We are pleased to share our new publication in the Journal of Wildlife Diseases 
with the MARMAM community:

Harris HS, Harris MD, Thompson GR, Engelthaler DM, Montfort PL, Leviner AL, and 
Miller MA. 2024. Novel Presentation of Coccidioidomycosis with Myriad 
Free-Floating Proteinaceous Spheres in the Pericardial Sac of a Southern Sea 
Otter (Enhydra lutris nereis). Journal of Wildlife Diseases 60(1):223-228. 
https://doi.org/10.7589/JWD-D-23-00045

Summary:
Coccidioidomycosis (Valley Fever) is a climate driven One Health issue 
impacting humans, domestic animals, and wildlife with a hotspot in San Luis 
Obispo County, California. Marine mammals are infected via land to sea transfer 
of airborne fungal spores during dry windy conditions. Sea otters typically 
present with severe, fatal pulmonary disease and systemic fungal dissemination. 
Here we present a novel case of a dead stranded southern sea otter (Enhydra 
lutris nereis) with a distended pericardial sac filled with thousands of 
free-floating masses in the absence of gross pulmonary lesions, confirmed as 
Coccidioides immitis via culture, serology, PCR, and sequencing. Anthropogenic 
land use practices that cause soil disturbance and exacerbate drought enhance 
the risk of exposure. Range expansion of this zoonotic pathogen and increased 
incidence in humans and animals is predicted with climate change, so clinicians 
and biologists should be aware of this unusual presentation.

This article is available on the Journal of Wildlife Diseases website. If you 
don't have access, feel free to reach out via email to request a pdf.


[cid:image001.png@01DA49ED.271BA190]
Heather S. Harris, DVM, MPVM, Dipl. ACVPM
Associate Veterinarian- San Luis Obispo Operations

harr...@tmmc.org<mailto:harr...@tmmc.org> |  C: 415.517.5514 | 
MarineMammalCenter.org<http://www.marinemammalcenter.org/>
The Marine Mammal Center, 1385 Main Street, Morro Bay, CA 93442





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