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Explore cases of snakes with gastric lesions including necropsy findings, diagnostic tests, and outbreak considerations. Learn about Cryptosporidium infection and control measures.
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Snakes With Gastric Lesions L.J. Venter South Africa
Cases • January 30, 2003 • Elaphe obsolete quadrivittata • Yellow Rat Snake • February 20, 2003 • Pseudaspis cana • Mole snake • August 14, 2003 • Elaphe guttata guttata • Corn snake
Environment • Display snakes • Behind glass • NO mixed snake/other herptile exhibits • Non-Display snakes • Plastic boxes • Recessed cement structures
Exhibit Management • Cleaned daily • Feces removed • Uneaten food items removed • Water replaced
New Arrivals • Quarantine • Separate area for 1 month • All animals • Includes “donated” animals from public
Diet • Majority of snakes • Mice • Large constrictors • Rabbit • Guinea pigs • Frequency of feeding varies • Species • Seasonal • Cement depression for water
Index Case • Yellow Rat Snake • Found dead with an open mouth in the enclosure • No other clinical history
Necropsy Findings • Mild post-mortem changes • No macroscopic abnormalities, abundant fat stores • Histopathology • Stomach • Lungs • Spleen • Kidney • Liver • Intestine/pancreatic duct
Questions: • What is your case definition? • Is this a potential outbreak?
Cryptosporidium serpentis • Clinical Signs • Post-prandial regurgitation • Weight loss and debilitation • Necropsy findings • Gastrointestinal tract • Thickening of rugae • Loss of segmental mobility
Background • Reptiles can harbor pathogenic organisms • A reservoir for other reptiles, domestic animals, humans • Snakes do not acquire Cryptosporidium from ingesting food • Acquire it from other reptiles • Cryptosporidium is not host specific in reptiles
Diagnosis • Acid fast stains • Fresh feces • Coating of regurgitated items • Gastric lavage (95% sensitivity) • Cloacal sampling (57% sensitivity)
Treatment • Halofuganone and Spiromycin • Ineffective in snakes • Hyperimmune bovine colostrum • Cryptosporidium parvum in dairy cows • Administered 1% of snake body weight once a week
Case 2 • Mole snake • Found dead lying next to water bowl • Ate 2 days previously
Necropsy Findings • Advanced post-mortem changes • Stomach • Small intestine • Liver • Kidney
Diagnostic Tests • Peripheral blood smear • Parasite identification • Stomach content smear
Case 3 • Corn snake • Found dead • Has not eaten for a month
Necropsy Findings • Emaciated with minimal stores • Moderate post-mortem change • Stomach/intestinal tract • Liver • Testes • Kidneys • Lung
Diagnostic Tests • Peripheral blood smear • Unremarkable
Outbreak Considerations • Cryptosporidiosis not identified in any of the three cases • History and clinical signs are highly suggestive of the disease • Absence of positive diagnosis? • Ignorance of disease in the early stages • Low sensitivity of acid-fast staining methods • Unavailability of more sensitive serological tests • True absence of the disease
Future Steps and Control Measures • Awareness of the disease • Means of infection and spread • COMMUNICATE to keepers • Ensure adequate hygenic principles • Enclosure cleaning • Clear guidelines for new reptilian arrivals • Quarantine and testing • Gastric lavage required for all new reptiles • Vigorously pursue a diagnosis • In reptiles showing indicative clinical signs of cryptosporidiosis
References • 1. Aiello, S. E. 2004. The Merck Veterinary Manual. 8 edition. Page 1418 - 1419. Merck & Co.,INC. New Jersey. • 2. Calle, P. P., Rivas, J., Munoz, M., Thorbjarnarson, J., Holmstrom, W., and Karesh, W. B. 2001. Infectious disease serologic survey in free-ranging Venezuelan anacondas (Eunectes murinus). Journal of Zoo & Wildlife Medicine 32(3): 320-323. • 3. Graczyk, T. K. and Cranfield, M. R. 1998. Experimental transmission of Cryptosporidium oocyst isolates from mammals, birds and reptiles to captive snakes. Veterinary Research 29(2): 187-195. • 4. Graczyk, T. K., Owens, R., and Cranfield, M. R. 31-12-1996. Diagnosis of subclinical cryptosporidiosis in captive snakes based on stomach lavage and cloacal sampling. Veterinary Parasitology 67(3-4): 143-151. • 5. Graczyk, T. K. and Cranfield, M. R. 1996. Assessment of the conventional detection of fecal Cryptosporidium serpentis oocysts in subclinically infected captive snakes. Veterinary Research 27(2): 185-192. • 6. Graczyk, T. K. and Cranfield, M. R. 1997. Detection of Cryptosporidium-specific serum immunoglobulins in captive snakes by a polyclonal antibody in the indirect ELISA. Veterinary Research 28(2): 131-142. • 7. Graczyk, T. K., Cranfield, M. R., and Hill, S. L. 1996. Therapeutic efficacy of halofuginone and spiramycin treatment against Cryptosporidium serpentis (Apicomplexa: Cryptosporidiidae) infections in captive snakes. Parasitology Research 82(2): 143-148.
References • 8. Graczyk, T. K., Cranfield, M. R., and Bostwick, E. F. 1999. Hyperimmune bovine colostrum treatment of moribynd Leopard geckos (Eublepharis macularius) infected with Cryptosporidium sp. Veterinary Research 30(4): 377-382. • 9. Graczyk, T. K., Cranfield, M. R., and Bostwick, E. F. 2000. Successful hyperimmune bovine colostrum treatment of Savanna monitors (<i>Varanus exanthematicus</i>) infected with <i>Cryptosporidium</i> sp. Journal of Parasitology 86(3): 631-632. • 10. Carmel, B. P and Groves, V. 1993. Chronic cryptosporidiosis in Australian elapid snakes: control of an outbreak in captive colony. Aust Vet J 70(8): 293-295. • 11. Oros, J, Rodriguez, J. L, and Patterson-Kane, J. 1998. Gastric cryptosporidiosis in a wild frilled lizard from Australia. Journal of Zoo & Wildlife Medicine 34(4): 807-810. • 12. Taylor, M. A, Geach, M. R, and Cooley, W. A. 1999. Clinical and pathological observations on natural infections of cryptosporidiosis and flagellate protozoa in leopard geckos (Eublepharis macularius). Veterinary Record 145(24): 695-699. • 13. Terrell, S. P, Uhl, E. W., and Funk, R. S. 2003. Proliferative enteritis in Leopard geckos (Eublepharis macularius) assiciated with Cryptosporidium sp. infection. Journal of Zoo & Wildlife Medicine 34(1): 69-75. • 14. Brower, A. I. and Cranfield, M. R. 2001. Cryptosporidium sp.-associated enteritis without gastritis in rough green snakes (Opheodrys aestivus) and a common garter snake (Thamnophis sirtalis). Journal of Zoo & Wildlife Medicine 32(1): 101-105.