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What is Pneumonia?

Pneumonia is a lower respiratory tract disease that can occur in your turtle. Respiratory infections are common in turtles and are impacted by respiratory or systemic parasitism, environmental temperatures, conditions that are not sanitary, disease, malnutrition and a deficiency in Vitamin A. Pneumonia can occur in one of two different forms:

Acute: Comes on suddenly and can lead to the turtle’s death within hours if treatment is not administered right away. 

Chronic: The pneumonia will persist over a long period of time.

Due to their ability to handle an anaerobic environment, turtles are able to hide signs of pneumonia until the condition is severe.

A disease of the lower respiratory tract, pneumonia in turtles results from a fungal or bacterial infection and requires immediate treatment.

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Symptoms of Pneumonia in Turtles

If your turtle is experiencing acute pneumonia, he may show respiratory distress to include his gasping and breathing with his mouth open. He may also cough, appear to be disoriented and may even present as hyperactive.

Should your turtle experience the chronic form of pneumonia, you may observe chronic nasal discharge and respiratory distress.

In severe and ongoing cases of pneumonia, septicemia, which is a bacterial infection in the vascular system of your turtle, can develop. Symptoms of septicemia include struggling to breathe, appearing lethargic and uncoordinated, as well as convulsions.

  • Gasping
  • Open-mouthed breathing
  • Coughing
  • Nasal Discharge


Turtles can experience pneumonia as a result of bacteria or fungus. In fungal pneumonia, local or diffused granulomas are often seen. In bacterial pneumonia, gram-negative bacteria are most commonly  seen and less often, mycoplasma spp, chlamydophila spp and mycobacterium spp are the culprits of the illness.

Causes of Pneumonia in Turtles

Pneumonia can result from a number of infectious diseases. Often, gram-negative bacteria are found in cases of pneumonia; these tend to be opportunistic infections occurring from the same bacteria that is present in a healthy turtle. Anaerobic bacteria can also result in the condition; in addition, turtles can experience fungal pneumonia. Infection with herpesvirus will often make the turtle more susceptible to bacterial and fungal infections.

Aeromonas and Pseudomonas spp are often isolated in cases of pneumonia, however many infections are mixed. Infection is more likely in unsanitary conditions, when there are increases in humidity, when the turtle is not getting proper nutrition and/or when he is experiencing a Vitamin A deficiency.

Diagnosis of Pneumonia in Turtles

Should you notice any concerning symptoms in your turtle, you will want to contact your veterinarian, who will conduct an examination of him. The examination may start with the veterinarian observing your turtle before he conducts a physical exam, as this may yield helpful information in understanding what is going on with him. During his observations, your veterinarian will look at the following:

  • Overall body condition of your turtle
  • Alertness
  • Apparent strength
  • Whether he is able to dive or float asymmetrically
  • Swellings in his ear
  • Anything abnormal in his eyes (discharge, squinting, eyes sunken in)
  • Nasal discharge
  • Difficulty breathing/breathing with his mouth open
  • Lameness or unusual use of his flippers
  • Dry, flaky skin

Depending upon the results of the observations and physical examination, your veterinarian may consider taking radiographs (with anterior-posterior and lateral views), which can confirm a diagnosis of pneumonia by showing the presence of fluid in his lungs. Your veterinarian may choose to take samples of blood for examination.

Treatment of Pneumonia in Turtles

Should your turtle develop pneumonia, a tracheal wash should be performed before treatment begins if your turtle is able to handle it (sedation is a possibility). If the pneumonia is only impacting one lung, then treatment will focus on that lung. A sterile saline solution can be flushed through a catheter and then drawn back out. Treatment will involve injectable antibiotics, to include enrofloxacin, ciprofloxacin, oxytetracycline and ampicillin. The acute form of the illness has been found to typically be more responsive to treatment than the chronic form. 

Any time that your turtle has a respiratory infection he should be kept at the mid to upper end of his optimal temperature. The higher temperature will stimulate your turtle’s immune system and help to muster respiratory secretions. Nebulization therapy may also be helpful.

An underlying Vitamin A deficiency which will require supplementation. Many turtles who experience pneumonia won’t completely recover until their Vitamin A deficiency has been resolved.

Treating fungal pneumonia is particularly challenging and often is not successful. In some cases, granulomatous nodules will require surgery and it may be recommended that Amphotericin B be delivered through a catheter directly into the lung that is affected.

Recovery of Pneumonia in Turtles

Should your turtle develop pneumonia, it is important that you follow the recommendations of your veterinarian (such as ensuring your turtle’s environment is suitable and clean) to help in his recovery. Your veterinarian may recommend follow up appointments in order to check on his condition.

Pneumonia Questions and Advice from Veterinary Professionals

Red eared slider
2 Months
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Nasal Discharge
Only Basking
Picking On Nose
Pink Lining Under Shell
Swollen Right Eye

Medication Used

7 syringes of the Tazicef
Ceftazidime (tazicef) 100 mg/ml

By baby turtle is 3 inches in shell length. Illness started as loud breathing with obvious discharge sounds in his breathing. White cloudy discharge coming from nose when tilted forward. Would only bask, went back to basking when prompted to swim. After vet visit the next day I noticed his breathing was loud, I increased his tank temp to 90 degrees, medications started, food & veggies increased, water conditioner infused with vitamins and electrolytes was increased, & UVB was put more directly over basking area. Tank was emptied & completely cleaned, filters cleaned, more live plants in tank. After medication, turtle is swimming, eating regularly, playful, but pink lining is still there and he still picks on his nose.

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Red Ear Slider
One Month
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Excessive basking
Limp and unresponsive
Refusal to swim
Wheezing, laboured breathing
Swollen eyes

Hello. I don't know if people are aware but a lot of red ear sliders are traded in India. I happened to rescue two hatchlings. Three hatchlings from that lot, which was in miserable condition, were already dead. They would have released the rest but I intervened and brought home two. After a couple of days, one started slowing down. Next day, it refused food, and became completely limp. Its eyes started swelling up.

At this time, I took him to the vet (he also keeps some red eared sliders, and I must say, in deplorable condition). He was a pathetic excuse of a guy and said the turtle was a 'vastu' creature and was absorbing negative energy from my home. I left in disgust and decided to pursue a treatment myself.

I separated the two hatchlings, and dry docked the sick one, although I suspected that the other one was also infected and it was only a matter of time that it started showing symptoms. I researched for a few straight hours and realised it has a severe respiratory infection, which can only be treated with antibiotics. I raised the water temperature, and mixed some antibiotic in the mashed pellets in the water do that it could eat it. I had to lower the water level to its shell level since I realised that it was unable to swim. It first swam lopsided, then just limply floated around.

Since it had started listing and looking quite dreadful, labouring with each breath and extending its head and neck to take in air, it began looking more and more like acute pneumonia. I have some cursory knowledge of antibiotics and asthma medication, so I decided to medicate. It responded at first to the antibiotics and survived the night. The next day, I started nebulisation with amikacin 5mg/ml and saline. I am an asthmatic and had the nebulisation machine handy.

Unfortunately, it didn't survive the following night, despite our best efforts. If the onset wasn't so acute and if she'd let us understand the severity of her illness a little sooner, the little bugger would have stood a fair chance. But she just suddenly fell extremely ill and I didn't even have one and half days to start the medication properly.

However, the story is important as we started antibiotics on the other hatchling, which had started showing some lethargy and imbalance, and it responded beautifully to the medication. I also started it on some Ciprox (Ciprofloxacin) eye drops as turtle eye drops take forever to be delivered by Amazon. I presently have it dry docked until it gains full strength but allow it to swim for half an hour in the morning and afternoon in the tank while giving it food and medicines. It sleeps under the warm basking lights, but not directly. Its strength is returning and it is no longer listing. Its eyes had shown some swelling and he was keeping them closed for long periods. This has stopped following the eye drops.

My only concern is how to keep him hydrated while he is out of water, which is, right now, almost the entire day. I should mention that its winter in India now, and while the severity is not a concern, the air is quite chill, and I don't want him to get worse than he is now. My other concern is whether the Ciprofloxacin eye drops would interact with the amikacin nebulisation in any way. But so far, I haven't seen anything of alarm.

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Indian star tortoise
18 Months
Moderate condition
0 found helpful
Moderate condition

Has Symptoms


I have a tortoise who is sneezing since 1 month usually when we take out from his cardboard house and keep it out or after bathing and also he has nasal discharge which is watery and colourless. There is no nearby tortoise veterinary expert to seek help. Please prescribe treatmemt for the same. He is 1 and a half yr old. Also when we take him out he take 35-40 min to open his eyes. He tries to rub his eyes but he is unable to.
(I would like to mention that he has some congenital issues. His beak is not well formed,he cant eat by himself we need to push food into his mouth and then he swallows)

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3320 Recommendations
It is not as simple as “prescribe treatment for same” since I legally cannot prescribe a prescription medication to an animal without physically examining them first. It is concerning that there are some congenital issues which may be related to the nasal discharge if there are defects inside the oral cavity; a clear discharge may not necessarily indicate an infection (common respiratory tract infections include Mycoplasma or viral infections) and a visit to ANY Veterinarian would be more beneficial than no examination. Regards Dr Callum Turner DVM

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Red eared slider
6 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Gasping chirping

We have a turtle with pneumonia (currently being treated with antibiotics) and I was wondering if me and my family could catch the pneumonia from him? Can humans catch the RI from a red eared slider? It is very concerning

Dr. Michele King, DVM
Dr. Michele King, DVM
1611 Recommendations
I'm not aware that humans can catch respiratory infections from turtles, but Salmonella and other bacteria are possible. Since viruses can mutate and behave in ways that we don't understand, it would be best to practice good hygiene, don't handle Shurby until the antibiotics are finished, and wash you hands after contact.

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