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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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Last Modified: Tuesday 08 July, 2008
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