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Production Animal Clinical Toxicology
Hepatic Disorders: Lupinosis
Plants | Aetiology | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control
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Plants
Lupinus spp.
Aetiology
Phomopsis leptostromiformis, a saprophyte infecting Lupinus spp.
Epidemiology
animal factors
- can affect sheep, cattle, horses
- young sheep more likely to eat infested stem material and are more likely to develop illness
- some sheep will eat more stubble than others and will develop illness first
- high stocking rates, lack of access to alternative feed increases risk of disease
plant/environmental factors
- fungus grows localised on green stems during winter and spring
- extensive colonisation of plant at senescence
- toxin produced after plant dies when the fungus adapts to being a saprophyte
- may have increased toxicity in stubbles after rain or during periods of high humidity
- stubbles can be toxic for months or years
- seeds can be occasionally toxic
Pathogenesis
- toxins are polypeptides called phomopsins A, B, C
- cause progressive loss of hepatocyte microtubules which leads to abnormal mitosis, mitotic arrest, fat infiltration and cytotoxicity
- also disrupt enzyme systems within cell membranes
Clinical Signs
sheep
- acute - seen within 2 days of feeding stubble
- large proportion of flock affected
- lethargy, depression
- anorexia
- icterus
- chronic - seen over a period
- variable numbers within flock
- inappetence
- loss of condition
- lethargic and weak
- icterus not a feature; sclera are not normal white colour and may be congested
- photosensitisation is not a feature if green feed is not available
- chronic copper toxicity can be observed
cattle - 2 syndromes
- common - effects late pregnant/recently calved cows mainly during autumn
- sudden deaths
- abortion
- may be icteric and photosensitised
- less common - ill-thrift, few mortalities
- development of photosensitisation following season when green feed available
horses
- haemolytic anaemia associated with severe hepatic disease
Clinical Pathology
- hepatic enzymes, bilirubin
Necropsy
sheep
- acute
- icterus
- swollen liver, yellow to cream in colour
- enlarged gall bladder
- ascites, connective tissue oedema
- occasional cardiac, skeletal myopathy
- chronic
- misshapened, small hard coppery to tan liver
cattle
- common syndrome
- fatty liver, secondary ketosis due to inappetence at crucial stage
- less common
Diagnosis
- history
- clinical signs
- necropsy
Treatment
- removal if at early stage
Control
- management with early detection of poor animals and removal of flock
- low stocking rates
- graze lupins soon after harvest and not autumn
- ensure access to lupin seed and non lupin material as well
- make hay by cutting green lupins just after flowering
- development of fungal resistant lupins
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