Negative pressure in right side of thoracic cavity. Lungs were wet, heavy and congested with
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1 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN Event Info Report Date: 28Jan10 Recovery Date: 28Jan10 Died Date & TOD: CBD, was seen dead 27Jan10 Necro Date & Time: 14: Storage Prior to Necropsy: IFAW truck Stranding Location:! mile south of Kingsbury Beach, Eastham Lat/Long: N/ W IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica Animal Info Sex: M Length: cm Weight: Kg Adult Condition at Stranding: 2 Condition at Necropsy: 2 Human Interaction: Yes / No / CBD / NE Mass Stranding: No # Animals: 1 Necropsy Summary Differential Diagnosis From Gross Exam: Tests Completed/Sent Out:! Ultra Sound! AEP " CT Scan! Blood work " Microbiology Bubbles in the fascia layer throughout entire body cavity, from the jaw down to pelvic region. Large pool of bubbles around medial steinal region. It is possible that air is escaping from fractured/ruptured bronchus. " Histology Negative pressure in right side of thoracic cavity. Lungs were wet, heavy and congested with (See end of report for details) areas of crepitous tissue in the caudal region of both lungs. Hardened circular nodule on anterior section of trachea. Prescapular lymph nodes appeared reactive. Stomach was full of nematodes as well as many nematodes attached to stomach lining. Stomach mucosa was hemorrhaged. Heavy load of Acanthocephalans in intestines. Small white flat lesion on right cerebral hemisphere. Test Results: histology, ct and microbiology pending Final Diagnosis (only after all reports are completed): Pending histology, ct and microbiology reports Final Diagnosis Code: Pending histology, ct and microbiology reports History Animal was reported dead on 1/28/10. Staff responded, collected and necropsied the same day. Reporter also noted that animal was seen dead on the beach the previous day (1/27/10). IFAW Marine Mammal Rescue and Research Revised 1/2010 1
2 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica Necropsy Observations: Please note general observations of color, condition, textures, etc. even when utilizing NA= not applicable, NE= not examined, NSF= no significant findings, NVL= no visible lesions. List weights (g) next to each organ examined. External Exam Body Condition: Thin/poor Skin/Hair Coat (color, condition): Normal (see lesions section). Wounds/Scars: Eye pecked out, see below. Lesions: On right and left rear flippers, there are many small, circular patches of missing skin covering both the ventral and dorsal surfaces, with more on the ventral surfaces. Does not look like scavenging damage. Possibly fungal. Parasites (found externally): One possible lice, but hard to identify. Nostrils/Blowhole: NSF Mouth (tongue, teeth condition, ulcers)/ Mucous membranes (color): Multiple broken teeth (upper canines). Inflamed pink gums. Eyes (discharge, color, ruptures): Right eye missing, most likely pecked out by a scavenger. Left lens is 2.0 cm in diameter. Ears: NSF Genital slit/anus: NSF Umbilicus: Healed Musculo/Skeletal System Blubber: 1.1 cm thick ventral. Only one measurement taken as pelt needed to be kept intact. Blubber is pink to cream in color, tacky, slightly gelatinous and fairly soft. Muscle: Extensive amount of bubbles (gas) in the fascia between the muscle and the blubber layers that extends from the tip of the lower jaw to the pelvic region. Especially large amount of bubbles and gas prominent along the IFAW Marine Mammal Rescue and Research Revised 1/2010 2
3 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica animal s sides (ribcage) again in the fascia layer. Muscle is very deep dark maroon in color. It is very tacky, considering the condition the carcass is in, which is fairly fresh. Diaphragm: Deep maroon. Thick, strong and slightly tacky. There is a large number of bubbles where the diaphragm attaches to the wall leading into the thoracic cavity. Skeletal: No breaks seen. NSF. Signs of hemorrhage in periostium at both eyes extending from tip of nose to crown of head. Possibly indicating scavenging just prior to death (or very soon after). Circulatory System Pericardium: Slightly opaque. NSF. Heart: Large sack of bubble tissue around heart (attached to diaphragm). Large amount of loose blood, some clumps of blood. Atria are very flat and flaccid. Vessels: NSF. Pulmonary System Trachea: On visceral surface, there is a large amount of small bubbles. On anterior end of trachea, there is a hardened nodule consistent with ridges but in between a set of ridges. It is 1.5 x 1.5 cm x 0.5 cm. On underside, there is a small circular nodule associated with hardened nodule on surface. Trachea seems slightly brittle. Bronchi: No froth. No parasites. Lungs (color, condition, edema, congestion, consolidation, granulomas, emphysema, lesions): In the center of the surface of the lungs, at the bi-frication, there is a lot of bubble in the external tissue. There are lines of bubbles in the midline of the lungs toward IFAW Marine Mammal Rescue and Research Revised 1/2010 3
4 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica the edges. Both lungs are wet, heavy and dark maroon in color internally. No parasites and no visible lesions. Tissue is soft. (R) Significantly larger than left lung. Mostly dark maroon, and slightly mottled with red patches. About midway through the lung, on the far right edge on the parietal surface, there are several lines of bubbles. The very caudal edge of the lung is pale pink, very emphysyematic and very thin. (L) Mostly dark maroon to dark red, mottled slightly. Most caudal end of lung is very emphysematic and very pale pink. Very caudal edge is very thin. Gastrointestinal System Esophagus: External tissue is full of bubbles. Internally, esophagus is empty. NSF. Stomach (contents, ulcers, mucosa, parasites): Weight Full g Weight Empty g Stomach was full of nematodes and also a clear fluid. Stomach mucosa is patchy, from yellow bile color to pink and also some areas of red. Over 100+ nematodes are attached to stomach mucosa. Mostly straight nematodes with a few spiraled ones. No visible ulcers. Intestines: In anterior intestines there is a thick, mucous like yellow substance. In some areas, there is a darker, thinner brown fluid. In lower intestines, there is a thick, brown fluid. Large number of Acanthocephalans in middle region of intestines. Mucosa in this middle region was red-tinged. Acanthocephalans appear to be all throughout intestines. Colon: Large amount of thick, dark green feces. Very bloated. Omentum, Mesentery, Peritoneum: Mesentery is slightly opaque, very friable and thin. Liver (color, congestion, lesions, size): Dark maroon in color. Consistent in color externally and internally. Smooth and wet. No parasites and no visible lesions. Gall Bladder/ Bile Duct/ Pancreaticoduodenal Duct (color, amount): Gall bladder has a small amount of bile. Pancreas: Flaccid. Edges are very thin and flat. Fairly friable. Internally, tissue is all pink to red. Consistent in color (photo to right). IFAW Marine Mammal Rescue and Research Revised 1/2010 4
5 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica Urinary/Reproductive Systems Kidneys (reniculi differentiation, color, condition): Large amount of blood in both kidneys. (R) Clear differentiation between cortex and medulla. Cortex is maroon in color and medulla is dark maroon in color. They are equal in size. Reniculi are well-adhered to each other. No stones and no parasites (L) Capsule of kidney is air-filled. Clear differentiation between cortex and medulla. Cortex is maroon in color and medulla is dark maroon equal in size. Reniculi are well-adhered to each other. No stones and no parasites Bladder: 50 cc of dark yellow urine. Testes: Immature / Mature??? Both testes are tan, smooth and consistent in color. NVL. No parasites. NSF. (R) NSF Weight: 42.5 g Lx W x H cm: 10.8 x 4 (L) NSF Weight: 43.3 g Lx W x H cm: 7.5 x 4 Pregnant? : NA (male) Lymphatic System Sub-Scapular Lymph Node: NE Pre-Scapular Lymph Node: (R) Pale brown to pale pink in color. Mottled. No clear differentiation. Wet, with light brown fluid inside. Two large, creamy white vessel-like structures. (L) Dark brown to red in color. Mottled. No clear differentiation. Wet. Internal vein-like structure. Thymus: NE Tracheobronchial Lymph Node: (R) 1.9 x 1.4 x 0.9 (L) 3.5 x 2.0 x g 3.7 g IFAW Marine Mammal Rescue and Research Revised 1/2010 5
6 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica Significant difference in size (left is much bigger than right). On the right lymph node, there are lots of small bubbles in the tissue surrounding the lymph node. Internally, the right lymph node is dark maroon to tan and very mottled. On the left lymph node, the medulla is dark brown to tan and mottled, and it takes up most of the space. The cortex is very thin and creamy tan in color. Spleen: Maroon, soft and flaccid. Internally, dark maroon and consistent in color. No visible legions, no parasites. Mesenteric Lymph Node: Tan to pink in color. NSF. Other Lymph (list location):! Sub-mandibular lymph node: (R) Is very wet internally and small in size. The medulla is dark brown to tan in color and the cortex is light tan to pale pink in color.! Lymph Node associated with pancreas: medulla is dark tan and cortex is dark maroon. It is fairly wet and of average size.! Lymph Node associated with reproductive tract: NSF Endocrine System Thyroid: Small, very flat and flaccid. Slightly tacky. Weight = 1.8 g. Length = 4.0, Width = 1.6, Height = 0.3 (photo right). Adrenals: Both left and right are mostly dark maroon in color and fairly consistent in color. (R) Bubbles surrounding right adrenal, between adrenal and body wall (L) Large amount of bubbles in surrounding tissue Other: CNS Spinal Cord: NSF Brain: On the right cerebral hemisphere there is a small (1 x 0.5 cm) white lesion. Pterygoid Sinuses: NE IFAW Marine Mammal Rescue and Research Revised 1/2010 6
7 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica Other Thoracic Cavity: Unknown clump of unrecognizable, very friable, dark maroon tissue which is covered in bubbles (sampled for histology and photo left). Right side had negative pressure - upon being punctured, it sucked inward. The left side had no such reaction. Large pool of bubbles around the medial steinal region (photo on far left). Abdominal Cavity: Full with blood. Large 10-cm long chicken fat clot. Origin of clot is unknown, but it may have come out of the renal veins. Internal Parasites Summary (location, type, #): Stomach was full of nematodes as well as many nematodes attached to stomach lining. Heavy load of Acanthocephalans in intestines. SUMMARY- Differential Diagnosis from Gross Exam (Same as front page): Bubbles in the fascia layer throughout entire body cavity, from the jaw down to pelvic region. Especially large amount of bubbles around medial steinal region. It is possible that air is escaping from fractured/ruptured bronchus. Negative pressure in right side of thoracic cavity. Lungs were wet, heavy and congested with areas of crepitous tissue in the caudal region of both lungs. Hardened circular nodule on anterior section of trachea. Prescapular lymph nodes appeared reactive. Stomach was full of nematodes as well as many nematodes attached to stomach lining. Stomach mucosa was hemorrhaged. Heavy load of Acanthocephalans in intestines. Small white flat lesion on right cerebral hemisphere. Tests Completed or Sent Out:! Ultrasound! AEP " CT Scan! Blood Work (In house)! Blood Work (IDEXX) " Microbiology (IDEXX) " Histology (Date sent: to be sent) Reports/Results Received:! Ultrasound Report! Ultrasound Images! AEP! CT Report! CT Images! In house Blood Work Paper work! IDEXX Blood Work Report! IDEXX Microbilogy Report! Histology Report IFAW Marine Mammal Rescue and Research Revised 1/2010 7
8 IFAW Marine Mammal Rescue and Research NECROPSY EXAMINATION REPORT Date Updated: MEN IFAW #: IFAW10-017Pg Tag Color/#: NA Species: P. groenlandica CARCASS DISPOSITION: Soft tissue: For disposal at Bourne Landfill Skeleton: To Gordan NOAA/NEFSC [# of bags: 1] PROSECTORS (list names with primary prosector signature, & pp highlighted): Greg Early Primary Cutter Misty Niemeyer Primary sampler & Report writer Jane Hoppe Primary Cutter Abbey Toltin secondary sampler Maddy Friedman recorder SAMPLES/DISPOSITION See attached list (To be scanned in) PHOTOS/VIDEO Camera Used: MRF Digital Photo disposition: Cetus server & IFAW digital image library Video: Y/N ASSOCIATED DATA SHEETS " NMFS Level A Data Form " Human Interaction Protocol " Pinniped Data Record " Necropsy/ Archive sample list Researcher Sample Collection List # of Method of Researcher Affiliation Sample type samples storage/location Gordon Waring NOAA/NEFSC Whole Pelt & Skeleton 2 Disseminated 1/29/2010 Rogers Williams NMLC Parasites 3 ETOH IFAW Marine Mammal Rescue and Research Revised 1/2010 8
9 IFAW10-017Pg P NECROPSY REPORT- SHORT FORM Field ID: IFAW10-017Pg Accession Number:10-171P Species:Phoca groenlandica Date: Location: MA Sex, Age Class: M TL: WT: Body Condition: Condition at Investigation: GROSS REPORT REPORTING INSTITUTION: IFAW ANCILLARY FINDINGS Test Tissue Tested Result Comment TISSUES/SAMPLES RECEIVED Received 25 May 2010 is a bag of labeled and unlabeled formalin fixed tissues. Tissues were submitted, trimmed, and sectioned at Histology Consultation Services and a total of 29 slides resulted. MORPHOLOGIC DIAGNOSES Systems with Significant Findings/Incidental Findings Hepatobiliary System: Liver: Hemosiderosis, diffuse, mild. Hematopoietic/Lymphoreticular System: A.Tracheobronchial Lymph Node: Anthracosis, multifocal. B.Pancreatic Lymph Node: Hemosiderosis. C.Mesenteric and Prescapular Lymph Node: Hyperplastic. D.Spleen: Hemosiderosis. Digestive System: A.Pancreas, Exocrine: Atrophy. B.Esophagus: Esophagitis, proliferative, focally extensive. C.Stomach: Focal lymphoplasmacytic to granulomatous gastritis. Integumentary System: Skin: Dermatitis, lymphoplasmacytic, multifocal, mild.
10 IFAW10-017Pg P Nervous System: Brain: Congestion Respiratory System: Trachea, Nodule: Focal cartilage fracture with associated fibrosis. Genital System: Testes: 1.Inactive. 2.Ceroid-lipofuscin, multifocal ( wear and tear pigment). Tissues without Significant Findings/Incidental Findings: ventricle, lung, diaphragm, adrenal gland, kidney, spinal cord, intestine, adipose, thyroid gland, urinary bladder. FINAL DIAGNOSES/INTERPRETATIVE SUMMARY Diagnosis (Focal) Tracheal Cartilage Fracture with Fibrosis Hyperplastic Lymph Nodes Gastritis Dermatitis Anthracosis (liver) There are several incidental lesions involving the respiratory system (trachea), integumentary system, lymphoreticular system. The tracheal nodule is a site of cartilage fracture and repair by fibrosis. The unknown tissue in the thoracic cavity is a clot which is likely antemortem. This could be associated with trauma. Hemosiderosis is the presence of iron compounds within macrophages. The presence of hemosiderin in the liver may reflect age (turnover of maternal red blood cells in neonates, for example), bleeding disorder or hemorrhage. Black pigment was found within macrophages in the lymph node that is most consistent with anthropogenic carbon-based pigments (anthracosis). FIGURES PENDING TESTS-PATHOLOGIST TEST PURPOSE SITE RESULT DATE: 23Aug2010 REPORTING PATHOLOGIST: David S. Rotstein, DVM, MPVM, DACVP
11 Lab Services : Lab Results IDEXX VetConnect Client: IFAWIO-017PG Patient: P GROENLANDI Species: SEALELEPH Breed: HARB SEAL Date: 1/30/2010 Gender: MALE Weight: Age: Requisition #: C Accession #: R Ordered by: MOORE WOODS HOLE OCEANOGRAPHIC INSTITUTION QUISSET CAMPUS - MIKE MOORE MRF 222, BILLING MAILSTOP Account #84085 AEROBIC CULTURE Test Result Reference Range Low Normal High SOURCE: SPLEEN STATUS: FINAL COMPLETED CULTURE RESULTS 1 Comments: 1. Escherichia coli 4+ SUSCEPTIBILITY Test Result ORGANISM Escherichia coli 4+ AMIKACIN Sensitive ( <=2 ug/ml ) AMOX/CLAV ACID Sensitive ( <=8 ug/ml ) AMOXICILLIN Sensitive ( 2 ug/ml ) CEFTAZIDIME Sensitive ( <=8 ug/ml ) CEFTIOFUR Sensitive ( <=1 ug/ml ) CEPHALEXIN Sensitive ( <=2 ug/ml ) CHLORAMPHENICOL Sensitive ( 8 ug/ml ) CIPROFLOXACIN Sensitive ( <=0.5 ug/ml ) ENROFLOXACIN Sensitive ( <=0.25 ug/ml ) GENTAMICIN Sensitive ( <=0.5 ug/ml ) TETRACYCLINE Sensitive ( <=1 ug/ml ) TICARCILLIN Sensitive ( <=16 ug/ml ) TOBRAMYCIN Sensitive ( <=0.5 ug/ml ) TRIMETHOPRIM-SULFA Sensitive ( <=10 ug/ml ) 1 of 6 2/8/10 2:43 PM
12 Lab Services : Lab Results IDEXX VetConnect Client: IFAWIO-017PG Patient: P GROENLANDI Species: SEALELEPH Breed: HARB SEAL Date: 1/30/2010 Gender: MALE Weight: Age: Requisition #: C Accession #: R Ordered by: MOORE WOODS HOLE OCEANOGRAPHIC INSTITUTION QUISSET CAMPUS - MIKE MOORE MRF 222, BILLING MAILSTOP Account # of 6 2/8/10 2:43 PM
13 Lab Services : Lab Results AEROBIC CULTURE Test Result Reference Range Low Normal High SOURCE: RECTAL STATUS: FINAL COMPLETED CULTURE RESULTS 1 Comments: 1. Escherichia coli 4+ Non-enteric gram negative rod (unable to speciate) -4+ SUSCEPTIBILITY Test Result ORGANISM Escherichia coli 4+ AMIKACIN Sensitive ( <=2 ug/ml ) AMOX/CLAV ACID Sensitive ( <=8 ug/ml ) AMOXICILLIN Sensitive ( 2 ug/ml ) CEFTAZIDIME Sensitive ( <=8 ug/ml ) CEFTIOFUR Sensitive ( <=1 ug/ml ) CEPHALEXIN Sensitive ( <=2 ug/ml ) CHLORAMPHENICOL Sensitive ( 2 ug/ml ) CIPROFLOXACIN Sensitive ( <=0.5 ug/ml ) ENROFLOXACIN Sensitive ( <=0.25 ug/ml ) GENTAMICIN Sensitive ( <=0.5 ug/ml ) TETRACYCLINE Sensitive ( 2 ug/ml ) TICARCILLIN Sensitive ( <=16 ug/ml ) TOBRAMYCIN Sensitive ( <=0.5 ug/ml ) TRIMETHOPRIM-SULFA Sensitive ( <=10 ug/ml ) SUSCEPTIBILITY Test Result ORGANISM Non-enteric gram negative rod (unable to speciate) AMIKACIN Sensitive ( ug/ml ) AMOX/CLAV ACID Sensitive ( ug/ml ) AMOXICILLIN Sensitive ( ug/ml ) CEFTAZIDIME Sensitive ( ug/ml ) CEFTIOFUR Sensitive ( ug/ml ) CEPHALEXIN Sensitive ( ug/ml ) 3 of 6 2/8/10 2:43 PM
14 Lab Services : Lab Results CHLORAMPHENICOL Sensitive ( ug/ml ) CIPROFLOXACIN Sensitive ( ug/ml ) ENROFLOXACIN Sensitive ( ug/ml ) GENTAMICIN Sensitive ( ug/ml ) PIPERACILLIN Sensitive ( ug/ml ) TETRACYCLINE Sensitive ( ug/ml ) TICARCILLIN Sensitive ( ug/ml ) TOBRAMYCIN Sensitive ( ug/ml ) TRIMETHOPRIM-SULFA Sensitive ( ug/ml ) 4 of 6 2/8/10 2:43 PM
15 Lab Services : Lab Results IDEXX VetConnect Client: IFAWIO-017PG Patient: P GROENLANDI Species: SEALELEPH Breed: HARB SEAL Date: 1/30/2010 Gender: MALE Weight: Age: Requisition #: C Accession #: R Ordered by: MOORE WOODS HOLE OCEANOGRAPHIC INSTITUTION QUISSET CAMPUS - MIKE MOORE MRF 222, BILLING MAILSTOP Account # of 6 2/8/10 2:43 PM
16 Lab Services : Lab Results AEROBIC CULTURE Test Result Reference Range Low Normal High SOURCE: R THORAX STATUS: FINAL COMPLETED CULTURE 3+ Non-enteric gram negative rod (unable to speciate) RESULTS SUSCEPTIBILITY Test Result ORGANISM Non-enteric gram negative rod (unable to speciate) AMIKACIN Sensitive ( ug/ml ) AMOX/CLAV ACID Sensitive ( ug/ml ) AMOXICILLIN Sensitive ( ug/ml ) CEFTAZIDIME Sensitive ( ug/ml ) CEFTIOFUR Sensitive ( ug/ml ) CEPHALEXIN Sensitive ( ug/ml ) CHLORAMPHENICOL Sensitive ( ug/ml ) CIPROFLOXACIN Sensitive ( ug/ml ) ENROFLOXACIN Sensitive ( ug/ml ) GENTAMICIN Sensitive ( ug/ml ) PIPERACILLIN Sensitive ( ug/ml ) TETRACYCLINE Sensitive ( ug/ml ) TICARCILLIN Sensitive ( ug/ml ) TOBRAMYCIN Sensitive ( ug/ml ) TRIMETHOPRIM-SULFA Sensitive ( ug/ml ) SUSCEPTIBILITY 6 of 6 2/8/10 2:43 PM
17 IFAW10-017Pg 1/28/10 Male adult harp seal fair/poor body condition. 1
18 IFAW10-017Pg 1/28/10 Rear flipper - pale slightly depressed blebs on skin 2
19 IFAW10-017Pg 1/28/10 3
20 IFAW10-017Pg 1/28/10 Cornea - hemorrhage within eye 4
21 IFAW10-017Pg 1/28/10 (healed) erosion at margin of mouth 5
22 IFAW10-017Pg 1/28/10 Broken (upper canine) worn teeth - eroded gums 6
23 IFAW10-017Pg 1/28/10 Bubbling and separation of tissue around thorax 7
24 IFAW10-017Pg 1/28/10 Bubbles around base of neck 8
25 IFAW10-017Pg 1/28/10 Mediastinal emphysema (close up) 9
26 IFAW10-017Pg 1/28/10 Mediastinal emphysema 10
27 IFAW10-017Pg 1/28/10 Gross lungs - emphysema and gas at margins of lungs 11
28 IFAW10-017Pg 1/28/10 Bubbles fill interlobular septea - lungs dark heavy and wet. 12
29 IFAW10-017Pg 1/28/10 Bubbles at margin of lung - 13
30 IFAW10-017Pg 1/28/10 Swelling on trachea 14
31 IFAW10-017Pg 1/28/10 Stomach - eroded mucosa parasites embedded in mucosa - eroded mucosa 15
32 IFAW10-017Pg 1/28/10 Intestines - moderate/heavy acanthocephalan infestation 16
33 IFAW10-017Pg 1/28/10 Brain - congested blood vessels 17
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