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Production Animal Clinical Toxicology
Sudden Death: Nitrate/Nitrite
Plants | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control
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Plants
oats, lucerne, sorghum, maize, kikuyu, rape
Silybum marianum - variegated thistle
Arctotheca calendula - capeweed
Verbisina enceliodes - crown beard
Portulaca spp. - pigweed
Salvia reflexa - mintweed
Epidemiology
animal factors
- most common in ruminants
- cattle more susceptible
- pigs very susceptible but only if nitrites are ingested, e.g. cooked mangels (beets) or nitrite containing wheys
- starved animals given access to potentially toxic plants: related to both quantity ingested and to reduced microbe flora that reduce nitrate
- stressed animals (mustering, droving, other handling)
- lack of acquaintance/adaptation
plant/environmental factors
relate to factors that:
- (1) facilitate uptake of nitrate by plant
- use of high nitrogenous fertilisers
- stockyards
- low soil S and Mo, and,
- (2) reduce the ability of plant reductases to reduce nitrate to ammonia
- drought, dry periods where sufficient moisture at night for nitrate uptake
- during day wilting reduces reductase activity
- eventually nitrate accumulates
- cloudiness, certain herbicides also reduce plant reductases
Pathogenesis
- nitrite absorbed to give metHb
- if greater than 20% metHbaemia - clinical signs
- if greater than 80% metHbaemia - death
- induces an anaemic anoxia
- nitrite may also have some direct effect on tissues
- vasodilation exacerbating peripheral circulatory failure
- most effects are attributable to anoxia
Clinical Signs
- sudden death
- dark mucosae; blood can be chocolate in colour
- respiratory distress from anoxia
- twitching muscle tremor, ataxia
- some animals may have gastroenteritis
- death up to 24 hr post-ingestion
Clinical Pathology
- diphenylamine test for nitrite
- direct on blood smears
- on urine within 48 hr
- metHb - on whole blood submitted within several hours; only some laboratories can do this test
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Necropsy
- blood may be dark, chocolate in colour; clots poorly
- generally nonspecific
Diagnosis
- history
- clinical pathology
Treatment
- methylene blue i.v. in low doses
Control
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