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Production Animal Clinical Toxicology
Hepatic Disorders: Facial Eczema
Aetiology | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control
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Aetiology
Pithomyces chartarum
Epidemiology
animal factors
plant/environmental factors
- fungus grows on the dead leaf litter of pasture
- most frequent pasture is perennial rye grass, but can occur on other species
- requires warmth and humidity to promote rapid fungal growth and sporulation
- typical weather conditions involve autumn break rains after dry summer, several days of consistent warmth (TºC>15.5ºC) and high humidity (>80%)
- fungus concentrates toxin in spores which may be distributed throughout whole pasture sward
- most toxic part of pasture is base of sward
Pathogenesis
- sporidesmin toxin concentrated in spores that are ingested by animal
- sporidesmin absorbed, removed by liver and concentrated into biliary system
- toxin participates in reduction/autoxidation processes to form superoxide radicals
- these radicals destroy membrane integrity and induce a necrotising obliterative cholangitis - obstructive jaundice develops
- accumulation of phylloerythrin results in photosensitisation
Clinical Signs
- initial dullness, lethargy and anorexia
- variable onset of jaundice and photosensitisation
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- some animals may die without either being observed
- photosensitisation:
- sheep - non wool skin including muzzle, ears, face, escutcheon
- cattle - non black pigmented areas including teats
- deer - generalised
- some animals develop chronic ill-thrift
- some progress to a hepatic encephalopathy
- dullness, depression
- tremor, recumbency
Clinical Pathology
- early stages serum gamma glutamyl transferase
- serum bilirubin
Necropsy
- skin lesions - photosensitisation
- acute - swollen mottled liver
- chronic - severe hepatic fibrosis, nodular surface
- left lobe often atrophied
- marked fibrosis of bile duct
Diagnosis
- history
- clinical signs
- clinical pathology
- necropsy
Treatment
- supportive therapy
- removal from sunlight
Control
- meteorological data allows prediction of potentially dangerous periods
- regional spore counting supplements above data
- on farm spore counting to identify dangerous pastures
- graze
- pastures with low spore counts
- long pastures for short periods
- alternative feeds - hay, silage, crops
- zinc oxide as a prophylactic
- benzimidazole fungicides to inhibit fungal growth
- breed for resistance
- vaccine development in progress
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