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The document is a promotional overview of the second edition of 'Ornamental Fishes and Aquatic Invertebrates: Self-Assessment Color Review' by Gregory A. Lewbart, highlighting its educational value and updates in the field of aquatic animal medicine. It mentions the increased interest and participation in veterinary medicine for ornamental fish and invertebrates, along with the contributions of various experts in the field. The book serves as a clinical guide and learning tool for veterinary professionals, emphasizing the importance of independent verification of medical information.

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Self-Assessment Color Review
Ornamental Fishes and
Aquatic Invertebrates
Second Edition
Self-Assessment Color Review

Ornamental
Fishes and
Aquatic
Invertebrates
Second Edition

Gregory A. Lewbart
MS, VMD, DiplACZM
Professor of Aquatic Animal Medicine
North Carolina State University
College of Veterinary Medicine
Raleigh, NC, USA
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742

© 2017 by Taylor & Francis Group, LLC


CRC Press is an imprint of Taylor & Francis Group, an Informa business

No claim to original U.S. Government works

Printed on acid-free paper


Version Date: 20160525

International Standard Book Number-13: 978-1-4822-5886-8 (Paperback)

This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts
have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any
legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that
any views or opinions expressed in this book by individual editors, authors or contributors are personal to them
and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this
book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement
to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant
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is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material
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able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her
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Dedication
To all of our patients: past, present, and future. They give so much and deserve
our best.

v
Contents
Preface .........................................................................................................ix
Contributors ................................................................................................xi
Acknowledgments ..................................................................................... xiii
Picture acknowledgments ...........................................................................xv
Abbreviations............................................................................................xvii
Broad classification of cases .......................................................................xix

Questions ......................................................................................................1
Answers ......................................................................................................95

Index .........................................................................................................229
Also available in the Self-Assessment Color Review series ........................235

vii
Preface
There have been many exciting changes in ornamental fish and aquatic invertebrate
medicine since I edited the 1998 version of this self-assessment guide. At that time
there were far fewer veterinarians practicing fish medicine than there are today.
Now virtually every major aquarium in the United States, and in many other
countries, has at least one full time veterinarian, with some employing three or
more. We have also witnessed an increased interest and awareness by traditional
zoo veterinarians of the fish and invertebrate animals at their institutions. In
addition to the International Association for Aquatic Animal Medicine (IAAAM),
we now have the World Aquatic Veterinary Medical Association (WAVMA) and
the American Association of Fish Veterinarians (AAFV). Veterinary participation
in annual continuing education opportunities, such as the Eastern Fish Health
Workshop, the Shark Reef Aquatic Medicine Seminar, and the Regional Aquatics
Workshop (RAW), to list a few, is on the rise. These changes have allowed for an
increased number of contributors to this edition while at the same time providing
cases with more diagnostic and therapeutic depth and understanding.
Ornamental fish medicine is now included in many if not most veterinary
curricula. This has sparked even more student interest in and awareness of fish and,
in some cases, invertebrate medicine. There are also many more textbooks on these
topics including at least two books on koi medicine alone. These factors combine
to make the appearance of a second edition of this book both prudent and timely.
All of the cases and questions in this book are new, as are many of the
contributors. Since this is a clinical work, the reader should keep in mind there can
be more than one ‘right’ answer to many of the questions contained in these pages.
In fact the reader may come across contradictory information and ideas when
comparing similar case scenarios. This can be a healthy and constructive exercise
and mimics what one sees in day-to-day veterinary practice.
I am indebted to the many knowledgeable contributors who so generously gave
of their time. Without their breadth of knowledge and experience, this would not
be the rich educational resource I hope the reader finds it to be.
Finally, as the editor of this work, I accept full responsibility for its content.
Please use this book as a clinical guide, learning tool, and tank side resource. But
do not rely on it as a stand-alone reference. Use your own clinical skills, intuition,
and consultation with experienced colleagues before making real life clinical
decisions on an unfamiliar case or medical challenge. And please take good notes
and secure quality images when possible in order to help further advance fish and
invertebrate medicine.
Good luck with all of your ornamental fish and aquatic invertebrate clinical
efforts!

Gregory A. Lewbart

ix
Contributors
Laura Adamovicz DVM Leigh Clayton DVM, DiplABVP
University of Illinois National Aquarium
Champagne, Illinois, USA Baltimore, Maryland, USA

Lance Adams DVM Daniel S. Dombrowski MS, DVM


Aquarium of the Pacific North Carolina Museum of
Long Beach, California, USA Natural Sciences
Raleigh, North Carolina, USA
Jeffrey R. Applegate Jr. DVM
North Carolina State University Cara Field DVM, PhD
College of Veterinary Medicine The Marine Mammal Center
Raleigh, North Carolina, USA Sausalito, California, USA

Shane Boylan DVM Robert H. George DVM


South Carolina Aquarium Ripley’s Aquariums
Charleston, South Carolina, USA Myrtle Beach, South Carolina, and
Gatlinburg, Tennessee, USA
Terry W. Campbell MS, DVM, PhD
College of Veterinary Medicine Catherine Hadfield MA, VetMB,
Colorado State University MRCVS, DiplACVM, DiplECZM
Fort Collins, Colorado, USA National Aquarium
Baltimore, Maryland, USA
Julie M. Cavin DVM
New England Aquarium Craig A. Harms DVM, PhD, DiplACZM
Boston, Massachusetts, USA College of Veterinary Medicine
Center for Marine Sciences and
Larry S. Christian BS Technology
College of Veterinary Medicine North Carolina State University
North Carolina Museum of Natural Morehead City, North Carolina, USA
Sciences
Raleigh, North Carolina, USA Tara M. Harrison DVM, MPVM,
DiplACZM, DiplACVPM
Emily F. Christiansen DVM, MPH, College of Veterinary Medicine
DiplACZM North Carolina State University
North Carolina Aquariums Raleigh, North Carolina, USA
Raleigh, North Carolina, USA
Dan H. Johnson DVM, DiplABVP
Elsburgh O. Clarke III DVM Avian and Exotic Animal Care
Audubon Aquarium of the Americas Raleigh, North Carolina, USA
New Orleans, Louisiana, USA
Rob Jones BVSc(Hons),
Tonya Clauss DVM, MS MACVSc(Aquatic Animal Health),
Georgia Aquarium M. Aquaculture
Atlanta, Georgia, USA “The Aquarium Vet”
Victoria, Australia

xi
Lesanna L. Lahner DVM Ronald K. Passingham BS
School of Public Health College of Veterinary Medicine
University of Washington North Carolina State University
Seattle, Washington, USA Raleigh, North Carolina, USA

Gregory A. Lewbart MS, VMD, B. Denise Petty DVM


DiplACZM North Florida Aquatic Veterinary
College of Veterinary Medicine Services
North Carolina State University Fort White, Florida, USA
Raleigh, North Carolina, USA
Lysa Pam Posner DVM, DiplACVAA
Richmond Loh DipProjMgt, College of Veterinary Medicine
BSc, BVMS, MPhil(Pathology) North Carolina State University
Murdoch, MANZCVS(Aquatics Raleigh, North Carolina, USA
& Pathobiology), CertAqV, NATA
Komsin Sahatrakul DVM (Hons),
Signatory
CertAqV
The Fish Vet
Resorts World at Sentosa Pte. Ltd.
Perth, Western Australia
Singapore
Barbara Mangold DVM Johnny Shelley MS, DVM, CertAqV
Mount Pleasant Hospital for 5-D Tropical Inc.
Animals Plant City, Florida, USA
Newtown, Connecticut, USA
Donald Stremme VMD
Stuart E. May BA AQUAVET®
North Carolina Aquarium at Pine College of Veterinary Medicine
Knoll Shores Cornell University
Pine Knoll Shores, North Ithaca, New York, USA
Carolina, USA
Helen Sweeney DVM
Alexa McDermott DVM Elma Animal Hospital
Georgia Aquarium Aquatic Veterinary Services of WNY
Atlanta, Georgia, USA West Seneca, New York, USA

Blayk Michaels William H. Wildgoose BVMS,


Bass Pro Shops Base Camp CertFHP, MRCVS
Springfield, Missouri, USA Midland Veterinary Surgery
Leyton, London, UK
Christine Molter BS, DVM
Houston Zoo, Inc. Roy P. E. Yanong VMD
Houston, Texas, USA Tropical Aquaculture Laboratory
Fisheries and Aquatic Sciences Program
Brian Palmeiro DVM, DiplACVD School of Forest Resources and
Pet Fish Doctor Conservation
Lehigh Valley Veterinary Dermatology IFAS/University of Florida
Allentown, Pennsylvania, USA Ruskin, Florida, USA
xii
Acknowledgments
I would first like to acknowledge the many individuals who have been a source
of inspiration, support, and guidance. I thank all of my mentors and professors,
but, in particular, Donald Abt, Robert Barnes, Philip Bookman, Dale Dickey, John
Gratzek, Louis Leibovitz, William Medway, Trish Morse, Nathan “Doc” Riser,
Ralph Sorensen, and Richard Wolke. I am fortunate to be associated with the
North Carolina State University College of Veterinary Medicine (NCSU-CVM), a
fine, progressive institution of higher learning. I am grateful to all of my NCSU-
CVM friends and colleagues. Elizabeth Hardie, Craig Harms, Paul Lunn, Kent
Passingham, and Michael Stoskopf have been especially supportive.
I collectively thank the veterinary students and house officers I have worked
with, both at the NCSU-CVM and those from other colleges of veterinary medicine.
These young people are the bright future of our profession, and on many days they
teach me more than I teach them.
I am very grateful to the talented group of contributors who generously gave of
their time and expertise to share their cases with you. I take full responsibility for
any errors or omissions.
The folks at CRC Press have been exceptional through this entire process.
I specifically acknowledge Jill Northcott, Commissioning Editor; Alice Oven,
Senior Editor; Nikola Streak, who helped in the early stages; Julia Molloy, who was
been patient, flexible, and responsive to queries; Helen Stanley and Peter Beynon,
copy-editors extraordinaire; and Paul Bennett, Project Manager. I am fortunate
and honored to have worked with Paul and Peter on both editions of this book.
Finally, I am grateful for the love, support, and wise insight provided by my
wife, Diane Deresienski. She is always there to catch an idea or thought and toss
back a strike, right down the middle.

xiii
Picture acknowledgments
The editor is grateful to the following for contributing figures to this book:

Alaska Sealife Center 73 T. Miller-Morgan 182b


S. Christian 194a, 194b K. Passingham 217
K. Hadfield 184b, 193 D. Petty 5b, 139a, 139b, 154a–d, 170b,
S. Hammer 206 175, 185, 191a, 191b, 192a
C. Harms 159, 192b, 196a, 196b B. Phillips 177a, 177b, 220
K. Hartman 171a, 171b F. Scharf 160a
L. Loh 184a J. Shelly 3
S. May 167 R. Vassallo 174c
M. Mehalick 216a, 216b, 221 L. Warren cover photo

xv
Abbreviations
AST aspartate aminotransferase NSAID non-steroidal
BAR bright, alert, and responsive anti-inflammatory drug
CBC complete blood count NSF no significant findings
CK creatine kinase PCR polymerase chain reaction
CNS central nervous system PCV packed cell volume
CT computed tomography PO per os, orally
DO dissolved oxygen ppm parts per million
ERG electroretinogram ppt parts per thousand
GA general anesthesia psi pounds per square inch
GI gastrointestinal q every
H&E hematoxylin and sid semel in die, ‘once a day’
eosin (stain) TAN total ammonia nitrogen
HLLE head and lateral line erosion TP total protein
ICe intracoelomic TS total solids
IM intramuscular/intramuscularly UV ultraviolet
IV intravenous/intravenously WBC white blood cell (count)

xvii
Broad classification of cases
Note: Some cases appear under more than one category.

Analgesia Filtration
37, 63, 67, 87, 147 9, 107, 165, 166, 179, 180, 183, 185,
190, 193, 203, 218
Anatomy and physiology
1, 4, 6, 14, 19, 32, 39, 59, 64, 69, 73, Fungal diseases
82, 86, 87, 89, 94, 97, 102, 106, 126, 38, 56, 75, 104
136, 141, 162, 169, 177, 182, 189, 195,
197, 198, 199, 202, 214, 216, 221 Imaging
22, 29, 39, 45, 49, 54, 89, 94, 106, 135,
Anesthesia 136, 141, 155, 157, 160, 169, 188,
17, 30, 33, 34, 35, 43, 49, 50, 55, 60, 198, 200
61, 62, 67, 69, 79, 88, 89, 104, 105,
111, 114, 136, 147, 197, 207, 213, 221 Neoplasia
21, 49, 79, 80, 105, 201
Bacterial diseases
12, 23, 46, 58, 62, 99, 108, 116, 119, Nutrition
125, 152, 153, 163 4, 5, 6, 14, 86, 110, 129, 149

Behavior Ophthalmology
44, 51, 103 8, 15, 18, 24, 25, 26, 146, 150

Buoyancy problems Parasitic diseases


51, 54, 92, 188 1, 2, 11, 24, 25, 26, 27, 28, 30, 31, 53,
57, 65, 66, 70, 72, 77, 78, 84, 85, 92,
Cytology 94, 100, 112, 113, 120, 121, 123, 127,
5, 9, 10, 33, 49, 109, 148, 156, 159, 212 130, 137, 138, 142, 144, 150, 151, 154,
170, 171, 172, 173, 175, 176, 181, 184,
Environment/water quality 191, 192, 198, 204, 205, 210
3, 7, 13, 15, 18, 39, 40, 41, 42, 44, 47,
52, 60, 71, 74, 76, 81, 83, 86, 88, 90, Quarantine/transport
91, 93, 96, 98, 99, 110, 115, 117, 118, 40, 41, 42, 215
122, 131, 132, 133, 135, 136, 140, 141,
143, 145, 158, 161, 166, 167, 188, 196, Reproduction
200, 206, 211, 217, 219 22, 29, 59, 62

xix
Surgery Toxicities
21, 35, 36, 43, 56, 69, 80, 87, 105, 88, 92, 140, 145, 168, 208
111, 147
Trauma
Therapeutics 3, 20, 49, 81, 96, 101, 103, 111, 155,
5, 8, 11, 37, 54, 58, 65, 66, 68, 74, 77, 174, 195
78, 92, 96, 100, 101, 103, 108, 112,
113, 123, 126, 130, 135, 137, 138, 151, Viral diseases
152, 154, 156, 162, 163, 170, 171, 172, 10, 16, 91, 128, 139, 164, 178, 187, 209
174, 175, 176, 181, 182, 186, 192, 194,
201, 204, 205, 220

xx
Questions
CASE 1 Six wild collected female bonnethead sharks (Sphyrna tiburo) have
recently given birth in captivity. Animals were treated previously with 2.0 ppm
praziquantel immersions of 7 days each and water quality shows no elevation
in ammonia, nitrite, or nitrate. Three young bonnetheads have perished over the
weekend and were observed eating during the week. The staff report nothing
unusual on necropsy and the adults are eating and behaving normally. All
sharks are swimming normally with no signs of dermatitis or ulceration. The
tank temperature is 24.5°C (76°F). The staff are hesitant to capture the recently
acquired adults.

1 What is your next diagnostic step considering the delicate nature of bonnethead
sharks?
2 Had there been evidence of lactic acidosis, how would you manage this problem?

CASE 2
1 Why are there still monogeneans present in Case 1 despite the praziquantel
treatment and how will you proceed using the same drug?
2 What is the correlation between tank temperature and pathogen-induced
dermatitis in the bonnethead sharks (Sphyrna tiburo) in Case 1?

CASE 3 A French grunt (Haemulon flavolineatum) weighing 2 kg is placed


into an empty 1,500 L (395 US gal) hospital tank due to superficial traumatic
abrasions and lacerations secondary to tank mate aggression. It is anesthetized,
the lesions are treated, and empirical antibiotics and analgesics are started. The
following morning the fish is found deceased on the bottom of the tank with
flared gills.

1 What are your top differentials for the acute mortality?


2 What further testing do you want to do?
3 What abnormalities would you expect to find?
4 How would you manage the problem identified by your diagnostic work up?

CASE 4
1 How is the clinical presentation of goiter usually different in elasmobranchs as
compared with bony fish?

1
Questions

5a CASE 5 An angelfish (Pterophyllum


sp.). from a large marine
multispecies exhibit presents with a
flared operculum. On sedation and
examination it has a large fleshy
mass originating from between the
ventral gill arches (5a).

1 What is your top differential


diagnosis?
2 What are your recommendations
for treatment and prevention of
this problem?

CASE 6 A 10-year-old blue ring angelfish (Pomacanthus annularis) presents


freshly deceased for necropsy. Yesterday this fish was eating and acting normally
and the other fish in the system
6a appear normal. There are no external
problems identified and skin scrapes
and gill clips are negative for parasitic
disease. On opening the body cavity
(6a) you find approximately 100 cc
of blood tinged fluid and a foul odor.

1 Can you identify the pathologic


lesion?

CASE 7 A lined seahorse (Hippocampus erectus) presents from the sygnathid


exhibit in a public aquarium with multifocal 1–3 mm soft swellings of the skin
along the snout. The seahorse was eating and behaving normally and had no
lesions 24 hours ago.

1 What questions do you want to ask the aquarist?


2 What diagnostic tests do you want to perform?
3 Based on your findings what is the most likely diagnosis?

2
Questions
CASE 8 A bigeye (Priacanthus arenatus) presents with a diffusely cloudy cornea
OD and distension of the globe. It has been eating well and behaving normally. It is
housed in a mixed taxa exhibit with fiberglass habitat.

1 What diagnostics do you want to conduct?


2 What procedures and/or treatments would you perform?

CASE 9 A client presents a blue tang (Paracanthurus hepatus) for patches of skin
that are losing color, particularly around the eye, and extending down the lateral
line (9a). On examination the lesions
are bilateral, slightly depressed, 9a
irregularly pigmented, and have
smooth margins. There does not
appear to be blood, increased mucus,
or sloughing tissue associated with
the lesions. You perform a skin scrape
and find no metazoan parasites and
cytology of the sample shows no
bacteria and low cellularity.
The owner tells you they have
owned this fish for about 2 years but
the lesions only began to develop over the last 2–3 weeks. The fish is housed in a
450 L (120 US gal) acrylic tank with a low density of other fish, no invertebrates,
natural rock, and artificial coral pieces. Filtration equipment includes a canister
filter, a wet dry trickle filter, and a UV sterilizer. The lighting is a fluorescent compact
aquarium system and the bulbs were replaced within the last year. The water
quality is tested weekly and is within appropriate levels, partial water changes are
performed about every 14 days to keep the nitrate levels below 60 mg/L, and the
tank is topped off with reverse osmosis water. The fish is fed a frozen and pelleted
commercial diet for omnivorous marine fish and also eats a leaf of romaine lettuce
a few times per week. When specifically asked about carbon filtration the owner
tells you that he normally does not use carbon, but about a month ago the water in
the tank was a bit yellow and carbon was added to the canister filter and in a net
bag into the sump of the trickle filter. The water cleared up within 24 hours but the
carbon is still in the filter.

1 What is the most likely diagnosis?


2 What questions would you like to ask the owner?
3 Describe HLLE for your client and provide information regarding prevention
and treatment options.

3
Questions
CASE 10 A group of 30 pinfish (Lagodon rhomboides) were recently collected
and brought into your collection. The animals were placed in an established
quarantine system and routine quarantine treatment protocols were initiated.
After 2 weeks you observe that multiple animals have developed multifocal white
raised nodules along their dorsal, pectoral, and caudal fins (10). All animals are
eating and swimming normally. There have been no mortalities noted.

10 1 Is skin scraping these lesions


appropriate?
You perform a skin scrape of the
lesions and observe large fibroblasts
on cytology. No ectoparasites are
noted.
2 What is the top differential for these
clinical signs and should the whole
school of fish be culled and another
batch obtained?

CASE 11 An aquarist brings you an Atlantic spadefish (Chaetodipterus faber),


a marine fish, that had died earlier that morning. You perform a necropsy and on
gill clippings you find multiple monogeneans presumed to be Neobenedenia sp.
This animal is from a multispecies 756 L (200 US gal) marine exhibit displaying
Atlantic blue crabs (Callinectes sapidus), spadefish, cobia (Rhachycentron
canadum), and pinfish (Lagodon rhomboides). This exhibit shares the same
filtration system with a large gallery that includes a touchpool exhibiting cownose
rays (Rhinoptera bonasus), and several other exhibits that display speckled trout
(Cynoscion nebulosus), red drum (Sciaenops ocellatus), sheepshead (Archosargus
probatocephalus), and mullet (Mugil cephalus). The total amount of water in the
system is 82,800 L (21,873 US gal).

1 Should the other exhibits in this system be suspected of having a monogenean


infestation?
2 Would copper sulfate, a common drug used for treatment of ectoparasites, be
indicated for use throughout the entire 82,800 L (21,875 US gal) system?
3 Devise a treatment plan for treating the entire system.
4 How much praziquantel would be needed for one treatment in the 82,800 L
(21,875 US gal) system at a dosage of 2.5 mg/L?

4
Questions

12a 12b

CASE 12 A population of 100 juvenile porkfish (Anisotemus virginicus) was


introduced into a cownose ray (Rhinoptera bonasus) exhibit, but was removed
3 months later because the majority of these fish developed sores, growths, and
frayed fins (12a). A wet mount image from a mucus smear made from one of the
cutaneous lesions is shown (12b). The porkfish had nearly 100% morbidity with
some fatalities, but the rays appeared healthy. During the following 10 days, the
quarantined porkfish were treated with nitrofurazone (2–5 ppm as a prolonged
immersion) for 5 days followed by formalin baths (250 ppm for 45 minutes) for
5 days and reduced salinity (15 ppt) with no response. During this period, there
was 100% morbidity and the mortality rate was 30%. Treatment was switched
to oxytetracycline (25 ppm as a prolonged immersion) and, after 5 days, there
were only two mortalities and the remainder of the fish began to heal. During the
following week the fish completely recovered and were returned to the exhibit.

1 Describe the lesions seen in 12a, b.


2 What are the two most likely causes for the lesions seen in the porkfish?

CASE 13 An international shipment of marine tropical fish arrives after a 36-hour


transit. On inspection the fish are normal in appearance and behavior. During the
acclimation process the fish are placed in a bin with aeration and receiving tank
water is slowly added to the shipping water. It is noted that some fish are lying on
the bottom and all are respiring rapidly. A water sample initially collected from
the shipping bag was analyzed for temperature 21.1°C (70°F), pH 5.8, oxygen
saturation (92%), ammonia (>2.5 ppm), and nitrites (0.05 ppm).

1 Why are the fish developing these symptoms and what should be done to treat
this problem and safely move forward with acclimation?
2 How could this problem be prevented with future shipments?

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