Multi-systemic: Common internal and external parasitic infections
Etiology
Chelonians are susceptible to various parasitic infections, both internal and external. Key parasites include:
Internal Parasites:
Nematodes (Roundworms): Common genera include Ascaris, Strongyloides, and Trichostrongylus.
Cestodes (Tapeworms): Includes species like Ophiotaenia.
Trematodes (Flukes): Common genera include Spirorchis and Renifer.
Protozoa: Includes Eimeria, Entamoeba, and Cryptosporidium.
External Parasites:
Mites: Common species include Ophionyssus natricis.
Ticks: Genera such as Amblyomma and Hyalomma.
Leeches: Common in aquatic environments.
Signalment
Parasitic infections can affect all chelonian species, with susceptibility influenced by:
Age: Juvenile chelonians are more susceptible due to immature immune systems.
Habitat: Captive chelonians in suboptimal conditions and wild chelonians in degraded habitats.
Diet and Husbandry: Poor nutrition and inadequate husbandry practices increase risk.
Transmission
Transmission of parasitic infections varies by parasite type:
Internal Parasites:
Ingestion of contaminated food or water.
Direct contact with infected feces.
Intermediate hosts like insects and snails.
External Parasites:
Direct contact with infested environments or other infested chelonians.
Transfer through handling and transport equipment.
Clinical Signs
Clinical signs vary depending on the type and severity of parasitic infection:
Internal Parasites:
Weight loss and poor growth.
Anorexia.
Diarrhea or abnormal feces.
Lethargy.
Respiratory distress in severe infestations.
External Parasites:
Visible parasites on the skin or shell.
Pruritus (itchiness) and scratching.
Skin irritation, lesions, or ulcers.
Anemia and weakness in severe cases.
Diagnosis
Diagnosis involves a combination of clinical assessment and diagnostic tests:
History and Physical Examination: Assessing clinical signs and environmental conditions.
Fecal Examination: Microscopic examination for internal parasites.
Blood Tests: Hematology and biochemistry to assess overall health and detect anemia or organ dysfunction.
Skin Scrapes and Biopsies: Identifying external parasites or associated skin lesions.
Radiography/Ultrasonography: For internal structural assessment and severe cases.
Treatment
Treatment varies by parasite type and infestation severity:
Internal Parasites:
Nematodes: Fenbendazole or ivermectin.
Cestodes: Praziquantel.
Trematodes: Praziquantel or albendazole.
Protozoa: Metronidazole for amoebae, sulfadimethoxine for coccidia.
External Parasites:
Mites and Ticks: Topical ivermectin, fipronil, or permethrin.
Leeches: Manual removal and antiseptic treatment of attachment sites.
Prevention
Preventative measures focus on optimal husbandry and biosecurity:
Quarantine New Animals: Isolate new chelonians for at least 30 days.
Regular Health Checks: Routine veterinary examinations and fecal screenings.
Hygiene and Sanitation: Regular cleaning and disinfecting of enclosures, water, and food dishes.
Balanced Diet: Ensuring proper nutrition to support a healthy immune system.
Prognosis
The prognosis for chelonians with parasitic infections depends on timely and appropriate treatment:
Favorable Prognosis: Early detection and treatment typically result in full recovery.
Guarded Prognosis: Severe infestations or secondary infections can complicate recovery and may lead to poorer outcomes.

