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Production Animal Clinical Toxicology
CNS Disorders: Lead
Chemicals | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment
Return to Production Animal Clinical Toxicology Index
Chemicals
Compounds
- lead tetroxide (red lead) - paint, plumbing
- lead carbonate (white lead) - paint, lino, asphalt
- lead oxides, sulphides - motor and vehicle emissions
- lead arsenate - garden sprays
Sources
- batteries, paint, putty, solder, sump oil and filters, mine tailings
Pathogenesis
- lead ions inhibit enzyme systems containing free sulphydryl groups
- main sites - bone marrow, brain, kidney
- bone marrow - affects pathway for haem synthesis
- d-aminolevulinic acid dehydratase and ferro chelatase are inhibited resulting in accumulation of d-aminolevulinic acid and prophyrin
- anaemia a consequence
- reduced Hb formation
- increased immature red cells, red cell fragility
- brain - lead induces increased capillary permeability
- oedema, laminar malacia and cavitation
- kidney
- lead forms insoluble complexes with protein in epithelial cells
- epithelium becomes dystrophic and intranuclear inclusions develop
Clinical Signs
cattle
- acute - more common in calves
- sudden death of some animals
- champing, staggering, rolling of eyes
- tonic-clonic convulsions
- opisthotonus, muscle tremor especially head and neck
- hyperaesthesia, excitability, aggression
- blindness
- head pressing, stiff, jerky gait
- subacute - more common in adults
- dullness, inappetence
- apparent blindness
- incoordination, circling
- muscle tremors, hyperaesthesia
- abdominal pain
- ruminal atony, constipation
sheep
- similar to subacute signs in cattle
horses
- not common
- roaring caused by paralysis of recurrent laryngeal nerve
- pharyngeal paralysis - recurrent choke
- regurgitation through nostrils
- paralysis, abdominal pain, convulsions
Clinical Pathology
- blood smears for nucleated erythrocytes and/or basophilic stippling
- d-aminolevulinic acid levels in urine
- blood lead levels
- blood zinc protoporphrin levels
- necropsy: liver, kidney lead levels
Necropsy
- acute
- cases may have no specific lesions
- subacute
- gastroenteritis
- brain oedema - cerebrocortical softening, yellow discolouration, cavitation
Diagnosis
- history
- clinical signs
- clinical pathology
Treatment
- calcium disodium EDTA
- convulsions controlled by use of CNS depressants
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