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Production Animal Clinical Toxicology
CNS Disorders: Oxalates
Plants | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control
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Plants
Oxaps pes-caprae - soursob
Rumex spp. - dock, sorrel
Acetosella vulgaris sheep sorrel
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Portulaca oleracea - pigweed
Salsola kap - soft roly poly
Threlkeldia proceriflora - soda bush
Emex austraps - spiny emex
Setaria anceps
kikuyu, panic, buffel, elephant grasses
Epidemiology
animal factors
- hungry animals placed onto restricted pasture dominated by oxalate containing plants
- animals unaccustomed to oxalates in diet
- pregnant/lactating animals may be more susceptible
plant/environmental factors
- oxalates highest at the leafy stage of growth especially during autumn flush after dry summer
Pathogenesis
- normally rumen microflora break down oxalate to formate
- Ca precipitates oxalate which is excreted as it is insoluble
- both processes contribute to oxalate neutralisation and prevent systemic uptake
- toxicity if
- (i) excess in diet
- (ii) reduction of ruminal microbe activity due to fasting, and/or
- (iii) low dietary Ca
- (iv) animals unaccustomed and have few oxalate degrading bacteria
- result is one or combination of 3 syndromes
- (i) hypocalcaemia
- (ii) nephrosis from precipitation of Ca oxalate in renal tubular lumens
- (iii) vascular injury especially of the gastrointestinal tract and lungs - shock
- in addition horses may develop osteodystrophia fibrosa
Clinical Signs
- hypocalcaemia
- paresis
- muscle tremor, staggering
- frothy nasal discharge, frequent attempts to urinate
- collapse on brisket, coma, death
- chronic renal damage
- poor appetite
- failure to thrive
- anaemia
Clinical Pathology
- decreased serum Ca
- increased serum oxalate
- increased BUN
- proteinuria
Necropsy
- pulmonary oedema, froth in airways
- hyperaemia, inflammation and necrosis of forestomachs
- renal oxalate crystals - grey line at the cortico-medullary junction
- chronic - shrunken fibrotic kidneys
- urinary calculi
Diagnosis
- history
- clinical pathology
- necropsy
Treatment
- only partial or nonresponse to Ca borogluconate
Control
- pasture and animal management
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Last Modified: Tuesday 08 July, 2008
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