Malamute the loggerhead sea turtle released on beach.

Meet Malamute, a sub-adult loggerhead sea turtle who made waves last fall after a news article highlighted a special surgery our Veterinary Team conducted on them to remove a fishing hook from their body. Guests were able to watch this surgery through the treatment room window at our Windows into Animal Care exhibit. Though the surgery was a success that day, it was only one part of a long and complicated case surrounding Malamute's health. With numerous medical ailments to tackle - including cold-stunning, an ingested fishing hook, pneumonia, and a severe muscle infection - our team's efforts to rehabilitate Malamute have been extensive.

Malamute was first admitted to the Darden Marine Animal Conservation Center (DMACC) after being found stranded from cold-stunning on November 24th in Cape Charles. Cold-stunning occurs when sea turtles are exposed to cold temperatures below 50°F. A sea turtle's body temperature is dependent on its environment, so many of their physiologic functions suffer when the water gets too cold. They become very weak and inactive, and the respiratory, digestive, and cardiovascular systems become severely compromised. Cold-stunned turtles are often very ill and in critical condition at time of stranding. Therefore, the Stranding Response team and the Aquarium veterinarians must prepare to assess and begin treatments immediately, often in the Stranding Response van before the animal even arrives at the DMACC.

This was the case for Malamute. Their heart rate was very low, and our team could not detect respirations when they arrived at the DMACC, so the veterinarians initiated emergency medical support. As a 60-kilogram (approximately 132-pound) sea turtle, there are a lot of logistics involved — from getting the turtle off the beach to collecting and analyzing blood samples and starting treatment, all while still in the van! Once at headquarters, Malamute remained in critical condition for four days before their vitals stabilized. Diagnostic tests indicated they had a systemic infection and pneumonia, which is common after cold-stunning, as the immune system is also compromised by the cold temperatures. However, a surprise was also found on Malamute’s radiographs: in addition to severe pneumonia and congestion in the lungs, a large fishing hook was visible. At some point in the past, Malamute had interacted with fishing gear and swallowed the hook, which was imbedded in the sea turtle’s esophagus.

Veterinarian examining Malamute at Stranding Response clinic.

The veterinarians and Stranding Response team are very familiar with hooked sea turtles, as up to 60 hooked turtles are admitted to the DMACC for rehabilitation per year and the team conducts 30–40 hook removal procedures annually. Several sedated procedures were attempted to try to remove Malamute’s hook through the mouth using endoscopy, but the hook was embedded too deeply and required surgery. The hook was successfully removed via esophagostomy (i.e. through the ventral neck and esophagus) on December 12th.

Initially, Malamute showed great signs of healing externally and improving overall. However, one month after surgery, their appetite and activity level decreased and there was evidence of bleeding from the mouth. Another endoscopy procedure was performed, revealing dehiscence (a rupture or opening) of the esophagus, along with a suspected infection. The team then conducted an urgent exploratory surgery to assess the full extent of the damage.

During the surgery, a severe muscle infection was found tracking up the neck and along the plastron (the bottom half of the shell). This infection was likely caused by the initial hook interaction penetrating through the esophagus, which slowly worsened, spread through the muscle layer, and compromised the previous surgical site in the esophagus. The impact cold-stunning has on the immune system may also have contributed to the persistence of the infection. The surgery involved significant debridement (removal of dead or infected tissue) of the non-viable muscle, repair and reclosure of the esophagus, and closure of the damaged areas to aid in healing. Results from samples taken at the time of this surgery helped the team determine a targeted antibiotic treatment for the deep muscle infection.

Following the second surgery, Malamute received antibiotics, pain medications, and supportive care. Our team closely monitored them for signs of persistent infection or complications from the muscle damage and esophagus, and saw a gradual increase in appetite, reduced bleeding, and signs of controlled infection. Soon after, Malamute began to swim in one of the larger rehabilitation holding systems. Eventually, Malamute was cleared by our veterinary team and released back into the ocean in July!