“…Clinical pathology of Pd infection in North American species is associated with abnormal behaviour, a disturbed natural hibernation cycle characterized by increased arousal frequency resulting in premature depletion of fat stores during hibernation (Reeder et al., 2012). Diseased animals show disturbed electrolyte and hydration balance (Cryan et al., 2013; Willis, Menzies, Boyles, & Wojciechowski, 2011), oxidative stress (Moore et al., 2013), chronic respiratory acidosis (Verant et al., 2014), altered complement protein activity (Moore et al., 2011) and fever response (Mayberry, McGuire, & Willis, 2018). Pd infection does not produce primary inflammatory cellular infiltration into infected tissues (Meteyer et al., 2009), which would be associated with leukopenia (i.e., low white blood cell counts) during mammalian hibernation (Bouma, Carey, & Kroese, 2010).…”