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1.
Dis Aquat Organ ; 142: 119-124, 2020 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-33269723

RESUMEN

An outbreak of salmonellosis occurred in a group of 7 long-nosed fur seals Arctocephalus forsteri undergoing rehabilitation after being found injured and malnourished on beaches along the northern New South Wales and southern Queensland coasts of Australia. Three of the 7 individuals developed clinical disease and died within 3 d. Clinical signs included profuse diarrhea, vomiting, depression, and lethargy. Salmonella enterica subsp. enterica serovar Kentucky (S. Kentucky) was cultured from 2 of the 3 deceased animals. The other 4 animals showed similar signs and recovered following treatment. S. Kentucky (antigenic formula 8,20:i:z6) was isolated from the survivors and tissues recovered from post-mortem samples of deceased animals. The bacterium was susceptible to cephalothin and sulfamethoxazole/trimethoprim and resistant to amoxicillin-clavulanate, ampicillin/amoxicillin, tetracycline, and enrofloxacin. This organism has the potential to cause disease in aquatic wildlife, as well as posing a zoonotic threat to people who utilise the aquatic environment.


Asunto(s)
Lobos Marinos , Animales , Antibacterianos/farmacología , Australia , Brotes de Enfermedades/veterinaria , Farmacorresistencia Bacteriana Múltiple , Kentucky/epidemiología , Pruebas de Sensibilidad Microbiana/veterinaria , Nueva Gales del Sur , Queensland , Salmonella
2.
J Wildl Dis ; 59(3): 398-406, 2023 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-37170426

RESUMEN

We describe two cases of wound infections of koalas (Phascolarctos cinereus), one wild and one captive, in which Lonepinella-like organisms were involved. The wild adult koala was captured with bite wound injuries, as part of a koala population management program in Queensland, Australia. In both cases, there was evidence of physical trauma causing the initial wound. The captive koala suffered injury from the cage wire, and the wild koala had injuries suggestive of intermale fighting. Gram-negative bacteria isolated from both cases proved to be challenging to identify using routine diagnostic tests. The wound in the captive koala yielded a pure culture of an organism shown by whole genome sequence (WGS) analysis to be a member of the genus Lonepinella, but not a member of the only formally described species, L. koalarum. The wound of the wild koala yielded a mixed culture of Citrobacter koseri, Enterobacter cloacae and an organism shown by WGS analysis to be Lonepinella, but again not Lonepinella koalarum. Both cases were difficult to treat; the captive koala eventually had to have the phalanges amputated, and the wild koala required removal of the affected claw. The two Lonepinella isolates from these cases have a close relationship to an isolate from a human wound caused by a koala bite and may represent a novel species within the genus Lonepinella. Wound infections in koalas linked to Lonepinella have not been reported previously. Wildlife veterinarians need to be aware of the potential presence of Lonepinella-like organisms when dealing with wound infections in koalas, and the inability of commercial kits and systems to correctly identify the isolates.


Asunto(s)
Infecciones por Chlamydia , Phascolarctidae , Infección de Heridas , Animales , Humanos , Phascolarctidae/microbiología , Australia/epidemiología , Animales Salvajes , Queensland/epidemiología , Infección de Heridas/veterinaria , Infecciones por Chlamydia/veterinaria
3.
Gen Comp Endocrinol ; 177(1): 82-92, 2012 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-22387986

RESUMEN

Assessing reproductive status and monitoring reproductive rates is important in the effective management of vulnerable marine mammal species such as the dugong (Dugong dugon). Knowledge of the reproductive physiology of this species is limited, and determining reproductive parameters (e.g., sexual maturation, pregnancy, and reproductive senescence) has been restricted by a lack of non-lethal methods for assessing reproductive status in free-ranging individuals. The aim of this study was to develop a method to identify pregnant individuals in a wild dugong population. Using an enzymeimmunoassay, we quantified concentrations of fecal progesterone metabolites (fP) in 322 dugongs, including confirmed pregnant females (n=10), presumed non-pregnant adult females (n=25), juvenile females (n=24), subadult females (n=41), adult females of unknown pregnancy state (n=63), and males of all sizes (n=159). External body morphometrics of each dugong were measured, and confirmation of pregnancy in adult female dugongs was determined by ultrasonography or observation of subsequent neonates. Concentrations of fP were different between sexes and reproductive size classes (P<0.001), and ∼30-fold higher in confirmed pregnant dugongs (2017-7760 ng/g) compared to presumed non-pregnant females (30-221 ng/g), juvenile females (29-195 ng/g), and males (24-261 ng/g) (P<0.001). Body measures of maximum and anal girths, and teat length were all greater in confirmed pregnant females than presumed non-pregnant females (all P<0.05). We evaluated a Discriminant Function Analysis (DFA) to provide a model for predicting pregnant and non-pregnant dugongs. Cross-validated results showed that the DFA correctly classified 100% of pregnant and non-pregnant females using fP concentrations, body length, fineness ratio (an index of body shape), and teat length (a female reproductive trait). Using the DFA model, we classified the pregnancy status of all female dugongs and identified a total of 30 females as pregnant and 133 females as non-pregnant from the sampled population over the sample period. Pregnant dugongs in the Moreton Bay population are characterized by fecal progesterone metabolite concentrations > 1000 ng/g, body length ≥ 260 cm, maximum girth ≥ 215 cm, anal girth ≥ 126 cm, and teat length ≥ 5 cm long. In summary, analysis of fP concentrations in combination with body morphometrics may be used to diagnose pregnancy in free-ranging dugongs, and provides a new tool to monitor breeding rates of wild sirenian populations.


Asunto(s)
Dugong/metabolismo , Heces/química , Progesterona/metabolismo , Animales , Dugong/sangre , Femenino , Embarazo , Progesterona/sangre
4.
J Zoo Wildl Med ; 43(2): 391-3, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22779247

RESUMEN

Abstract: Mycobacterium avium paratuberculosis (Map) was cultured from the feces of a wild-caught, female, adult Southern black rhinoceros. The animal, which presented with a 4-mo history of diarrhea and weight loss, was prescribed a course of antimycobacterial drugs. The clinical signs resolved, and the feces were repeatedly culture negative thereafter. Although the Rhinocerotidae are likely to be resistant to Johne's disease, this case raises the possibility that they can become transiently infected with the causative organism.


Asunto(s)
Diarrea/veterinaria , Heces/microbiología , Mycobacterium avium subsp. paratuberculosis/aislamiento & purificación , Paratuberculosis/microbiología , Perisodáctilos , Animales , Antituberculosos/uso terapéutico , Diarrea/microbiología , Femenino , Paratuberculosis/tratamiento farmacológico , Pirazinamida/administración & dosificación , Pirazinamida/uso terapéutico , Rifampin/administración & dosificación , Rifampin/uso terapéutico , Estreptomicina/administración & dosificación , Estreptomicina/uso terapéutico , Pérdida de Peso
5.
J Wildl Dis ; 56(2): 359-371, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31658432

RESUMEN

An epizootic of coccidiosis in free-ranging green turtles (Chelonia mydas) occurred in Australia in 1991 and the parasites were thought to be Caryospora cheloniae. Recurring outbreaks over an increased geographic range followed. We used medical records and temporal and spatial data of turtles diagnosed with coccidiosis between 1991 and 2014 to characterize the disease and factors associated with outbreaks. Most affected animals were subadults or older. Neurologic signs with intralesional cerebral coccidia were observed. Coccidia associated with inflammation and necrosis were predominantly found in the intestine, brain, kidney, and thyroid. Cases occurred in the spring and summer. Three major outbreaks (1991, 2002, and 2014) were concentrated in Port Stephens, New South Wales (NSW) and Moreton Bay, Queensland, but cases occurred as far south as Sydney, NSW. Coccidiosis cases were more likely during, or 1 mo prior to, El Niño-like events. Molecular characterization of the 18S rRNA locus of coccidia from tissues of 10 green turtles collected in 2002 and 2004 in Port Stevens and Sydney imply that they were Schellackia-like organisms. Two genotypes were identified. The Genotype 3 sequence was most common (in eight of 10 turtles), with 98.8% similarity to the 18S sequence of Schellackia orientalis. The Genotype 4 sequence was less common (in two of 10 turtles) with 99.7% similarity to the 18S sequence of the most common genotype (Genotype 1) detected in turtles from the 2014 Moreton Bay outbreak. Our study will help with the identification and management of future outbreaks and provide tools for identification of additional disease patterns in green turtles.


Asunto(s)
Coccidios/genética , Coccidiosis/veterinaria , Brotes de Enfermedades/veterinaria , Tortugas/parasitología , Animales , Australia , Clima , Coccidiosis/epidemiología , Ecosistema , Genotipo , Factores de Tiempo
6.
PLoS One ; 15(10): e0230760, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33095793

RESUMEN

The impact of a range of different threats has resulted in the listing of six out of seven sea turtle species on the IUCN Red List of endangered species. Disease risk analysis (DRA) tools are designed to provide objective, repeatable and documented assessment of the disease risks for a population and measures to reduce these risks through management options. To the best of our knowledge, DRAs have not previously been published for sea turtles, although disease is reported to contribute to sea turtle population decline. Here, a comprehensive list of health hazards is provided for all seven species of sea turtles. The possible risk these hazards pose to the health of sea turtles were assessed and "One Health" aspects of interacting with sea turtles were also investigated. The risk assessment was undertaken in collaboration with more than 30 experts in the field including veterinarians, microbiologists, social scientists, epidemiologists and stakeholders, in the form of two international workshops and one local workshop. The general finding of the DRA was the distinct lack of knowledge regarding a link between the presence of pathogens and diseases manifestation in sea turtles. A higher rate of disease in immunocompromised individuals was repeatedly reported and a possible link between immunosuppression and environmental contaminants as a result of anthropogenic influences was suggested. Society based conservation initiatives and as a result the cultural and social aspect of interacting with sea turtles appeared to need more attention and research. A risk management workshop was carried out to acquire the insights of local policy makers about management options for the risks relevant to Queensland and the options were evaluated considering their feasibility and effectiveness. The sea turtle DRA presented here, is a structured guide for future risk assessments to be used in specific scenarios such as translocation and head-starting programs.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Tortugas/fisiología , Animales , Recolección de Datos , Especies en Peligro de Extinción , Femenino , Terapia de Inmunosupresión , Masculino , Densidad de Población , Vigilancia de la Población , Medición de Riesgo
8.
Conserv Physiol ; 7(1): coz016, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31110766

RESUMEN

Relocation of sea turtle nests and the retention of post-hatchlings for head-starting programs are both commonly used to improve conservation outcomes and facilitate eco-tourism ventures. Currently, there is little literature surrounding the husbandry protocols required during these programs to optimize post-release outcomes. To assess the impact of varied feeding regimes on exercise performance, (which will hereafter be referred to as 'fitness'), 40 10-month-old captive post-hatchling green turtles (Chelonia mydas) were divided into four groups of 10 and fasted for either 3, 9, 10 or 15 h. The animals were then subjected to a fitness test via repetitive use of the 'righting reflex' on land. Health assessments were conducted prior to the fitness test, including; heart rate, haematocrit (Hct), heterophil to lymphocyte ratio and the measurement of 11 biochemical analytes, including pH, partial pressures of carbon dioxide (PvCO2) and oxygen (PvO2), lactate, bicarbonate (HCO3 -), sodium (Na+), potassium (K+), chloride (Cl-), ionized calcium (iCa2+), glucose and urea. Results were corrected for multiple comparisons and significant differences among groups were demonstrated for temperature, pH, HCO3 -, iCa2+, urea and lactate. To investigate physiological relationships between analytes, correlation coefficients were calculated between fitness and glucose, fitness and lactate, glucose and lactate, pH and iCa2+, pH and K+, pH and PvCO2, pH and HCO3 - and Hct and K+. Following correction for multiple comparisons, significant relationships were seen between pH and iCa2+ and pH and HCO3 -. Post-hatchling turtles appear to enter a catabolic state when exposed to short-term fasting. While this did not have a direct impact on fitness, the production of an intense energetic output from a catabolic state may induce a physiological debt. This study suggests that handling that induces a physical response should be minimized and animals should be fed within 10 h of release.

9.
Vet Microbiol ; 231: 232-237, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30955815

RESUMEN

Pasteurella multocida is a heterogeneous bacterium, which has the capacity to cause disease in a wide range of host species and is also recognized as an important zoonotic pathogen. Two sequential deaths in captive fur seals occurred at Sea World, Australia during December 2017. A fibrinosuppurative bronchopneumonia in a Subantarctic fur seal (Arctocephalus tropicalis) resulted in death within 24 h of nonspecific signs of illness, whereas a septic peritonitis in a New Zealand fur seal (Arctocephalus forsteri) resulted in death within 12 h of clinical presentation. The cases happened within three days in two different pool locations, although both had previously been housed in the same area. A total of six Pasteurella multocida isolates were obtained from several internal organs at necropsy in both cases and were subjected to whole genome sequencing and phylogenomic analysis. In-silico typing of the isolates revealed that all belonged to Multi-Locus Sequence Type 7 and carried lipopolysaccharide outer core biosynthesis loci Type 3. Phylogenomic analysis of the isolates confirmed that the isolates were near identical at the core genome level, suggesting acquisition from a common source. The results also revealed the presence of within host and across animal diversity of P. multocida isolates for the first time even in a clearly connected outbreak.


Asunto(s)
Bronconeumonía/veterinaria , Lobos Marinos/microbiología , Infecciones por Pasteurella/veterinaria , Pasteurella multocida/genética , Peritonitis/veterinaria , Animales , Australia , Aves/microbiología , Bronconeumonía/microbiología , Bronconeumonía/mortalidad , Variación Genética , Genoma Bacteriano , Nueva Zelanda , Infecciones por Pasteurella/transmisión , Pasteurella multocida/clasificación , Peritonitis/microbiología , Peritonitis/mortalidad , Filogenia , Secuenciación Completa del Genoma
10.
J Vet Diagn Invest ; 30(3): 423-429, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29436286

RESUMEN

To improve understanding of pathophysiologic processes occurring in green sea turtles ( Chelonia mydas) stranded along the east coast of Australia, we retrospectively examined the hematologic and biochemical blood parameters of 127 green turtles admitted to 2 rehabilitation facilities, Dolphin Marine Magic (DMM) and Taronga Zoo (TZ), between 2002 and 2016. The predominant size class presented was small immature animals (SIM), comprising 88% and 69% of admissions to DMM and TZ, respectively. Significant differences in blood profiles were noted between facility, size, and outcome. Elevated levels of aspartate aminotransferase (AST) and heterophils were poor prognostic indicators in animals from TZ, but not DMM. SIM animals at both institutions had lower protein levels than large older (LO) animals. SIM animals at DMM also had lower hematocrit and monocyte concentration; SIM animals at TZ had lower heterophil counts. Urea was measured for 27 SIM animals from TZ, but the urea-to-uric acid ratio was not prognostically useful. Strong correlations were seen between AST and glutamate dehydrogenase (GDH; r = 0.68) and uric acid and bile acids ( r = 0.72) in the 45 SIM animals from DMM in which additional analytes were measured. χ2 contingency tests showed that the most recently published reference intervals were not prognostically useful. A paired t-test showed that protein levels rose and heterophil numbers fell in the 15 SIM animals from TZ during the rehabilitation process. Our results indicate that further work is required to identify reliable prognostic biomarkers for green turtles.


Asunto(s)
Animales Salvajes/sangre , Tortugas/sangre , Animales , Australia , Recuento de Células Sanguíneas/veterinaria , Pruebas Hematológicas/veterinaria , Valores de Referencia
11.
Reprod Fertil Dev ; 18(4): 469-76, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16737640

RESUMEN

The aim of the present study was to compare cryopreservation, osmotic tolerance and glycerol toxicity between mature and immature epididymal kangaroo spermatozoa to investigate whether the lack of cryopreservation success of cauda epididymidal spermatozoa may be related to the increased complexity of the sperm ultrastructure acquired during epididymal transit. Caput and cauda epididymidal spermatozoa were recovered from red-necked wallabies (RNW; Macropus rufogriseus) and eastern grey kangaroos (EGK; M. giganteus). In Experiment 1, caput and cauda epididymidal spermatozoa were frozen and thawed using a standard cryopreservation procedure in Tris-citrate buffer with or without 20% glycerol. Although cryopreservation of caput epididymidal spermatozoa resulted in a significant increase in sperm plasma membrane damage, they were more tolerant of the procedure than spermatozoa recovered from the cauda epididymidis (P < 0.05). In Experiment 2, caput and cauda epididymidal EGK spermatozoa were diluted into phosphate-buffered saline media of varying osmolarity and their osmotic tolerance determined. Plasma membranes of caput epididymidal spermatozoa were more tolerant of hypo-osmotic media than were cauda epididymidal spermatozoa (P < 0.05). In Experiment 3, caput and cauda epididymidal RNW spermatozoa were incubated in Tris-citrate buffer with and without 20% glycerol at 35 and 4 degrees C to examine the cytotoxic effects of glycerol. At both temperatures, caput epididymidal spermatozoa showed less plasma membrane damage compared with cauda epididymidal spermatozoa when exposed to 20% glycerol (P < 0.05). These experiments clearly indicate that epididymal maturation of kangaroo spermatozoa results in a decreased ability to withstand the physiological stresses associated with cryopreservation.


Asunto(s)
Criopreservación/veterinaria , Epidídimo/citología , Glicerol/toxicidad , Macropodidae , Preservación de Semen/veterinaria , Espermatozoides/fisiología , Animales , Membrana Celular/efectos de los fármacos , Membrana Celular/fisiología , Masculino , Concentración Osmolar , Espermatozoides/efectos de los fármacos , Espermatozoides/ultraestructura
12.
J Zoo Wildl Med ; 37(2): 160-4, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17312795

RESUMEN

Seven captive male African wild dogs (Lycaon pictus) weighing 25-32 kg each, were anesthetized by i.m. injection via hand syringe with a combination of 1.5 mg/kg ketamine, 40 microg/kg medetomidine, and 0.05 mg/kg atropine. Following endotracheal intubation, each animal was connected to a bain closed-circuit system that delivered 1.5% isoflurane and 2 L/min oxygen. Atipamezole (0.1 mg/kg i.v.; 0.1 mg/kg i.m.) was given at the end of each procedure (60 min following injection of medetomidine/ketamine/atropine). Time to sternal recumbency was 5-8 min. Times to standing after atipamezole administration were 8-20 min. This anesthetic regimen was repeated on three separate occasions (September 2000, February 2002, and October 2002) on all males to perform electroejaculation procedures. Each procedure was <80 min from injection to standing. Dogs showed excellent muscle relaxation during the procedures. Arterial blood samples were collected at 10-min intervals for blood gases in one procedure (September 2000). Separate venous samples were taken from each dog during each procedure for hematology and biochemistry. These values were within the normal range for this species. Arterial hemoglobin oxygen saturation (SpO2) and heart rate (HR) were monitored continuously in addition to other anesthesia monitoring procedures (body temperature, respiratory rate [RR], capillary refill time, blink response, pupil position, deep pain perception reflex). All dogs maintained relatively stable SpO2 profiles during monitoring, with a mean (+/-SD) SpO2 of 92% +/-5.4%. All other physiological variables (HR, RR, body temperature, blood pressure) were within normal limits. Following each procedure, normal behavior was noted in all dogs. All the dogs were reunited into the pack at completion of their anesthetic procedures. An injectable medetomidine-ketamine-atropine combination with maintenance by gaseous isoflurane and oxygen provides an inexpensive, reliable anesthetic for captive African wild dogs.


Asunto(s)
Anestésicos Combinados/farmacología , Análisis de los Gases de la Sangre/veterinaria , Carnívoros/fisiología , Adyuvantes Anestésicos/administración & dosificación , Adyuvantes Anestésicos/farmacología , Periodo de Recuperación de la Anestesia , Anestésicos Combinados/administración & dosificación , Anestésicos Disociativos/administración & dosificación , Anestésicos Disociativos/farmacología , Animales , Animales Salvajes , Atropina/administración & dosificación , Atropina/farmacología , Análisis Químico de la Sangre/veterinaria , Hipnóticos y Sedantes/administración & dosificación , Hipnóticos y Sedantes/farmacología , Inyecciones Intramusculares/veterinaria , Ketamina/administración & dosificación , Ketamina/farmacología , Masculino , Medetomidina/administración & dosificación , Medetomidina/farmacología , Factores de Tiempo
13.
PLoS One ; 9(5): e95127, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24787430

RESUMEN

Emerging infectious diseases are increasingly originating from wildlife. Many of these diseases have significant impacts on human health, domestic animal health, and biodiversity. Surveillance is the key to early detection of emerging diseases. A zoo based wildlife disease surveillance program developed in Australia incorporates disease information from free-ranging wildlife into the existing national wildlife health information system. This program uses a collaborative approach and provides a strong model for a disease surveillance program for free-ranging wildlife that enhances the national capacity for early detection of emerging diseases.


Asunto(s)
Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles/veterinaria , Zoonosis/epidemiología , Animales , Animales Domésticos , Animales Salvajes , Australia/epidemiología , Geografía , Hospitales Veterinarios , Vigilancia en Salud Pública
14.
J Wildl Dis ; 48(1): 47-55, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22247373

RESUMEN

We report serologic evidence of cetacean morbillivirus (CMV) infection in five of eight cetacean species found live stranded, injured, or trapped along the coast of southeastern Queensland and northern New South Wales, Australia between December 2005 and January 2011. Antibody to CMV was detected in 13 of 27 (48%) wild cetaceans sampled. Antibody prevalence was significantly higher in clinically diseased (69%) compared to nondiseased (18%) animals (P=0.018). There was high antibody prevalence (83%, n=6) in melon-headed whales (Peponocephala electra). Two of 13 (15%) captive cetaceans sampled between November 2005 and January 2011 had CMV antibodies and, as infection was unlikely to have occurred while in captivity, CMV infection appears to have been present in Australian wild cetaceans since at least 1985. These results indicate that morbillivirus infection is occurring without widespread cetacean mortality in this region. However, as the deaths of two immature Australian offshore bottlenose dolphins (Tursiops truncatus) were attributed to CMV infection, morbillivirus infection should be included in the differential diagnosis of disease in cetaceans in Australia. Captive cetacean populations may be prone to significant mortality as a result of CMV introduction, so strict quarantine procedures should be enforced when injured or stranded cetaceans are hospitalized and rehabilitated at Australian zoos and marine parks.


Asunto(s)
Anticuerpos Antivirales/sangre , Delfín Mular/virología , Infecciones por Morbillivirus/veterinaria , Ballenas/virología , Animales , Animales Salvajes/virología , Animales de Zoológico/virología , Femenino , Masculino , Morbillivirus/inmunología , Infecciones por Morbillivirus/epidemiología , Nueva Gales del Sur/epidemiología , Queensland/epidemiología , Estudios Seroepidemiológicos
15.
Vet Radiol Ultrasound ; 49(6): 551-6, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19051644

RESUMEN

Distal ulna metaphyseal osteochondrosis was identified in seven captive bred cheetahs raised in Australia between 1984 and 2005. The disorder was characterized by bilateral carpal valgus conformation. In the metaphyseal region of the distal ulnae, an osteolucent defect that appeared as a proximal extension of the lucent physis was identified radiographically between 6 and 10 months of age. Ulna ostectomy was done to correct the angular limb deformity. Histologically, changes were identified in the osteolucent lesion that resembled osteochondrosis. We propose that the condition is probably familial and/or dietary in origin.


Asunto(s)
Acinonyx , Enfermedades del Desarrollo Óseo/veterinaria , Cartílago/irrigación sanguínea , Osteocondrosis/veterinaria , Cúbito/irrigación sanguínea , Animales , Animales Recién Nacidos/crecimiento & desarrollo , Animales de Zoológico , Enfermedades del Desarrollo Óseo/patología , Enfermedades del Desarrollo Óseo/cirugía , Cartílago/crecimiento & desarrollo , Cartílago/patología , Cartílago/cirugía , Femenino , Masculino , Osteocondrosis/patología , Osteocondrosis/cirugía , Resultado del Tratamiento , Cúbito/crecimiento & desarrollo , Cúbito/patología , Cúbito/cirugía
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