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Production Animal Clinical Toxicology

Hepatic Disorders: Pyrrolizidine Alkaloids



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

Echium plantagineum - Paterson's curse

 Echium plantagineum - click for larger image  Echium plantagineum - click for larger image  Echium plantagineum - click for larger image
 Echium plantagineum - click for larger image  Echium plantagineum - click for larger image

Senecio spp. - fireweeds, ragwort

Senecio spp. - click for larger image Senecio spp. - click for larger image Senecio spp. - click for larger image Senecio jacobaea - click for larger image

Heliotropium spp. - heliotropes

 Heliotropium europaeum - click for larger image  Heliotropium europaeum - click for larger image

Crotolaria spp. - rattlepods

 Crotolaria spp. - click for larger image

Epidemiology

animal factors

  • all species can be affected
  • pigs more susceptible than cattle/horses, sheep less susceptible
  • often need several seasons of exposure before toxicity evident

plant/environmental factors

  • prolonged and repeated poor seasons lead to pasture contamination to sufficient levels
  • may be only growth present
  • plant flush after break in drought
  • generally plants are not palatable, although sheep eat Paterson's curse
  • may have mixture of species (eg Heliotropium and Echium) in a paddock
  • can have toxicity from contaminated hay

Pathogenesis

  • compounds become activated in tissues and bind to vital cell components
  • results in cellular necrosis and/or inhibition of mitosis
  • alkaloid metabolites are hepatotoxic and can affect other epithelia particularly pulmonary and renal
  • endothelium can also be affected with vascular damage
  • ultimately with chronic exposure death results in chronic hepatic failure
  • CNS signs relate to elevated NH3 inducing a hepatic encephalopathy
  • in sheep hepatogenous Cu toxicity may result
  • decreased Cu excretion in bile
  • hepatocyte necrosis leads to Cu being stored in increasing amounts in other hepatocytes
  • eventually lysosomal collapse means massive release of Cu into blood that has a direct effect on erythrocyte membranes, resulting in haemolysis

Clinical Signs

sheep - 2 syndromes

(i) hepatic failure (less common)

  • illthrift developing into emaciation
  • icterus and photosensitisation (rare)

(ii) hepatogenous chronic copper toxicity

  • reluctant to move
  • jaundice
  • anaemia
  • Hbaemia, Hburia
  • terminal respiratory distress

cattle - weight loss and emaciation

  • mild to severe diarrhoea
  • rectal prolapse
  • occasional icterus and photosensitisation
  • CNS signs terminally
    • apparent blindness
    • circling, aimless wandering
    • ataxia

horses - similar signs except that loss of condition may occur suddenly over a week

  • terminal CNS signs including a "dummy" syndrome may last only several days
  • ventral oedema

Clinical Pathology

  • hepatic enzymes, bilirubin
  • hepatic biopsy
  • Hburia in some sheep

Necropsy

Echium plantagineum - click for larger image Echium plantagineum - click for larger image Echium plantagineum - click for larger image Echium plantagineum - click for larger image Echium plantagineum - click for larger image
  • firm fibrotic livers
  • portal hypertension
    • ascites
    • gall bladder and intestinal oedema
  • +/-icterus
  • if haemolytic crisis has occurred kidneys may be dark or gunmetal in colour
  • histopathology
    • hepatic necrosis
    • hepatic and renal megalocytosis

Diagnosis

  • history
  • necropsy
  • histopathology

Treatment

  • none

Control

  • grazing management
  • eradication of plants
  • biological (insect) control




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Last Modified: Tuesday 08 July, 2008
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