Salting Fish: Something More Than a Flavor Enhancer Sept/Oct 2011
Transcription
Salting Fish: Something More Than a Flavor Enhancer Sept/Oct 2011
Salting Fish Something More Than a Flavor Enhancer Mark A. MItchell, DVM, MS, PhD, Dip. ECZM (Herpetology), University of Illinois A juvenile Australian arowana (Scleropages jardini) was presented for a history of “something hanging off the fish”. This particular fish had recently been imported from a captive breeding facility in Malaysia. There were no other complaints presented by the owner, and the husbandry provided the fish was appropriate. Therefore, my next step was to determine what was “hanging off the fish”. I always perform a physical examination in a patient using a two step process. The first step is to evaluate the animal’s general demeanor, locomotion, respiration, and mentation from afar. There is a great deal of information to be gained from examining an animal before restraining it 4 Sept/Oct 2011 for an examination. I naturally expect an animal to be more alert (fight of flight response) and tachypneic once I have it in my hands, and I need to know whether those findings are masking an underlying illness or not. In the case of this fish, the presenting complaint had no effect on its ability to move gracefully through the water, its mentation, or its respirations (opercular movements). The second step to a physical examination is the “hands on” component; this allows one to evaluate the status and function of the different systems of the patient. Of course with fish, this can be a bit trickier than with most of our other patients. When working with fish it is important to consider the barrier that water provides. We take for granted that examining a terrestrial patient, such as a dog, requires no real consideration regarding the conditions we examine the patient under, short of possibly limited light in an examination room. To perform a thorough examination of a fish we must be able to gain access to the animal out of its natural aquatic medium. To do this, and minimize the discomfort to the animal, it is best to anesthetize the patient. Fortunately, anesthetizing fish is a straightforward process. Tricaine methanesulfonate (MS-222) is the only anesthetic approved for fish. This anesthetic is absorbed via the gills, similar to isoflurane through S a lt in g F is h the lungs. This particular fish was anesthetized for its examination using an induction dose of 150 mg/L (ppm). Induction was smooth and the animal was ready for its examination within 5 minutes of being placed in the anesthetic water. Once anesthetized, it is important to keep the fish moist to minimize any chance for desiccation. I typically place the fish on moistened paper towels and spray anesthetic water over the fish’s body and gills during the procedure to ensure it does not become light or dry. While to some the concept of performing a physical examination on a fish is a bit overwhelming, the approach is similar to any other species. I always start the examination from the head of the animal and work my way back. The primary sites to be examined include the eyes, nares, oral cavity, operculum and gills, fins, body condition (evaluating epaxial muscle condition over the spine), scales/integument, abdominal space, and anus and urogenital openings. This particular animal weighed 95 grams and was in good body condition. All systems checked out normal, with the exception of the integument. The structures “hanging off the fish” were attached to the integument. These structures were approximately 8-10 mm in length; there were 9 of them found on the fish (Figure 1). A diagnosis of a Lernaea sp. infestation was made. For those with experience working with pond fish, such as koi and goldfish, these parasites, also called anchorworms, burrow themselves into their host. They have a unique life cycle in that the male attaches itself to the female, becoming one contiguous structure. These parasites can be extracted from the fish using forceps, similar to removing ticks. Because of their large “anchor”, it is not uncommon that open sores are created. In this case, 5 g/L ppt sodium chloride (salt) was added to the fish’s aquarium to minimize opportunistic infections. This treatment was prescribed for a 10 day treatment. Because there is little known regarding the effect of salt treatment on arowanas, there was a desire to evaluate pre-treatment and 24 hour post-treatment sodium and chloride levels in the fish. In addition, the owner had a desire to have a complete blood count (CBC) and plasma biochemistry done. 2011 Sept/Oct 5 S alt i n g F i s h Venipuncture in fish is typically done under anesthesia. The author typically collects blood from the ventral tail vein (Figure 2) or heart. In this case, the ventral tail vein was used. This vessel lies along the ventral surface of the caudal vertebrae, and is accessed at the level of the caudal peduncle. A 22- to 25-gauge needle fastened to a 3 ml syringe can be used to collect the sample, depending on the size of the fish. The sample can be collected using a ventral approach or a lateral approach (using the lateral line as a landmark). Because this fish weighed 95g, and it is safe to collect 1 ml/100 grams body weight, 0.6 ml of blood was collected. A total of 0.1 ml was used to run a Critical Care Plus Profile (Time 0), 0.1 ml was used to run an Avian/Reptilian Profile Plus and 0.4 ml was used to perform the CBC. The CBC was done using manual techniques because of the nucleated erythrocytes and Table 1. Chemistry profiles for the Scleropages jardini infested with Lernaea sp. and treated with salt. Parameter Avian/Reptilian Profile Plus Albumin (g/dL) 1.9 AST (IU/L) 228 Bile Acids (μmol/L) 15 Calcium (mg/dL) 10.4 Phosphorus (mg/dL) 7.4 Total protein (g/dL) 3.9 Globulins (g/dL) 2.0 Glucose (mg/dL) Critical Care (Time 0) Critical Care (Time 24h) 33 37 89 Potassium (mEq/L) 3.9 3.8 3.9 Sodium (mEq/L) 137 138 140 105 107 Chloride (mEq/L) Figure 1. Examples of the Lernaea sp. attached to the arowana. Figure 2. Collecting blood from the ventral tail vein of the arowana. thrombocytes; the results were unremarkable. The results of the Avian/Reptilian and Critical Care Plus rotors are found in Table 1. After 24 hours in the 5 ppt saltwater solution, a second blood sample (0.2 ml) was collected and processed using the Critical Care Plus rotor (Time 24) (Table 1). The differences noted in sodium and chloride between the Time 0 and Time 24 hour samples were both <2.5%; the glucose on the post-treatment sample was 58% higher than the pretreatment level. After the 10 day course of treatment the fish was completely healed, with no signs of new Lernaea spp. infestations. 6 Sept/Oct 2011 S a lt in g F is h Discussion Arowanas represent one of the oldest groups of teleosts. This group is known as the “boneytongue” fish. There are six different species of arowanas, and they are found on four different continents (Australia, Asia, Africa, and South America). The reason these fish are of interest to scientists is that they represent one of the few groups of species that strongly support the theory of Pangaea, being that these animals are freshwater fish and are morphologically similar. The Asian arowana (Scleropages formosus) is also of special interest because of its value; however, it is illegal to privately own this species in the US because they are endangered and restricted for sale by their CITES listing. It is for this reason their Australian cousins are desired as pets in this country. Lernaea spp. is an interesting crustacean parasite. It is commonly encountered in koi and goldfish ponds in the USA, but is less common in tropical fish. When it is seen in tropical fish, such as this arowana, it is in animals held in ponds under high densities. In a closed system, like a pond, the parasite burden can become high because the fish cannot escape them (as in a moving body of water such as a river). Fortunately, these ectoparasites are easy to manage on the fish, as was described in this case, simply by removing them. It becomes more difficult when you have to treat the environment, similar to ectoparasites (e.g., fleas) in domestic mammals. Potassium permanganate and formalin are commonly used to treat aquatic systems infested with this parasite. Because this animal was housed in a substrate free aquarium, it was easier to treat the environment by emptying the water and drying out the system. Salt was used to treat this fish as a prophylactic. Historically, veterinarians have been trained to manage skin lesions in a patient using topical antibiotics; however, it is best to limit this practice to cases where it is considered absolutely necessary. Being judicious with antibiotics will help minimize the likelihood of creating antimicrobial resistant pathogens within our environment. It is likely that this fish would have healed without any treatment once the parasites were extricated, but because scales were removed when the parasites were extracted, and fish rely heavily on their innate immune system, it was done to limit the potential for complications. The dose of salt used (5 g/L) to treat the arowana is higher than that recommended by most commercial aquarium products (3 g/L). Freshwater fish live in an environment that is hypo osmotic to them, which requires them to work hard to excrete excess fluid. By adding salt to the water, the physiologic burden is lowered for the fish. The salt also serves as an antimicrobial. The dose used is capable of desiccating many different types of bacteria, fungi, and water molds. While the author routinely uses this higher dose of salt to treat fish, there is little available on the effect of this dose on fish. Treating fish with salt is not without its potential harm. The tolerance of freshwater fish to salt varies from species to species. At higher doses salt can desiccate the fish, leading to dehydration. Sodium and chloride absorbed by the fish could also lead to hypertension and salt toxicosis. Recently, research done in the author’s laboratory had shown that the 5 g/L dose did not appear to have a negative effect on goldfish;1 however, there is no information available for this treatment on S. jardini. It was possible using the Critical Care Plus rotors to measure sodium and chloride levels before and after treatment. The difference in sodium and chloride was < 2.5%, which is an acceptable variance for sodium in between samples.1 There was a large difference (58%) noted in the glucose in between sampling periods, but this was attributed to stress of handling and anesthesia.1 This case should reinforce the value of an in-house point-of-care meter and the importance of serial testing. In this case it was possible to evaluate the patient’s response to treatment, allowing for an adjustment to therapy if needed. Veterinarians that have the capability to provide such close monitoring of their patients will provide a higher quality of medical management for their patients and clients. Reference: 1. Clinical and Physiologic Effects of Sodium Chloride Baths in Goldfish. Journal of Zoo and Wildlife Medicine, Burgdorff A, Mitchell MA, Watson M, in press 2011 Sept/Oct 7