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Production Animal Clinical Toxicology

Sudden Death: Nitrate/Nitrite


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


Return to Production Animal Clinical Toxicology Index

Click on the images for more information


Plants

oats, lucerne, sorghum, maize, kikuyu, rape

 Avena sativa - click for larger image

Silybum marianum - variegated thistle

 Silybum marianum - click for larger image  Silybum marianum - click for larger image

Arctotheca calendula - capeweed

 Arctotheca calendula - click for larger image

Verbisina enceliodes - crown beard

Verbisina enceliodes - click for larger image

Portulaca spp. - pigweed

Portulaca spp. - click for larger image

Salvia reflexa - mintweed

 Salvia reflexa - click for larger image

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

nitrate/nitrite image - click for larger image
  • 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
  • .

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

  • grazing management




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Last Modified: Tuesday 08 July, 2008
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