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Fatal leptospirosis in southern sea otters from Central California: pathologic findings and detection of Leptospira interrogans

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Recent retrospective analysis of southern sea otters (Enhydra lutris nereis) in Central California has revealed a significant prevalence of fatal leptospirosis, linked to *Leptospira interrogans* serovar Pomona. Examining cases from 2005-2025, researchers identified leptospiral infection in 74% of suspected cases via PCR, with 71% of infected otters stranding during periods of increased rainfall, suggesting potential land-to-sea transmission. These findings underscore the importance of investigating disease transmission dynamics to mitigate sea otter mortality and protect this sentinel species.
Fatal leptospirosis in southern sea otters from Central California: pathologic findings and detection of Leptospira interrogans

The recent study documenting fatal leptospirosis in southern sea otters (SSOs) along the California coast presents a concerning, yet ultimately valuable, data point in our understanding of coastal ecosystem health. While *Leptospira interrogans* serovar Pomona is known to impact California sea lions and other marine mammals, its prevalence and contribution to mortality in threatened SSO populations has remained largely unknown. This research, spanning nearly two decades, establishes a clear link between *L. interrogans* infection and severe kidney disease, ultimately leading to death in a significant portion of examined cases. This finding is particularly relevant given the broader context of marine mammal disease outbreaks – see, for example, the ongoing investigations into morbillivirus in striped dolphins Morbillivirus Outbreaks – and reinforces the role of SSOs as sentinel species, reflecting the health of the coastal environment. The discovery of a strong correlation between infection peaks and periods of increased rainfall further suggests a land-to-sea transmission pathway, emphasizing the interconnectedness of terrestrial and marine ecosystems and the potential for zoonotic disease spillover. Understanding these dynamics is crucial for effective conservation strategies.

The meticulous methodology employed – retrospective review combined with immunohistochemistry, serology, and PCR – lends considerable weight to the conclusions. The high PCR positivity rate (74%) in suspected cases, coupled with the consistent detection of *L. interrogans* serovar Pomona DNA and the presence of characteristic renal lesions, paints a compelling picture of leptospirosis as a significant, previously underappreciated, contributor to SSO mortality. The observation that gross renal changes were often subtle highlights the challenges in diagnosing this disease in live animals, further underscoring the importance of post-mortem examination and robust diagnostic tools. This study builds upon previous research documenting similar patterns in other marine mammal populations, suggesting a broader ecological issue that warrants further investigation. For instance, a related study exploring the prevalence of leptospirosis in harbor seals Leptospirosis in Harbor Seals provides valuable comparative data that contextualizes the observed findings in southern sea otters. The authors rightly point to the need for a focused investigation into disease transmission dynamics, recognizing that a deeper understanding of the interplay between marine and terrestrial reservoirs is vital.

Beyond the immediate implications for SSO conservation, this research has broader ramifications for coastal ecosystem health management. The fact that *L. interrogans* serovar Pomona is present in sympatric sea lions and terrestrial mammals suggests a complex web of transmission pathways, potentially influenced by factors such as urbanization, agricultural runoff, and changing precipitation patterns. The study's findings highlight the vulnerability of coastal wildlife to emerging infectious diseases, particularly in areas experiencing environmental change. Furthermore, the relatively subtle nature of the renal lesions in fatal cases emphasizes the need for improved diagnostic capabilities, not only for SSO populations but also for other marine mammals at risk. The demonstrated link between rainfall and infection peaks provides a valuable temporal marker for monitoring and potentially mitigating disease risk – a data point that can be integrated into predictive models for coastal health.

Looking ahead, the crucial question becomes: how can we proactively reduce SSO mortality from leptospirosis and other emerging infectious diseases? Further research should focus on identifying the primary reservoirs of *L. interrogans* in the adjacent watersheds, characterizing the specific transmission routes, and evaluating the effectiveness of potential mitigation strategies. This will necessitate a collaborative, interdisciplinary approach, involving wildlife veterinarians, ecologists, public health officials, and policymakers. Continuous monitoring of SSO populations for leptospirosis and related pathogens, coupled with enhanced surveillance of terrestrial wildlife, will be essential for early detection and rapid response. Ultimately, the long-term health of these iconic marine mammals, and the broader coastal ecosystem they inhabit, depends on our ability to understand and address the complex interplay of factors driving disease emergence and spread.

Leptospira interrogans serovar Pomona infections cause periodic outbreaks in California sea lions (CSLs; Zalophus californianus) and sporadic deaths in phocids. However, the frequency of infection and associated health impacts remain uncharacterized in sympatric threatened southern sea otters (SSOs; Enhydra lutris nereis), which serve as important sentinels of coastal health. Given the broad impacts of L. interrogans on other marine mammals, our objective was to screen selected SSOs for infection, determine whether leptospirosis contributes to SSO mortality, and describe leptospiral-associated lesions. A retrospective review (2005–2025) identified 19 candidate cases that underwent detailed review, including Leptospira immunohistochemistry (IHC), serology, and polymerase chain reaction (PCR), with a special focus on renal and hepatic lesions. Kidney samples were PCR-positive for 74% (14/19) of suspected cases. For eight of these, DNA sequence-based serogroup typing detected L. interrogans serogroup Pomona. Seven of the 14 PCR-positive leptospirosis cases were classified as fatal based on positive renal IHC and moderate to severe tubulointerstitial nephritis. All fatal cases had anti-L. interrogans serovar Pomona antibody titers ≥1:25,600. The remaining seven PCR-positive cases were considered nonfatal leptospirosis due to minimal and/or unrelated renal lesions and negative IHC. Nonfatal Leptospira-infected cases ranged from seronegative to low positive (1:400) for serovar Pomona. Antibody titers for Leptospira PCR-negative cases were negative. In fatal cases, gross renal changes were often inapparent or characterized by miliary white cortical foci. Renal histologic lesions included tubulointerstitial nephritis, acute tubular necrosis, and suppurative tubulitis with intratubular bacteria, along with positive IHC staining for leptospiral antigen in the lesions. Gross hepatic changes were also inapparent in fatal cases, and histologic lesions were rare, characterized in one animal by hepatocellular dissociation and in two sea otters by limited leptospiral antigen detection by IHC. Most Leptospira-infected sea otters (71%, 10/14) stranded during higher rainfall months in California, suggesting possible land-to-sea transmission from terrestrial hosts. Given these findings, and because L. interrogans serovar Pomona infections have been confirmed in sympatric CSLs and terrestrial mammals from adjacent watersheds, a focused investigation of potential marine and terrestrial disease transmission dynamics could provide new information to reduce SSO mortalities.

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