PDF text renders incorrectly

I am not sure if this is an issue with the pdf or Zotero. I downloaded a thesis here:
https://arts.units.it/handle/11368/3106303
The direct download link is:
https://arts.units.it/retrieve/2bc6a987-309f-4c75-b3d3-333f50bbc641/PhD_thesis_compressed_pdfa.pdf

When I open the pdf in the Zotero pdf viewer it does not render correctly. For example, here is the contents page:
https://s3.amazonaws.com/zotero.org/images/forums/u9255152/zk3aokbong5al7ruz93n.png

If I open the pdf in nitro or Acrobat Reader it looks fine.

Any ideas?
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