Emergency Presentations of the Exotic Small Mammalian Herbivore Trauma Patient

Trauma is a common complaint by owners of small exotic mammalian herbivores (e.g., rabbits, rodents) presented to veterinary hospitals. The term “trauma” is a broad disease category applied to patients with physical debilitation associated with injury often classified as “blunt,” “penetrating,” or “burn” in origin. Because many small exotic mammalian herbivores are prey animals, clinical signs of trauma may be masked until the effects of the injury outweigh the innate nature to survive. Small exotic mammalian herbivores are disproportionately sensitive to stress; thus, pain management and supportive care are extremely important during the initial stages of trauma management. Small exotic mammals differ slightly from other companion animals (e.g., dogs, cats) in regard to common trauma presentations. However, with a few therapeutic modifications (e.g., antibiotic selection, avoidance of corticosteroids, preventing self-trauma), treatment of small exotic mammalian herbivore trauma cases follows the same conventional guidelines used for other companion animals.     

Evidence-based Medicine in Small Mammals

Evidence-based medicine in small exotic mammals is often considered challenging because of a lack of information related to reference data, validated diagnostic tests, treatment outcome, side effects, long-term prognosis, and financial constraints of the owner. However, despite this lack of information, it is still possible to provide good medical care to small exotic mammals and confirm a disease diagnosis that can be properly treated. With many small exotic mammal cases, the condition of the animal and, ultimately, the disease diagnosis, may not be familiar to the attending veterinarian, and in some cases the disease itself may not have ever been described in that species in the scientific literature. This article describes the process of diagnosing hyperthyroidism in a guinea pig using a recommended patient assessment, diagnostic, and treatment protocol.     

Emergency Presentations Associated with Cardiovascular Disease in Exotic Herbivores

Exotic animals, including small herbivores, are increasing in popularity as companion animals. Commonly owned exotic herbivores include guinea pigs, chinchillas, and rabbits. These animals fall into the category of prey species with an inherent instinct to hide their illness until severely affected by the disease process. Therefore, any of these animals presented as an emergency case must be carefully evaluated for chronic underlying illness. Cardiovascular emergency and critical care principles are similar across all mammalian species. However, specialized techniques and adaptations are occasionally required because of the unique physiology and natural behaviors of these animals. It is essential to evaluate and stabilize these patients before attempting definitive diagnostic plans. Emergency cardiovascular presentations, as in other mammals, consist of congestive heart failure, arrhythmias, pericardial effusion, and toxicities that can result in cardiac and pulmonary arrest. Cardiac disease is a relatively common finding in small exotic mammals, but there are few peer-reviewed reports regarding diagnosis and treatment of heart disease in these species. Diagnostic testing and treatment options are generally based on knowledge of small animal medicine.     

Gastrointestinal Disease in Exotic Small Mammals

Exotic small mammal medicine is a relatively new specialty area within veterinary medicine. Ferrets, rabbits, and rodents have long been used as animal models in human medical research investigations, resulting in a body of basic anatomic and physiologic information that can be used by veterinarians treating these species. Unfortunately, there is a paucity of veterinary articles that describe clinical presentation, diagnosis, and treatment options of gastrointestinal (GI) disease as it affects exotic small mammals. Although there is little reference material relating to exotic small mammal GI disease, patients are commonly presented to veterinary hospitals with digestive tract disorders. This article provides the latest information available for GI disease in ferrets (Helicobacter mustelae gastritis, inflammatory bowel disease [IBD], GI lymphoma, systemic coronavirus, coccidiosis, and liver disease), rabbits (GI motility disorders, liver lobe torsion, astrovirus, and coccidiosis), guinea pigs (gastric dilatation volvulus [GDV]), rats (Taenia taeniaeformis), and hamsters (Clostridium difficile). Both noninfectious diseases and emerging infectious diseases are reviewed as well as the most up-to-date diagnostics and treatment options.     

Critical Care of the Exotic Companion Mammal (With a Focus on Herbivorous Species): The First Twenty-Four Hours

The number of pet herbivorous exotic mammals is increasing, and their owners are demanding quality medical care. Successful treatment of the critical herbivorous exotic mammal patient is complicated by small patient size, physiological diversity, and a lack of research and clinical data regarding therapeutic response to disease conditions. Despite these impediments, the same principles and techniques used in other domestic animals, such as dogs and cats, can be applied to the herbivorous exotic mammal patient.     

Survey of Zoonotic Dermatoses in Client‐Owned Exotic Pet Mammals in Southern Italy

Several ‘exotic’ mammalian species (e.g. rabbits, rodents, ferrets and hedgehogs) live in close proximity to humans as companion pets. Skin diseases (SD) are frequent causes of morbidity in exotic pet mammals, and most of those SDs have a zoonotic potential. The purpose of this study was to determine the frequencies and types of zoonotic dermatosis (ZD) in client‐owned, exotic pet mammals in Southern Italy. Six‐hundred and fifty‐five medical records of exotic pet mammals examined between 2011 and 2012, across twenty private practice veterinary clinics around the Naples area (Italy), were retrospectively evaluated and screened for animals diagnosed with SDs (rabbits n = 455, guinea pigs n = 93, ferrets n = 64, hedgehogs n = 19, chinchillas n = 13 and rats n = 11). The records of animals diagnosed with SD, whose causative agents had a zoonotic potential, were selected for analysis. The Mann–Whitney independent test was used for statistical analysis. A P value ≤0.05 was considered statistically significant. Eighty‐two records (12.5%) of animals with ZD were identified. Of those, 56.1% (46/82) were affected by fungal infections and 42.7% (35/82) by parasitic infections. No zoonotic bacterial or viral infections were diagnosed. Dermatophytosis was significantly diagnosed more frequently in younger animals. The results of this survey indicate that exotic pet mammals may serve as active carriers for many highly contagious pathogens with zoonotic potential. Awareness and vigilance by the veterinary practitioner is crucial in the prevention of occurrences of ZDs. Children frequently come in close contact with exotic pets. To prevent the unplanned transmission of pathogen from pet to human, an active routine screening examination and preventative treatments are strongly recommended for every newly purchased pet mammal.     

Predation as a cause of neurologic signs and acute mortality in a pheasant flock

A flock of approximately 15,000 ring-necked pheasants (Phasianus colchicus) was evaluated for a sudden increase in mortality and acute neurological signs after having been previously diagnosed 3 wk earlier with a chronic respiratory disease of undetermined etiology. Approximately 25 live birds were displaying neurological signs including circling, ataxia, and obtunded behavior and 50 birds were dead. Three birds with neurological signs were submitted for evaluation. Extensive subcutaneous hemorrhage over the head and penetrating puncture wounds through the skull and into the brain were found. Trauma from a wild predatory mammal, most likely the long-tailed weasel (Mustela frenata) that had invaded the pheasant house and expressed surplus killing behavior was determined to be the cause of the acute neurological signs and mortality. The relationship of the chronic respiratory disease to the predation episode was not determined but it is possible that pheasants with severe respiratory disease may have had increased susceptibility to predation.     

Anesthesia and Analgesia in Rabbits and Rodents

Rabbits and rodents are popular pets and are often presented to veterinarians for evaluation and medical treatment. Anesthesia in exotic pets is required for many diagnostic and surgical procedures and is associated with a higher perioperative risk in rabbits and rodents when compared with dogs and cats. Inhalation anesthetic agents are commonly used as the sole source of anesthesia in small rodents, whereas injectable agents in combination with inhalation anesthesia are often used for rabbits and larger rodents. Analgesia is an important component of exotic pet medicine. Although it may be difficult to recognize signs of pain in companion exotic mammals, adequate pain management should always be provided. Opioid and nonsteroidal antiinflammatory drugs are the analgesic medications of choice, but others should be considered (e.g., local anesthetic agents). This article provides an update of the current literature regarding anesthesia and analgesia in rabbits and rodents.     

Rhinostomy as Surgical Treatment of Odontogenic Rhinitis in Three Pet Rabbits

Disease of the upper airways, specifically chronic rhinitis, is common in pet rabbits and is particularly debilitating in this obligate nasal-breathing species. Cases of chronic rhinitis can be mild to severe (empyema of the nasal cavities). Surgical therapy requires a thorough understanding of upper respiratory anatomy of the rabbit and is an option for chronic rhinitis cases nonresponsive to medical therapy. Diagnostic imaging aids in diagnosing the extent of the disease process and guides the surgical approach. The author reports 3 cases of surgical treatment of rabbit patients diagnosed with chronic rhinitis and empyema of the nasal cavities following advanced or end-stage dental disease.     

Glomerular disease

Glomerular diseases are a leading cause of chronic kidney disease in dogs but seem to be less common in cats. Glomerular diseases are diverse, and a renal biopsy is needed to determine the specific glomerular disease that is present in any animal. Familial glomerulopathies occur in many breeds of dogs. However, most dogs with glomerular disease have acquired glomerular injury that is either immune-complex mediated or due to systemic factors, both of which are believed to be the result of a disease process elsewhere in the body (i.e., neoplastic, infectious, and noninfectious inflammatory disorders). A thorough clinical evaluation is indicated in all dogs suspected of having glomerular disease and should include an extensive evaluation for potential predisposing disorders. Nonspecific management of dogs with glomerular disease can be divided into 3 major categories: (1) treatment of potential predisposing disorders, (2) management of proteinuria, and (3) management of uremia and other complications of glomerular disease and chronic kidney disease. Specific management of specific glomerular diseases has not been fully studied in dogs. However, it may be reasonable to consider immunosuppressive therapy in dogs that have developed a form of glomerulonephritis secondary to a steroid-responsive disease (e.g., systemic lupus erythematosus) or have immune-mediated lesions that have been documented in renal biopsy specimens. Appropriate patient monitoring during therapy is important for maximizing patient care. The prognosis for dogs and cats with glomerular disease is variable and probably dependent on a combination of factors. The purpose of this article is to discuss the general diagnosis and management of dogs with glomerular disease.     

Inherited Disorders of Hemostasis in Dogs and Cats

Inherited disorders of hemostasis encompass abnormalities in primary hemostasis, coagulation, and fibrinolysis resulting from genetic mutations. There is significant variation in the phenotype expressed ranging from life limiting to the absence of overt clinical signs. Von Willebrand disease is the most common primary hemostatic disorder in dogs, and hemophilia A is the most common coagulation factor disorder. The diagnosis of inherited bleeding disorders is made by functional and/or quantitative evaluation. Genetic testing has added to the knowledge base, allowing prevention through targeted breeding. Avoidance of trauma and injury is paramount in the prevention of bleeding in animals diagnosed with inherited hemostatic disorders. Current therapeutic options include platelet transfusions, broad replacement of coagulation factors (e.g., plasma), targeted factor replacement (e.g., cryoprecipitate), antifibrinolytic agents and specific factor replacement, and treatment of the symptoms (i.e., bleeding) with blood transfusions.     

Eumycetoma and disseminated phaeohyphomycosis in a Sumatran tiger

A 16-y-old female Sumatran tiger (Panthera tigris sumatrae) was evaluated for hyporexia. Examination revealed chronic kidney disease and a large subcutaneous axillary mass with draining tracts that contained numerous small black grains. Histologic examination revealed the presence of intralesional fungal hyphae. Persistent hyporexia and pyogranulomatous disease, as well as progressive cachexia and azotemia occurred despite treatment, and euthanasia was performed. Disseminated phaeohyphomycosis was diagnosed on postmortem examination, additionally affecting various lymph nodes, the nasal cavity, mesenteric adipose tissue, abdominal aorta, pericardium, and kidney. Fungal culture from a deep-tissue sample isolated a pure growth of Curvularia sp., a dematiaceous opportunistic fungus able to cause eumycetomas and/or phaeohyphomycosis. Phaeohyphomycosis is a rare but emerging condition, not previously reported as disseminated disease in an exotic carnivore, to our knowledge. Aggressive systemic antifungal treatment was unsuccessful, likely complicated by diagnostic challenges and concurrent renal disease. The presence of a swelling with abundant grains exiting draining tracts should direct clinicians to the diagnosis of a mycetoma, warranting early and aggressive treatment.     

Companion Animals Symposium: Environmental enrichment for companion, exotic, and laboratory animals

Animal scientists have an extraordinary burden to promote the health and well-being of all animals in their care. Promoting species- or breed-appropriate behaviors through proper training and enrichment, regardless of animal housing, should be a paramount concern for all animal scientists working with exotic animals, laboratory animals, shelter animals, or privately owned pet animals. Developing ideal training and enrichment programs for any species begins with understanding basic behavior patterns and emotional systems of animals. The basic emotional systems in mammals have been extensively mapped; however, most of these studies are in the neuroscience literature and seldom read by animal science professionals. The emotional circuits for fear have been well documented through studies demonstrating that lesions to the amygdala will block both conditioned and unconditioned fear behaviors. Additionally, other core emotional systems including seeking (i.e., approaching a novel stimulus), rage, panic (e.g., separation stress), play, lust (i.e., sex drive), and care (e.g., mother-young nurturing behavior) have been identified. More recent neuroscience research has discovered the subcortical brain regions that drive different types of seeking behaviors. Research to increase the understanding of the emotional systems that drive both abnormal and normal animal behaviors could greatly improve animal welfare by making it possible to provide more effective environmental enrichment programs. Enrichment devices and methods could be specifically designed to enable the expression of highly motivated behaviors that are driven by emotional circuits in the brain. The objective of this paper is to increase awareness of animal scientists to the field of neuroscience studying animal emotions and the application of that science to improve the welfare of captive exotic animals, laboratory animals, and pets with environmental enrichment.     

Vitamin D and Ultraviolet B Radiation Considerations for Exotic Pets

Vitamin D is an essential hormone that regulates many different functions in vertebrates and can have a protective effect against various disease conditions. Providing exotic pets appropriate access to vitamin D, through the diet, ultraviolet B (UVB) exposure, or a combination of both, is important for veterinarians and exotic pet owners to consider. Although it is commonly thought that most animals derive the vitamin D they need through their diet, there are a number of species that appear to benefit more from UVB exposure. In addition, there has been minimal study to investigate appropriate dietary levels of vitamin D for many of our exotic pets. Although the recommendation of providing UVB lighting has been primarily limited to captive reptiles, research with other species (e.g., birds and small mammals) suggests that these animals may also benefit from this type of lighting. However, the provision of UVB is not without its potential side effects. The purpose of this article is to review the important roles of vitamin D in animals, the different methods animals use to acquire this hormone, the potential clinical signs associated with hypovitaminosis or hypervitaminosis D, the role of artificial UVB lighting in the synthesis of vitamin D, and the potential side effects associated with UVB radiation.     

Biomarkers of Inflammation in Exotic Pets

The acute phase response (APR) is a key part of the innate immune system and acute phase proteins (APPs) represent the core of the early response to stimuli such as trauma, infection, stress, neoplasia, and autoimmune disease. These biomarkers have a different timeline and magnitude of expression vs traditional means of examining inflammation (e.g., total white blood count and albumin/globulin (A/G) ratio). Extensive studies conducted in companion and large animals have demonstrated many clinical applications for inflammatory biomarkers including diagnosis, prognosis, detection of subclinical disease and chronic inflammation, and monitoring stress. This article provides information regarding the APR and the uses of APP quantitation, as well as the growing body of information on APPSs in exotic animals.     

Learning and Dietary Choice in Herbivores

Herbivores select diets from an array of plant species that vary in nutrients and plant secondary metabolites (PSM). The outcome is a diet higher in nutrients and lower in PSM than the average available in the environment. Food preferences in herbivores are controlled by dietary cues (i.e., flavor) associatively conditioned by the food's postingestive actions. The senses of smell, taste, and sight enable animals to discriminate among foods. Postingestive feedback calibrates sensory experiences—like or dislike—in accord with past and present experiences with a food's utility to the body. Thus, food selection can be viewed as the quest for substances in the external environment that provide a homeostatic benefit to the internal environment. Livestock form preferences for foods that supply needed nutrients and medicines and avoid foods that provide excesses of PSM and nutrients. In order to manifest this plasticity, animals need a variety of foods instead of being constrained to a single food or monoculture. Under natural conditions where diversity of plants is the rule, not the exception, eating a variety of foods is how animals meet their nutrient requirements and cope with—and likely benefit from—PSM in their diets. At certain doses, PSM may provide beneficial effects to herbivores and favor plant persistence and adaptability. If herbivores learn to utilize multiple plants, the costs of consuming PSM on animal production and well-being could be minimized and the benefits of PSM enhanced. Once individuals learn about the contextual benefits of consuming diverse foods, social models (e.g., mothers) could train new generations of herbivores by observational learning. We propose that by combining the concepts of animal learning and food diversity, it will be possible to create sustainable grazing systems with less dependence on fossil fuels and with enhanced benefits for soils, plants, herbivores, and people.     

Advances in Avian Clinical Therapeutics

This article reviews advances in the pharmacokinetics and pharmacodynamics of therapeutic agents used in avian medicine. There has been a significant body of work published within the last 5 years that has helped provide a scientific basis for drug treatment in avian patients. This concise article of different studies on antibacterial, antifungal, analgesic, sedative and anesthetic, hormone (e.g., deslorelin), psychotropic, antiepileptic, and cardiovascular drugs provides evidence of the advancements in this area of companion exotic animal medicine.     

Equipping the exotic mammal practice.

Many tools used in small animal practice can be adapted for use with exotic mammals. For those veterinarians with a strong interest in exotic mammals, specific equipment and supply needs need to be taken under consideration. Initial investment need not be great to get started with special species, and as the practice develops more specialized equipment can be added. Starting with equipment that aids in patient husbandry, diagnostic sampling, and routine hospital medical and surgical care is very helpful in creating confidence and expertise with these species. As the practice case load grows more sophisticated, equipment can be added, allowing for better diagnostic workups, medical treatment, and surgical care. The right equipment for the right job makes for a more rewarding and efficient exotic mammal practice. The author describes equipment and products (Table 1) he routinely uses in his private practice, and has provided a list of available sources. Readers should keep in mind that this list is not all-inclusive, and that in many instances products discussed can be found from multiple veterinary distributors or vendors. The author does not promote or recommend one supplier or manufacturer over another.     

Salmon poisoning disease in two Malayan sun bears

CASE DESCRIPTION: 2 captive sun bears (Helarctos malayanus) were evaluated because of acute onset of vomiting, mucoid diarrhea, lethargy, and anorexia 1 week after eating live trout from a northern California reservoir. CLINICAL FINDINGS: In 1 of the bears, a CBC and serum biochemical analyses revealed mild anemia, mild eosinophilia, moderate lymphopenia, moderate hypoalbuminemia, and high serum G-glutamyltransferase activity. Ultrasonographic examination of the same bear revealed ascites and mesenteric lymphadenopathy. Histologic examination of gastrointestinal tract biopsy specimens revealed moderate to severe lymphoplasmacytic and eosinophilic gastritis, enteritis, and colitis. Ova of Nanophyetus salmincola, the trematode vector of Neorickettsia helminthoeca (a rickettsial organism that causes salmon poisoning disease), were detected in fecal samples from both bears. TREATMENT AND OUTCOME: The bears were treated with oxytetracycline, doxycycline, praziquantel, and famotidine. Within 1 week after initiation of treatment, the appetite and fecal consistency of each bear were considered normal. Fecal ova shedding began 4 days after onset of clinical signs and ceased 9 days later. CLINICAL RELEVANCE: Salmon poisoning disease can be rapidly fatal in untreated animals, but if diagnosed early and treated appropriately, full recovery can be achieved. Domestic dogs and captive exotic bears are highly susceptible to clinical disease after ingestion of trematode-infected fish. Salmon poisoning disease may develop outside the geographic range in which the causative organism is endemic as a result of the transplantation of infected fish for sport fishing; veterinarians practicing in areas where infected fish may be transplanted should be aware of appropriate diagnostic and treatment protocols.