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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
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
manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical
science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader
is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material
manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or
materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suit-
able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her
own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also
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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
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
xiii
Picture acknowledgments
The editor is grateful to the following for contributing figures to this book:
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
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 4
1 How is the clinical presentation of goiter usually different in elasmobranchs as
compared with bony fish?
1
Questions
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.
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.
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.
4
Questions
12a 12b
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?
5
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