A 5 month old male Indo-­‐Pacific Bottlenose dolphin (Tursiops aduncus) presented for a one day history of going off feed and lethargy. It was also noted that the calf was nursing less and spending more time at the surface of the water. The calf had no previous medical history.
An initial physical exam revealed pale mucous membranes, pale patches of skin, and noticeable lethargy. Blood work indicated evidence of severe anemia, infection, inflammation, and possible liver disease. An ultrasound examination showed decreased motility of the gastrointestinal tract and a large spleen. Gastric sampling suggested infection. The calf was started on supportive treatment including antibiotics, gastroprotectants, and nutritional support. A blood transfusion and intravenous fluid therapy were considered as treatment options.
This case will explore various aspects of marine mammal medicine and highlights the importance of establishing normals in species at varying ages.