.
- Gopherus spp.
- Testudo spp.
- Geochelone spp.
- Indotestudo spp.
- Pyxis spp.
- Clinical signs:
- Upper respiratory tract disease
- Conjunctivitis
- Anorexia
- Lethargy
- Treatment:
- Appropriate prescription antibiotics
- Supportive care
- Prognosis generally good
- Choanal flushes
- Treated animals remain lifelong carriers and recurrence of illness common, stress
Pasteurella testudinis
- Often associated with respiratory disease
- May be found concurrently with Mycoplasma infections
- Significance unknown
- Affects Gopherus and Geochelone spp.
Chlamydia & Chlamydiophila spp.
- Obligate intracellular pathogens
- Contagious to a number of vertebrate species
- Zoonotic
- Clinical signs
- Upper and lower respiratory disease
- Anorexia, lethargy
- Inability to dive
- Necrotic foci in the heart, spleen, and liver
- Hepatic lipdiosis
- Diagnosis – PCR
- Treatment – supportive care and appropriate prescription antimicrobial therapy.
- Prognosis – fair depending on severity of illness
Salmonella spp.
- Appears to be a component of the normal GI flora of reptiles
- Zoonotic
- Often asymptomatic
- Has caused death in isolated cases in captive tortoises and turtles
- Suspect opportunistic infection
- Clinical signs
- Emaciation
- Erosions of the plastron
- Sloughing scutes
- Discolored carapace
- Death
- Diagnosis – culture
- Treatment – supportive care and appropriate prescription antimicrobial therapy
Borrelia & Rickettsia spp.
- Borrelia burgdorferi
- Zoonotic – Lyme disease
- Spread by ticks Ixodes spp. & Hyalomma aeyptium
- Isolated from ticks on Testudo spp. in Europe
- Borrelia turcica
- No human cases documented
- Spread by ticks Hyalomma aeyptium
- Primary host is Testudo spp.
- Rickettsia spp.
- Zoonotic – spotted fevers and typhus
- Spread by ticks Ixodes spp.
- Isolated from ricks on Testudo spp. in Europe
Viral Diseases:
Herpesviruses
- At least 12 herpesviruses identified that infect chelonians
- Marine Turtles
- Chelonid fibropapilloma-associated herpesvirus (ChHV-5)
- Lung-eye-trachea disease virus (ChHV-6)
- Loggerhead genital herpesvirus
- Loggerhead orocutaneous herpesvirus
- Greypatch Disease
- Freshwater turtles
- Emydidae – lethargy, anorexia, subcutaneous edema, hepatomegaly, pulmonary edema, hepatic necrosis
- Chelidae & Pelomedusidae (Side-neck turtles) – ulcerative skin and shell
- Tortoises
- Testudinid herpesvirus 1, 2, 3, 4, and n (TeHV-1, -2, -3, -4, -n)
- TeHV1 – Europe: Russian, pancake
- low morbidity/mortality
- TeHV2 – USA: desert tortoises
- TeHV3 – Europe, USA, Africa: Testudo and Russian
- high morb/mort
- TeHV4 – Bowsprit tortoise
- clinically healthy
- TeHVn – leopard, pancake, Argentine, Russian, other…
- TeHV1 – Europe: Russian, pancake
- Testudinid herpesvirus 1, 2, 3, 4, and n (TeHV-1, -2, -3, -4, -n)
- Marine Turtles
- Clinical signs:
- Rhinitis
- Conjunctivitis
- Stomatitis
- Glossitis
- Diphtheroid membranes
- Edema of the neck
- CNS lesions
- Hepatitis
- Pneumonia
- Diagnosis
- PCR
- Serology – latent infections
- Virus isolation
- Histopathology
- Treatment
- Prescription antivirals
- Reduce virus replication in laboratory settings, limited success in patients
- Considered carriers for life
- Prescription antivirals
- Disinfection
- 10% bleach
- Inactive in environment after 24 weeks
- Sun more quickly
Adenoviruses
- Increasing cases reported since 2009
- Documented cases in
- Red-foot tortoises
- Leopard tortoises
- Ornate box turtles
- Sulawesi tortoises
- Impressed tortoises
- Burmese star tortoises
- Documented cases in
- Transmission – fecal oral or direct contact
- Disease most often seen in immunocompromised or young individuals
- Concurrent disease common
- Results in: Hepatitis, Enteritis, Esophagitis, Splenitis, Encephalopathy
- Clinical signs
- Sudden death
- Anorexia
- Lethargy
- Mucosal ulceration
- Palatine erosions of the oral cavity
- Nasal and ocular discharge
- Diarrhea
- Adenoviruses
- Diagnosis
- PCR
- Histopathology
- Treatment – very limited success
- Mortality rate in Sulawesi tortoises was 87.6%
- Poor prognosis
- Recovered animals asymptomatic carriers for life (Red-foot tortoises)
- Environmentally persistent and disinfection challenging
Iridoviruses/Ranaviruses
- Highly contagious cause of morbidity and mortality with increasing cases worldwide since 2003
- Clinical disease has been described in
- Hermann’s tortoises
- Gopher tortoises
- Soft-shelled turtles (“Red-neck disease”)
- Eastern box turtles
- Florida box turtles
- Red-eared sliders
- Burmese star tortoises
- Mechanism of transmission unknown
- Observed in wild and captive populations in the US and Europe
- Clinical signs
- Upper respiratory tract disease
- Respiratory distress
- Nasal discharge
- Oral ulceration
- Cutaneous abscessation
- Subcutaneous edema
- Anorexia
- Lethargy
- Red skin lesions (soft-shelled turtles)
- Conjunctivitis
- Cellulitis of the neck
- Diagnosis
- PCR analysis
- Needs to be specific and sequencing important as false positives can occur from insect viruses
- PCR analysis
- Treatment – limited success
Paramyxoviruses
- Well documented cause of disease in snakes
- Fewer cases documented in tortoises
- 2013 study of prevalence in Europe and Madagascar
- 202 tortoises from 6 countries and 9 different species – 5.5% had antibodies
- Spain and UK had highest percentage at ~10% positive
- Clinical signs
- Lethargy
- Rhinitis
- Conjunctivitis
- Emaciation
- Respiratory distress
- Death
Picornaviruses
- First detected in juvenile Testudo spp. Tortoises in Europe and Sulawesi tortoises in 2014.
- Previously referred to as “Virus X”
- Clinical signs: Soft shells, kidney disease, and death
- Little is known at this point about transmission
- Koch’s postulates recently experimentally fulfilled
- Often mistaken for Nutritional Secondary Hyperparathyroidism
- Metabolic Bone Disease
Internal Parasites:
Cryptosporidium spp.
- Most commonly recognized in snakes and lizards
- Being reported with increasing frequency in chelonians
- Sonoran desert tortoises
- Indian star tortoises
- Pancake tortoises
- Russian tortoises
- Radiated tortoises
- Gopher tortoises
- Indotestudo spp and Testudo spp.
- Italy, Germany, Spain, Switzerland, Czech Republic, Ghana, Australia, & US
- Being reported with increasing frequency in chelonians
- Suspect transmission similar to that of Cryptosporidium in other host species – Highly contagious!
- Clinical Signs
- Chronic Diarrhea
- Decreased appetite
- Pica
- Decreased growth rate
- Weight loss
- Lethargy
- Softer than normal shells in juveniles
- Passing undigested feed
- Diagnosis
- PCR with sequencing
- Acid Fast examination of fecal smears
- Treatment
- Currently no data for treatment in chelonians
- Paromomycin (Rx) shows promise in some reptile species but all recovered individuals should be considered asymptomatic carriers
- Currently no data for treatment in chelonians
- Disinfection
- Resistant to disinfection
- Temperatures greater than 150F (steam or flame thrower)
- Formalin (10%)
- Glutaraldehyde (2.65%)
- Ammonia (5-10%)
- Rescue Disinfectant at 1:16 for 15 minutes
Intranuclear Coccidiosis
- First identified in 1990
- Clinical disease has been described in a number of species
- Radiated tortoises
- Impressed tortoises
- Leopard tortoises
- Forsten tortoises
- Bowsprit tortoises
- Spider tortoises
- Galapagos tortoises
- Flat-tailed tortoises
- Eastern box turtles
- Arakan forest turtles
- More…
- Clinical disease has been described in a number of species
- Reported in US and Germany
- Most commonly occurs in captive tortoises
- Life cycle and route of transmission not fully understood
- Morbidity and mortality variable within groups
- Clinical signs – non-specific/variable
- Anorexia
- Lethargy
- Lack of normal diurnal behavioral patterns
- Increased respiratory effort
- Mouth breathing
- Rapid weight loss or gain
- Mild conjunctival or nasal erythema
- Ocular or nasal discharge
- Gasping
- Subcutaneous edema
- Ulceration of the cloacal mucosa
- Death can occur within days of clinical signs or after months of treatment
- Stress and thermoregulatory changes enhance progression of disease
- Reduced immune response
- Animals that recover with treatment become asymptomatic carriers
- Diagnosis
- Identification by cytologic examination of nasal discharge
- Biopsy and histologic examination of affected tissues
- Quantitative PCR on swabs of the conjunctiva, oral and choanal mucosa, and cloaca
- Treatment
- Focused on optimal husbandry
- Isolation
- Supportive care
- Hospitalization
- Prescription coccidiostats
- Prognosis
- Guarded to poor as even recovered individuals may have permanent organ damage and succumb months after treatment
Hexamita spp.
- Contagious flagellated protozoal parasite that effects the digestive and urinary tracts, including the kidneys, and liver.
- Parasite invades kidneys causing damage to the filtration apparatus (glomeruli and renal tubules)
- Affected kidneys are enlarged and pale
- Leads to kidney failure and death
- Documented in cases in numerous freshwater turtle and tortoise species.
- Most common cases in practice seen in recently imported Russian Tortosies
- Clinical Signs
- Failure to thrive
- Anorexia
- Weight Loss
- Death
- Treatment
- Prescription antiprotozoals
- Supportive Care
- Environmental decontamination
- Cleansing feces off shells to prevent reinfection
- Prognosis depends on degree of damage to the kidneys prior to treatment
Nematodes & Trematodes
- Nematodes – Hookworms, Roundworms
- Trematodes – Flukes
- Clinical signs non-specific
- Treatment – Prescription antiparasitics
Ectoparasites:
Ticks & Mites
- Vectors for other diseases
- Anemia with high parasite loads
- Treatment
- Antiparasitics – not ivermectin!
- Physical Removal
- Prevention
Disease Prevention:
- Establish effective quarantine protocols.
- Decontamination and disinfection is very important.
- Careful animal health monitoring
- Annual veterinary examinations
- Fecal parasite screenings
- PCR screenings
Conclusion:
Diseases in turtles and tortoises are emerging and popularity of these species are increasing. Understanding the prevalence of these diseases both in natural and captive populations is important in preventing the spread of disease between and within collections.
References:
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