Dilated Cardiomyopathy in a North American River Otter (Lontra canadensis) Under Human Care
IAAAM 2021
Jessica L. Barber1*+; Amanda Ardente2; Dr. Jennifer Dill-Okubo3

1Maples Center for Forensic Medicine, Colleges of Medicine, Veterinary Medicine, and Liberal Arts and Science, University of Florida, Gainesville, FL, USA; 2Ardente Veterinary Nutrition, LLC, Alachua, FL, USA; Florida Department of Agriculture and Consumer Services 3Florida Department of Agriculture and Consumer Services; Kissimmee, Kissimmee, FL, USA


Abstract

An adolescent, male, North American river otter (Lontra canadensis) was submitted for necropsy after being treated at a wildlife sanctuary for prolonged lethargy, incoordination and one episode of hematemesis. No bloodwork or other diagnostics were performed antemortem. This animal was born at the facility and was the only survivor from a litter of five. Lontra sp. are known for their playful nature and inhabit freshwater riverbanks and costal marine estuaries.1 The IUCN has listed this species as stable and permittable for harvest in selected areas. The most common causes of mortality are trauma, followed by idiopathic, infectious, nutritional, metabolic, and neoplasia.2 At necropsy, this male otter was in good body condition with ample adipose and no evidence of trauma. The lungs were diffusely red, wet, and heavy. The heart was large and round with a thin right ventricle (0.2 cm) and left ventricle (1 cm) wall. Microscopically, multifocal to coalescing hemorrhage with congestion in the lungs with alveolar histiocytosis and numerous pigment laden macrophages. There was no gross or microscopic evidence of systemic infectious disease or inflammation and PCRs for Toxoplasma gondii and Sarcocystis neurona, IHC for leptospirosis, a DFA for distemper virus, lung cultures and fecal float were negative.3 Findings are most consistent with dilated cardiomyopathy and pulmonary changes due to heart failure. Dilated cardiomyopathy (DCM) can be an acquired heart disease in which the ventricular myocardium weakens and loses its ability to contract normally. Over time, this ineffective pumping results in congestive heart failure. DCM can be inherited, but it is also linked to nutritional deficiencies, including taurine, L-carnitine, and thiamine, in sea lions and various species of terrestrial mammals including sea lions, hamsters, and humans.4,5,6 Within mustelids, DCM death is reported in ferrets (Mustela putorius furo) and southern sea otters (Enhydra lutris nereis).7,8 The diet of this otter consisted largely of frozen and thawed fish, which is true for many river otters under human care. The process of freezing and thawing, however, results in rapid loss of nutrients like water-soluble vitamins, including thiamine.9,10 Thus, for all primarily piscivorous species under human care, daily thiamine supplementation is recommended at 25–30 mg/kg fish “as fed”.7,8 This otter was being administered ½ cc of thiamine paste once a week; a dose that could not have provided enough of the vitamin to replace the inherent dietary deficiency. It is possible that this thiamine deficiency led to the development of cardiomyopathy, previously undocumented within the North American river otter.

*Presenting author
+Student presenter

Literature Cited

1.  Kimber R Kevin, George V Kollias II. 2000. Infectious and Parasitic Diseases and Contaminant-Related Problems of North American River Otter (Lontra canadensis): A Review. J. Zoo Wildl. Med 31(4):452–472.

2.  Gaydos K Joseph, Delaney A Martha, Raverty Stephen. 2020. Causes of Mortality in a Population of Marine-Foraging River Otters (Lontra canadensis). J Wildl Dis 56(4): 941–946.

3.  Kreuder, C, Miller, MA, Lowenstine, LJ, Conrad, PA, Carpenter, TE, Jessup, DA, & Mazet, JA. 2005. Evaluation of cardiac lesions and risk factors associated with myocarditis and dilated cardiomyopathy in southern sea otters (Enhydra lutris nereis). Am. J. Vet. Res. 66(2), 289–299.

4.  Rigdon RH and Drager GA. 1955. Thiamine deficiency in sea lions (Otaria californiana) fed only frozen fish. J Amer Vet Med Assoc. 127: 453–455.

5.  Hirota Y, Kane RL, and Abelmann WH. 1979. Cardiovascular effects of exercise in hamsters with experimental thiamine deficiency. Jap Circ J. 43: 99–106.

6.  Albarkri A. 2019. Nutritional deficiency cardiomyopathy: A review and pooled analysis of pathophysiology, diagnosis, and clinical management. Res Rev Insights. 3: 2–14.

7.  Geraci JR. 1972. Dietary disorders in marine mammals: Synthesis and new findings. J Amer Vet Med Assoc. 179: 1183–1189.

8.  Geraci JR. 1974. Thiamine deficiency in seals and recommendations for its prevention. J Amer Vet Med Assoc. 165: 801–803.

9.  Berry M, Fletcher J, McClure P, and Wilkinson J. 2008. Chapter 2: Effects of freezing on nutrition and microbiological properties of foods. In: Frozen Food Science and Technology. Ed. Judith A Evans. Blackwell Publishing Ltd. Pp 26–29.

10.  Mazzaro LM, Koutsos EA, and Williams JJ. 2016. Current practices in aquatic animal supplementation. J Zoo Aq Res. 4(4): 202–208.

 

Speaker Information
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Jessica Barber
Maples Center for Forensic Medicine
Colleges of Medicine, Veterinary Medicine, and Liberal Arts and Science
University of Florida
Gainesville, FL, USA


MAIN : Session 9: Case Presentations 2 : North American River Otter DCM
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