AFRICAN PYGMY HEDGEHOGS CARE AND TREATMENT ADVICE

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Vet Times The website for the veterinary profession https://www.vettimes.co.uk AFRICAN PYGMY HEDGEHOGS CARE AND TREATMENT ADVICE Author : ELISABETTA MANCINELLI, WENDY BAMENT Categories : Vets Date : April 28, 2014 AFRICAN pygmy hedgehogs (Atelerix albiventris) are members of the order Insectivora and are unusual, but becoming increasingly popular pets in Europe, North America and some Asian countries ( Figure 1 ). This is probably because of their small size, tractable nature and relative ease of care. They can make entertaining, interactive pets if handled from a young age, and can live between three to six years if looked after correctly. African pygmy hedgehogs are native to western and central Africa, where they are found in rock crevices and burrows, coming out at night to forage. They are able to climb, dig and swim ( Johnson, 2010). They are solitary, nocturnal animals that do not hibernate as opposed to other hedgehog species, but will instead enter a state of torpor under extreme weather conditions (for example, temperatures below 18 C), only re-emerging when the conditions are ideal ( Johnson, 2010). However, it is not recommended to recreate this stressor in captivity to avoid reducing their metabolism and increasing the susceptibility to infections (Dierenfeld, 2009). All hedgehog species perform self-anointing, whereby they hypersalivate to groom and maintain the condition of their spines, often leaving large clumps of frothy saliva on their bodies and bedding (Figure 2). Captive housing requirements Hedgehogs have poor eyesight, but a good sense of smell and hearing. They rely on olfactory and auditory cues for food location, predator detection, orientation, sexual and maternal behaviour, and communication ( Johnson, 2011). 1 / 21

Hedgehogs should be housed individually as fighting is common especially between males. They do not tolerate loud noises or bright light, therefore their environment should be dim and as quiet as possible. Hedgehogs should be housed in a large glass or plastic tank with good ventilation and a deep layer of soft, absorbent bedding (for example, shredded paper or untreated wood shavings, not sawdust). The cage should be placed out of direct sunlight to avoid extremes of temperature as this may cause heat stroke or induce torpor. Temperatures should, therefore, be preferentially maintained between 24 C to 30 C with a 12 hours light/dark cycle. Enclosures should have as large a floor space as possible, with nest boxes, branches and a solid walled exercise wheel. Supervised exercise within a confined area in the house is also encouraged, but it is important to prevent access to anything that could be chewed, eaten or destroyed. Hedgehogs may be litter trained, but are generally very messy animals and the enclosure will need frequent cleaning to help prevent disease. Diet Hedgehogs are monogastric insectivores and opportunistic omnivores, and would naturally eat a variety of insects in the wild, as well as arachnids, worms, slugs, snails, small vertebrates, eggs and fruit, depending on food availability (Dierenfeld, 2009). Although their nutritional requirements are not known, it is recommended in captivity to feed a balanced commercial hedgehog pelleted diet or low fat dog or cat food (Figure 3), as well as a dry or semimoist insectivore diet supplemented with a mix of insects (earthworms, mealworms, crickets) and a small amount of fruits and vegetables. Treats may include hardboiled or scrambled eggs, pinky mice or human baby food (vegetable or meat), while dairy products should be avoided. Additional vitamin and mineral supplementation should be applied to any insects given. It is important to remember hedgehogs have a simple digestive tract, with no clear distinction between the small and large intestine and no caecum; therefore, they are thought to have limited capacity to ferment plant cell wall constituent (Stevens, 1990). Obesity is a common problem in captive hedgehogs, so it is important to limit food amounts, feeding only at night and removing any uneaten food in the early morning. Soft dietary ingredients can also predispose to teeth and gum problems. Handling 2 / 21

A complete, thorough physical examination (Table 1) of these small spiny creatures is often a challenge because they are shy and curl up into a ball when threatened (Figure 4). Light leather or gardening gloves may be used to handle hedgehogs, although their spines will only cause minor discomfort to the handler. Tame hedgehogs may occasionally tolerate being held by the scruff (ensure skin and spines are grasped) or cupped in the hands. A towel or gloves may be useful and minimal handling is required in tame animals. If hedgehogs are unaccustomed to handling or nervous, an initial hands-off observation may be useful to detect abnormalities. In some cases, a clear container may be used to inspect the animal from below (Figure 5). Alternatively, the hedgehog can be placed on a wire mesh, which can also allow trimming of the nails. Lightly stroking along the spine may encourage it to unroll (Figure 6), allowing the handler to gently grasp and extend the hindlimbs in a wheelbarrow fashion (Figure 7). In the majority of cases, anaesthesia is required for more extensive examination, diagnostic tests and sample collection (Figure 8). A thorough examination should include assessment of the oral cavity and mucous membranes (Figure 9), auscultation of the chest, abdominal palpation, inspection of the skin and spines, reproductive organs and, finally, limbs and feet. Veterinary care Despite increasingly more published literature of hedgehog diseases, there is still uncertainty in their processes (Graesser et al, 2006; Ivey and Carpenter, 2012). This species is susceptible to various health issues, many of which are similar to those encountered in other domestic animals, such as fatty liver disease, gastritis and neoplasia. However, new diseases are becoming apparent, warranting further studies to tailor specific treatments. Neoplastic disease, hepatic lipidosis and renal disease are common necropsy findings in hedgehogs (Raymond and White, 1999). Pneumonia was reported in 14 per cent of examined hedgehogs in the same retrospective study. Cardiomyopathy has also been well documented and is considered the most common cardiac disease in this species, with a reported incidence of 40 per cent especially in geriatric males (Raymond and Garner, 2000). Diet, toxins, stress, obesity and genetic factors have all been considered possible causes of cardiovascular disease in the hedgehog (Heatley, 2009). Black et al (2011) established cardiac parameter reference including electrocardiography, echocardiography and radiographic measurements for adult healthy African hedgehogs. The first case of valvular endocardiosis leading to congestive heart failure has been reported (Hedley et al, 2013). Hindlimb weakness, ataxia or progressive paresis are commonly reported clinical signs, which are frequently caused by trauma, infectious diseases, demyelinating disease 3 / 21

( wobbly hedgehog syndrome ) or CNS involvement due, for example, to metastatic disease (Graesser et al, 2006; Evans and Souza, 2010; Ivey and Carpenter, 2012). Neoplasia is an exceedingly common finding in African pygmy hedgehogs. In a study of spontaneous neoplasms in captive African pygmy hedgehogs, 53 per cent of animals had tumours and 80 per cent of these were classified as malignant. Affected individuals were generally 3.5 years old (median age at diagnosis) and unmated (Raymond and Garner, 2001). After epithelial and round cell tumours, mesenchymal tumours were the third most common type documented. Studies also suggested usually less than 10 per cent of hedgehogs diagnosed with neoplasia have more than one tumour type (Raymond and White, 1999; Heatley et al, 2005). It was found integumentary, digestive and endocrine systems were more commonly affected (Raymond and Garner, 2001). In a similar study, the prevalence of neoplastic processes at necropsy was found to be between 23 per cent and 53 per cent, with up to 85 per cent of the reported tumours being malignant (Raymond and White, 1999). Common techniques Drug administration Injectable medications may be given subcutaneously or intramuscularly, even when the hedgehog is rolled up. Oral treatments can be challenging to administer to hedgehogs, but thick gardening gloves may be required to prevent some patients rolling up completely. Some noxious-tasting substances may lead to hypersalivating reactions. Venipuncture The lateral and medial saphenous vein, cephalic, jugular and femoral vein are all possible sites for venipuncture. The cranial vena cava is the preferred site as larger volumes of blood can be collected. A short, small gauge (25G or 27G) needle, inserted on a 1ml or 2.5ml syringe, is inserted at the notch between the sternum and the first rib, and directed caudally towards the opposite hip with a 30 C angle ( Figure 8). Fluid therapy Up to 100ml/kg of fluids can be administered beneath the mantle (lateral margin where the spines end and the muscle is to roll up), split in several sites. Hyaluronidase can be added to subcutaneous fluids to enhance the permeation through the tissues for more rapid availability to the patient. 4 / 21

Intravenous catheters may be placed into the lateral saphenous or jugular vein, but pose a challenge due to their small size especially in dehydrated or collapsed patients. In these cases an intraosseous catheter may be placed instead in the proximal tibia or femur. Nutritional therapy Oxbow Animal Health Carnivore Care or Lafeber s Emeraid Nutritional care systems Omnivore diets, available in the UK, can be used in hedgehogs requiring assisted feeding. Anaesthesia An induction chamber can be used for rapid and safe induction of anaesthesia, with volatile agents such as isoflurane or sevoflurane (Figure 5). A face mask can then be used for maintenance, but endotracheal (ET) intubation with a 1mm to 1.5mm uncuffed ET tube is possible and allows a safer and more controlled anaesthesia. Anaesthesia is invariably required for procedures such as radiography (the spines may hinder imaging interpretation, especially on the dorsoventral view) and venipuncture. Zoonotic risk Zoonotic pathogens reportedly transmitted from African pygmy hedgehogs to humans include pathogenic dermatophytes (Trichophyton mentagrophytes var erinacei, Microsporum species) and Salmonella species (Rosen, 2000; Souza, 2009). Fatal intestinal cryptosporidiosis of unknown source was reported in a neonatal captive African hedgehog, and for the first time in a hedgehog species (Graczyk et al, 1998). Please note some drugs mentioned within this article are not licensed for use in hedgehogs and are used under the cascade. References Black P A, Marshall C, Seyfried A W and Bartin A M (2011). Cardiac assessment of African hedgehogs (Atelerix albiventris), Journal of Zoo and Wildlife Medicine 42(1): 49-53. Dierenfeld E S (2009). Feeding behaviour and nutrition of the African pygmy hedgehog (Atelerix albiventris), The Veterinary Clinics of North America Exotic Animal Practice 12(2): 335-337. Evans E E and Souza M J (2010). Advanced diagnostic approaches and current management of internal disorders of selected species (rodents, sugar gliders, hedgehogs), The Veterinary Clinics of North America Exotic Animal Practice 13 (3): 453-469. Graczyk T K, Cranfield M R, Dunning C and Strandberg J D (1998). Fatal cryptosporidiosis 5 / 21

in a juvenile captive African hedgehog (Atelerix albiventris), The Journal of Parasitology 84(1): 178-180. Graesser D, Spraker T R, Dressen P, Garner M M, Raymond J T, Terwilliger G, Kim J and Madri J A (2006). Wobbly hedgehog syndrome in African pigmy hedgehogs (Atelerix species), Journal of Exotic Pet Medicine 15(1): 59-65. Hedley J, Benato L, Fraga G, Palgrave C J and Eatwell K (2013). Congestive heart failure due to endocardiosis of the mitral valves in an African pygmy hedgehog, Journal of Exotic Pet Medicine 22(2): 212-217. Heatley J J (2009). Cardiovascular anatomy, physiology, and disease of rodents and small exotic mammals, The Veterinary Clinics of North America Exotic Animal Practice 12(1): 99-113. Heatley J J, Mauldin G E and Cho D Y (2005). A review of neoplasia in the captive African hedgehog (Atelerix albiventris), Seminars in Avian and Exotic Pet Medicine 14(3): 182-192. Ivey E L and Carpenter J W (2012). African hedgehogs. In Quesenberry K E and Carpenter J W (eds), Ferrets, Rabbits and Rodents Clinical Medicine and Surgery (3rd edn), Elsevier Saunders, St. Louis, MO: 411-427. Johnson D H (2010). African pygmy hedgehogs. In Meredith A and Johnson-Delaney C (eds), BSAVA Manual of Exotic Pets (2nd edn), BSAVA, Gloucester: 139-147. Johnson D H (2011). Hedgehog and sugar gliders: respiratory anatomy, physiology, and disease, The Veterinary Clinics of North America Exotic Animal Practice 14(2): 267-285. Raymond J T and Garner M M (2000). Cardiomyopathy in captive African hedgehogs (Atelerix albiventris), Journal of Veterinary Diagnostic Investigation 12(5): 468-472. Raymond J T and Garner M M (2001). Spontaneous tumours in captive African hedgehogs (Atelerix albiventris): a retrospective study, Journal of Comparative Pathology 124(2-3): 128-133. Raymond J T and White M R (1999). Necropsy and histopathologic findings in 14 African hedgehogs (Atelerix albiventris): a retrospective study, Journal of Zoo and Wildlife Medicine 30(2): 273-277. Rosen T (2000). Hazardous hedgehogs, Southern Medical Journal 93(9): 936-938. Souza M J (2009). Bacterial and parasitic zoonosis of exotic pets, The Veterinary Clinics of North America Exotic Animal Practice 12(3): 401-415. Stevens C E (1990). The mammalian digestive tract. In Comparative Physiology of the Mammalian Digestive System, Cambridge University Press, Cambridge: 40-85. 6 / 21

Figure 1. African pygmy hedgehogs (Atelerix albiventris) are members of the order Insectivora and are unusual, but becoming increasingly popular pets. 7 / 21

8 / 21

Figure 2. A European hedgehog self-anointing. Animals are seen hypersalivating to groom and maintain the condition of their spines, often leaving large clumps of frothy saliva on their bodies and bedding. 9 / 21

Figure 3. The recommended diet in captivity includes a balanced commercial hedgehog pelleted 10 / 21

diet, or low fat dog or cat food. 11 / 21

12 / 21

Figure 4. African hedgehogs are shy animals and curl up into a ball when threatened. Figure 5. In some cases, a clear container may be used to inspect the animal from below for an 13 / 21

initial hands-off observation. 14 / 21

15 / 21

Figure 6. Lightly stroking along the spine may encourage the hedgehog to unroll. 16 / 21

17 / 21

Figure 7. Gently grasping and extending the hindlimbs in a wheelbarrow fashion allows the handler to perform a more complete examination. 18 / 21

Figure 8. In the large majority of cases, anaesthesia is required for more extensive assessment, diagnostic tests and/or sample collection. A blood sample is being taken from the cranial vena cava in an anaesthetised patient. 19 / 21

Figure 9. A thorough examination should also include assessment of the oral cavity and mucous membranes. 20 / 21

Table 1. Physiologic data for African pygmy hedgehogs 21 / 21 Powered by TCPDF (www.tcpdf.org)