Authored by:
Becky Lundgren, DVM
Salmon poisoning is also known as salmon disease, salmon
poisoning disease (SPD), and neorickettsia poisoning. It is an acute and
often fatal infectious disease of dogs, coyotes, and foxes of the
Pacific Northwest.
Despite its name, salmon poisoning does not
involve a toxin. Salmon poisoning is an infection that develops when
dogs eat raw fish (salmon, trout, or steelhead) or Pacific Giant
Salamanders that contain a fluke. A fluke, also known as a trematode, is
an internal parasite. In this case the fluke is Nanophyetus salmincola that contains a rickettsial organism called Neorickettsia helminthoeca.
Once
the larval flukes reach the dog's intestinal tract, they embed in the
dog's duodenal mucosa, and release the rickettsiae. The rickettsial
organisms then spread through the bloodstream to the liver, lungs,
brain, and lymphoid tissue. Clinical signs include but are not limited
to: fever; nausea; vomiting; bloody diarrhea; weight loss; ascites;
nasal and eye discharge; enlarged lymph nodes; twitching; and seizures.
Approximately 60 percent of cases present with generalized lymph node
enlargement. Unless treated, 50 – 90% of affected animals will die of
infection within 7 to 10 days.
Clinical signs usually begin about
one week after the animal eats the infected raw fish, although delays of
33 days have been reported.
Geographic Distribution
Although
infected fish can be found in the Pacific Ocean from San Francisco to
the coast of Alaska, salmon poisoning is most commonly found in
Washington, Oregon, northern California, and southern Vancouver Island
(Canada). It is also seen inland along the rivers of fish migration. The
Pacific Northwest has the trematode's first intermediate host, a small
snail called Oxytrema plicifer.
Diagnosis
Although
clinical signs are caused by the rickettsial organisms and not the
fluke, presumptive diagnosis is usually made by identifying the fluke’s
ova (eggs) in the feces. Ova are identified in 92% of cases. Direct
smears of fecal material usually provide sufficient specimen for
diagnosis, although other methods can be used.
Treatment
To
combat the hemorrhage, necrosis, and infection, affected animal usually
need antibiotics, fluid therapy, blood transfusions, antiemetics,
antidiarrheals, and anticestodals (drugs that kill flukes).
Preventive Measures
Dogs should not be allowed to eat raw or smoked-raw fish (salmon, trout, steelhead), or Pacific Giant Salamanders.
Dogs
that survive salmon poisoning will be immune to re-infection with the
same strain. However, infection with an alternate strain can occur
because there is no cross-protection.