# Blood Fluke Infection (Spirorchidiasis) and Systemic Granulomatous Inflammation: A Case Study of Green Sea Turtles (Chelonia mydas) on Jeju Island, South Korea

## TL;DR

This case study examines spirorchiidiasis in green sea turtles from South Korea, highlighting severe systemic inflammation and the need for conservation efforts.

## Contribution

The study provides a detailed pathological analysis of spirorchiidiasis in green sea turtles from Northeast Asia.

## Key findings

- Spirorchiidiasis caused severe lung lesions and systemic granulomatous inflammation in green sea turtles.
- Computed tomography revealed pulmonary and extrapulmonary manifestations, including joint masses.
- Histopathology confirmed the presence of spirorchiid ova in multiple organs of infected turtles.

## Abstract

This case report offers a comprehensive analysis of the clinical symptoms, radiological findings, and postmortem examinations of three green sea turtles (Chelonia mydas) investigated for spirorchiidiasis. These findings highlight the complexity and severity of the disease, emphasizing the presence of systemic, granulomatous inflammation, and its impact on the overall health of sea turtles. This study advocates for continuous research and conservation efforts to mitigate the impact of spirorchiidiasis on marine turtles.

Despite the precarious state of marine turtles as a highly endangered species, our understanding of their diseases remains limited. This case report presents a detailed pathological investigation of spirorchiidiasis, a blood fluke infection that poses a substantial threat to marine turtles. This retrospective study examined three cases of spirorchiid-infected sea turtles, specifically, green sea turtles stranded on Jeju Island, South Korea. Premortem examination of the three spirorchiid-infected green sea turtles demonstrated nonspecific clinical symptoms; blood analysis revealed dehydration, malnutrition, and anemia. Computed tomography scans provided insights into severe pulmonary and extrapulmonary manifestations, including the mass present in the joint region. Post-mortem examinations consistently indicated severe lung lesions and systemic manifestations, with histopathological examination confirming the presence of spirorchiid ova across various organs. Despite the global prevalence of spirorchiidiasis in sea turtles, disease severity varies regionally. This report provides a detailed demonstration of the pathology of spirorchiidiasis in sea turtles from Northeast Asia.