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Production Animal Clinical Toxicology

Hepatic Disorders: Facial Eczema


Aetiology | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control


Return to Production Animal Clinical Toxicology Index

Click on the images for more information


Aetiology

Pithomyces chartarum

 Pithomyces chartarum spores - click for larger image

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

 Pithomyces chartarum - click for larger image  Pithomyces chartarum - click for larger image  Pithomyces chartarum - click for larger image
  • initial dullness, lethargy and anorexia
  • variable onset of jaundice and photosensitisation
  • .
  • 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

 Pithomyces chartarum - click for larger image  Pithomyces chartarum - click for larger image
  • 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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Last Modified: Tuesday 08 July, 2008
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