Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
------------~-~------T--------~--------~----~--------------------------1--------------~-----~---------------------•---------~-----
·------------~-~------~--------T--------~----~--------------------------1--------------~-----~-------------------------------~-----
·------------T-r------,..--------~--------T----~--------------------------~--------------~-----~-------------------------------~-----
I I
- .
I
_,.---
I I I I
I
--T--------T--------1----~--------------------------1--------------1-----~-------------------------------~-----
-------------t-T------r--------T--------1----,--------------------------1--------------~-----1-------~-------------------~-~-~-----
I ... I I I I I I I I
I
·---~-----~-r------T--------T----~--~----~----~-------r-------------1----~---------~-----~-------------------------------•-----
I I 1. I I I I I I . I
.I I I I I I I I I I
---~--------t-t------T-~----1--~---~-1----1-----------~--------------1-------~------1--·---1-------------------------------~-----
I I I I I I I I I . •I
I I I I . .I I I I I I
-~--- . ,.,~---1--------1--------1----1--------------------------1-----------~--;-----1---------------------~---------~-----
I I I I • I I I 1 I I
1
I I I · I . I I I I I • · ·· . I
--~------~-,-,------,--~-----,--------,----,------------~-------------1--------------;-----;---------~----------~----------~-----
I I I I I I I 1 I II
I I I I I I I I I
·----~----~~---~--------~--------1----1--------------------------1--------------1-----1-------------------------------1-----
1 I I I I I I I I I '\
. I I I I I I I I I . I ' °'
-------------~-~------~--------~--------~----~--------------------------1--------------~-----1-------------------------------i---~~
~([)76 ~ lp ~ .
SEA WORLD
GROSS NECROPSY REPORT
HISTORY: This animal showed gradual but persistent weiQht loss for
the last two months of its life, the most noticeable weight loss
coming in the last 3-4 weeks. When the weight decrease was first
recognized, the daily food intake was increased. This increase was to
levels far above what the animal had eaten at any previous time. In
spite of the major increase in food intake, the weight loss persisted.
During the animal's last several weeks, it was kept on antibiotics to
try to minimize secondary bacterial complications. Right up until a
few hours before its death, the animal showed its normal appetite and
behavior. The animal showed a list to one side and a circular
swimming pattern just prior to its death. vomiting occurred as the
animal started agonal respirations and was a terminal event.
7_~_··
1
DATE: f S"r <&"T SIGNEDs _ _ _...---.~-.-...-~-----~~--
United States Animal and Federal Bldg.
Department of Plant Health Hyattsville, MD
Agriculture Inspection 20782
Service
After reviewing the necropsy results of the killer whale "Orky" who died at
Sea World in San Diego, we have determined that Orky's death is the result of
a natural disease process and that no further investigation is necessary.
Sincerely,
zr~R.
. D r ctor
Animal Care Staff
Regulatory Enforcement and Animal Care
TO: Ed Asper
FROM: Jim McBain, D.V.M.
[>ATE: March 21, 138'3
RE: Craig Van flote'B Letter to NMFS dated 3/8/8'3
Mr. Van Note aeks "How can 'normal appetite and behavior' be
reconciled with chronic wasting. " I think I have already dealt
with the appetite question, but if an e::ample would help, I would
suggest he re~d a description of diabetes mellitus. Orky was not
afflicted with this condition, but it i= a classic wasting
disease. This disease preeents us with a patient that is losing
weight at an alarming rate and often (in animals> has an above-
average appetite and food consumption. For an explanation of
tlii:::; situatioi-:, I ag3in suggest that Mr. Van Ne:te refer to that
medical text. As for reconciling ·apparent" normal behavior and
-chrc·ni.·~ wastin~1 disease, - I arn su1-e that M1-. Van Note is being
simplistic. He, ae an "animal person," certainly knows that it
is •-:::-:ir:1rn:~•tl fc•r ~nirnals to beh.3·1iorally mask illnes;:::-. He may not
knc•w, how eve\-, that this char act er ist ic is often displayed tc•
e;~~_remo=. in cet3ceans.
JTM
DEC 1 9 1988
ZPC ft::88N.014
Client:Sea World, Inc., C/0 Dr. Jim McBain
Ne~ropsy Date: 9-26-88
Microscopic Exam Date: 12-6-88
ID
Species:~n!!li Qr,ca Sex:Male
Common :Killer whale Age:Adult, 30+ years
Breed
House :Orky, SWB8142
NecroPQY fuLt.illi
~: This is a thin animal.
E.ndocrin.e.:
Ihvl:9_id has no recognized lesions. 750 gm .
.E.a:r::.a.t_hyroid, not found
Ad_r_~n_a.1D., NI,R. L =
300 gm; R = 350 gm .
.Eituitar_y, NLR
Res pl r fil_Q__t:Y :
NLR. There is a
L_a~y_nx__.___j;__IS\__chea_.______b_ron~h i_:
small amount of ingesta, including fish bones
and scales in the bronchi
LJJngQ contain scatterect multifocal nodules
throughout the parenchyma. The nodules are
firm, poorly circumscribed, with small
irregular quantities of thick exudate.
1
Orky, SW88142 2
H.fillllLtill.YJnpJ1at_ic.:
l•Ytn.Ph_nQde_s_: Thoracic lymph nodes are quite
enlarged and prominent, dark red and
mildly/moderately edematous. All other nodes
examined (ax]llary, mesenteric) are normal.
SJll~en NLR; No lymphoid follicles are present
on cut surface. 0.9 kg.
tlarULR NLR; dark red in ribs
!lI:.QRE;m Lta 1:
Kidneya NLR; L = 11 .75 kg; R = 16.25 kg
!lrJnax:_y____J3i~dde_r NLR; contains clear, dark
urine
NLR;
T~st_e_s_ epididymis contains a moderate
amount of semen. No motile spermatozoa are
present (microscopic exam by Patty Sarber of
the Reproductive Physiology Group in the
Ceriter for Reproduction of Endangered
Species, Zoological Society of San Diego). R
= 5.2 kg
Iliru.ltlive:
Qr_a_l____Q_gvj,_t_y: not examined due to rigor
E5-__QQ.b q g_llli: NL R
S_t.Qronch: The main stomach gastric mucosa has
mild/moderate multifocal hyperemia. Pyloric
stomach mucosa is mildly diffusely hyperemic.
Contents are normal. No ulcers are present.
fulliLLl____SU1d Large Intesti_Illi_fl: NLR, contents
normal.
I.J._"l?:~r:.: NJJR. Lobe edges are mildly swollen.
I,ohular patter is subtly apparent. L lobe =
19.5 kg (other 1/2 was not weighed)
Pancrea____a: NLR
l':11uic.u-1 o_5k_e_l__e_t_al:
Muscle over the dorsal cranium has scattered
0.1 cm cavitation
Nervous:
Brain: NLR; 7.2 kg
Grosa 12_li\gn™
1. Death due to pneumonia, subacute, plus regurgitation
complicated by aspiration, following chronic illness
associated with old age -
Orky, SW88142 3
Ne_C_IQ.Pf>Y GQIJl!DC~JLtQ
Cause of death iR pneumonia complicated by terminal
regurgitation and aspiration of stomach contents_ The severe
body weight. loss in the face of Orky's continued good appetite
are an indication of his chronic underlying problems_ A
clinically recogni~ecJ problem is a persistent and decreasing
level of the thyroid hormone, T4, which could suggest possible
hypothyroidism; however, a number of other associated signs
generally occ~1rring with hypothyroidism are not present in Orky_
Microscopic examination may reveal other underlying disease
problems that, along with further assessment of Orky's clinical
data, may f{ive a more comprehensive overall picture of the
djsease course that. led to his death_ Time course for the
pneumonia may hP three to five <lays or more_ Impression smears
of the lung noduleR contain mixed inflammation (lymphocytes and
ne11trophilG) and a mixed bacterial flora_ Distribution of the
lesions is compatible with an inhalation-type (bronchiolar)
pneumonia_ All vessels examined are normal, with no signs of
atherosclerosis_ Histopath to follow_
inflammation.
23 - G.QlQn: NLR
31 . Ey_e_l_i_d_: NLR
Final .Ili_agnQ_ae_s_
1. death due to pneumonia, subacute plus regurgitation
complicated hy aspiration, following chronic illness
associated with probable protein losing nephropathy
(nephrotic syndrome), see comment
2. severe weight loss with good food consumption
following chronic illness associated with probable
nephrotic syndrome, see comment
3. kidneys, membranous glomerulonephritis, resulting in
protein loss, probable nephrotic syndrome, see comment.
4. kidneys, interstitial nephritis, lymphoplasmacytic,
etiology undetermined.
5. lungs, bronchiolar pneumonia, subacute, multifocal,
severe
6. thoracic lymph nodes, lymphadenitis, subacute,
severe, associated with bronchiolar pneumonia.
7. aorta and medium sized arteries, atherosclerosis,
Orky, SW88142 7
minimal/mild.
8. thyroid, hyperactivity, see comment.
9. adrenal, minimal inflammation, lymphoplasmacytic
infiltrate.
](}_ Rkin of jaw, acanthosis plus ballooning
degeneration, compJjcated by secondary inflammation,
neut.rophjlic inflammatory infiltrate, cause
undetermined.
E_irrn.LCQ mm_e.rJJ_
C<luse of Orky's death remains the same (Ree Necropsy
Comments section above). Based on microscopic examination and
further review of his c]jnical history, the major underlyjng
rlisease problem in this anim<l] is severe renal disease,
membranous glomen1 l onephri tis, which ] ed to chronic protein Joss
and probable nephrot.ic syndrome. Such a disease process would
readily explain Orky's severe weight loss, his hypoalbuminemia,
hypercholeGt.erolemia and the low T4 levels that were observed.
Nephrotic syndrome also can be associated with an increased
propensity for infection, as occurred with his pneumonia.
In the diagnostic workup of Orky, he had been recognized to
have very low levels of the thyroid hormone, T4. Such test
results can be an indicator of low thyroid function; however, a
number of other factors can also cause low T4 levels.
Consequently, I would first address why the presence of low
levels might not indicate hypothyroidism in Orky's case.
Problems not present that might be expected in Orky if the
decreased T4 levels were due to hypothyroidism include: 1) weight
gain, even with a lower appetite, due to decreased metabolic
rate. Orky had very severe weight loss. 2) reproductive
dysfunction. Orky had microscopically recognized low sperm
production; however, the epididymis did contain moderate numbers
of sperm. 3) anemia, normocytic, normochromic, non-regenerative:
this is a "classic" alteration in adult-onset hypothyroidism.
Orky had normal red blood cell indices_ Diagnosing
hypothyroidism based solely on low T4 levels is very difficult,
as a number of other factors can be associated with decreased T4
levels, including hyperadrenocorticism, diabetes mellitus,
protein losing enteropathy, protein losing nephropathy, nephrotic
syndrome, pancreatitis, poRtprandial elevations of ~holestero]
and s L'l rva ti on. Of these possible causes, protein losing
nephropathy and nephrotic syndrome most closely fit the combined
evidence of clinical signs, clinical laboratory data and
microscopic findings. With regard to the microscopic findings,
the thyroid appearance is one of hyperactivity as opposed to
atrophy or hypoactivity. The presence of low T4 levels in the
face of this hyperactivity is likely due to the combined effects
of protein loss associated with the renal disease, age (serum T4
levels decrease significantly with age), hypercortisolemia
associated with enhanced endogenous cortisol production that
could occur with chronic systemic illness, and even postprandial
effects as he was fed more in an effort to counterbalance the
Orky, SW88142 8
};~
Kent~ fubo~. IJ~'Jt\
~. . . IOU \ . ')v